{"id":117926,"date":"2018-03-11T10:47:38","date_gmt":"2018-03-11T10:47:38","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/impacto-de-la-implantacion-de-valvula-aortica-percutanea-en-la-calidad-de-vida-nivel-de-dependencia-y-demanda-de-apoyo-socio-familiar-en-pacientes-ancianos-con-estenosis-aortica-severa\/"},"modified":"2018-03-11T10:47:38","modified_gmt":"2018-03-11T10:47:38","slug":"impacto-de-la-implantacion-de-valvula-aortica-percutanea-en-la-calidad-de-vida-nivel-de-dependencia-y-demanda-de-apoyo-socio-familiar-en-pacientes-ancianos-con-estenosis-aortica-severa","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/complutense-de-madrid\/impacto-de-la-implantacion-de-valvula-aortica-percutanea-en-la-calidad-de-vida-nivel-de-dependencia-y-demanda-de-apoyo-socio-familiar-en-pacientes-ancianos-con-estenosis-aortica-severa\/","title":{"rendered":"Impacto de la implantaci\u00f3n de v\u00e1lvula a\u00f3rtica percut\u00e1nea en la calidad de vida, nivel de dependencia y demanda de apoyo socio-familiar en pacientes ancianos con estenosis a\u00f3rtica severa"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Susana Ines Roca Sanchez <\/strong><\/h2>\n<p>La estenosis a\u00f3rtica severa (eas) es la patolog\u00eda valvular m\u00e1s frecuente dentro de la poblaci\u00f3n a\u00f1osa, siendo la sustituci\u00f3n valvular quir\u00fargica el \u00fanico tratamiento eficaz.La edad avanzada, se asocia con mayor frecuencia a comorbilidades, que contribuyen al aumento del riesgo operatorio y no existe ning\u00fan tratamiento m\u00e9dico efectivo para la eas. Gracias a los avances de la cardiolog\u00eda intervencionista se presenta una alternativa: la implantaci\u00f3n de pr\u00f3tesis valvular aortica por v\u00eda percut\u00e1nea o transapical (tavi).Los objetivos del presente estudio son: conocer el impacto de tavi en pacientes ancianos con estenosis aortica severa en aspectos como la capacidad funcional, la calidad de vida, el nivel de dependencia y la demanda de apoyo socio-familiar a los 6 meses del implante y su seguimiento a lo largo del tiempo (1 mes, 3 y 6 meses), as\u00ed como  evaluar el impacto seg\u00fan la situaci\u00f3n basal de calidad de vida y nivel de dependencia y el comportamiento   de la poblaci\u00f3n por subgrupos de edad.A partir de los resultados obtenidos se concluye:a los seis meses del implante de tavi los pacientes mejoran significativamente su capacidad funcional, en la calidad de vida, as\u00ed como en nivel de dependencia para actividades b\u00e1sicas e instrumentales de la vida diaria (abvd, aivd).Analizando la evoluci\u00f3n en el tiempo tras el implante de tavi, los pacientes mejoran su capacidad funcional de forma m\u00e1s significativa al mes despu\u00e9s de la intervenci\u00f3n. La calidad de vida y el nivel de dependencia para abvd y aivd mejoran desde el primer al tercer mes tras el implante y los requerimientos de apoyo socio-familiar se incrementan durante el primer mes tras el implante  as\u00ed como los ingresos hospitalarios. Seg\u00fan su  situaci\u00f3n basal  los pacientes que f\u00edsicamente se encuentran peor mejoran significativamente antes y con mayor impacto.La edad no es un factor predictor, los pacientes pueden beneficiarse o no, independientemente de la edad. Palabras clave: remplazo de la v\u00e1lvula a\u00f3rtica transcat\u00e9ter. Anciano. Calidad de vida title: percutaneous aortic valve implantation in the elderly with severe aortic stenosis: impact on quality of life, dependency level and social and family support demands.Severe aortic stenosis (sas) is the most common vale disease in the elderly and surgical valve replacement is the only accepted treatment.However, advanced age is frequently associated with multiple co-morbidities that increase peri-operative risk, and survival rates with medical treatment alone are poor. Fortunately, technological developments achieved in interventional cardiology have facilitated the onset of an alternative treatment:trans-catheter aortic valve replacement (tavr).Objectives of the present study are: determine tavr impact on patients with sas, especially on areas such as functional capacity, quality of life, level of dependency and social and family support demands both at 6 months post-procedure and during the whole follow-up (at one month, three months and six months follow-up). We also wished to evaluate tavr repercussion on those areas among different age groups and according to baseline quality of life and level of dependency.Results show that at 6 months patients improve their functional capacity, quality of life and level of dependency for basic personal daily activities.Patients improve predominantly during the first month after the intervention. Quality of life and level of dependency for both basic personal and instrumental activities get better from the first month to the third month after valve implantation, while hospital admissions, social and family demands increase after the first month is completed.According to patients baseline situation, those who are at a worse situation improve earlier and to a greater extent.Age does not predict accurately tavr benefit, and patients may improve or not regardless of their age. Key words:trans-catheter aortic valve replacement. Elderly. Quality of life<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Impacto de la implantaci\u00f3n de v\u00e1lvula a\u00f3rtica percut\u00e1nea en la calidad de vida, nivel de dependencia y demanda de apoyo socio-familiar en pacientes ancianos con estenosis a\u00f3rtica severa<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Impacto de la implantaci\u00f3n de v\u00e1lvula a\u00f3rtica percut\u00e1nea en la calidad de vida, nivel de dependencia y demanda de apoyo socio-familiar en pacientes ancianos con estenosis a\u00f3rtica severa <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Susana Ines Roca Sanchez <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Complutense de Madrid<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 20\/07\/2015<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h3>Direcci\u00f3n y tribunal<\/h3>\n<ul>\n<li><strong>Director de la tesis<\/strong>\n<ul>\n<li>Carlos Macaya Miguel<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: emilio Vargas castrill\u00f3n <\/li>\n<li>rosa Pulido mendoza (vocal)<\/li>\n<li>encarnacion Fernandez del palacio (vocal)<\/li>\n<li>rosa Mar\u00eda Conty serrano (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Susana Ines Roca Sanchez La estenosis a\u00f3rtica severa (eas) es la patolog\u00eda valvular m\u00e1s frecuente dentro de [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center 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