{"id":12602,"date":"2018-03-09T08:58:31","date_gmt":"2018-03-09T08:58:31","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/sirs-y-citocinas-en-un-servicio-de-medicina-interna\/"},"modified":"2018-03-09T08:58:31","modified_gmt":"2018-03-09T08:58:31","slug":"sirs-y-citocinas-en-un-servicio-de-medicina-interna","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/sirs-y-citocinas-en-un-servicio-de-medicina-interna\/","title":{"rendered":"Sirs y citocinas en un servicio de medicina interna"},"content":{"rendered":"<h2>Tesis doctoral de <strong>  Jarque Lopez Ana M. <\/strong><\/h2>\n<p>Se trata de un estudio realizado en 174 pacientes que ingresaron en un servicio de medicina interna procedentes del servicio de urgencias y que cumplieran criterios de sirs.  el objetivo del estudio fue analizar las caracteristicas clinicas, epidemiologicas y evolutivas de los pacientes con sirs, valorar el comportamiento de las interleucinas estudiadas y su relacion con otros reactantes de fase aguda y determinar el pronostico de las citocinas en comparacion a los reactantes de fase aguda y a otros scores clinicos como el apache ii y el glasgow.  a todos los enfermos se les realizaron diferentes scores clinicos: apache ii y escala de gasgow. Se realizo un estudio nutricional mediante estudio antropometrico, valoracion nutricional subjetiva e impedancia biolectrica. se analizaron los niveles plasmaticos de bun, creatinina, vsg, pcr. Hemoglobina, hematocrito, gasometria arterial, protrombina, albumina, na+,k+, il-6,il-8,il-10 y tnf-a. Se recogieron los antecedenes personales de los pacientes y se analizaron las muestras microbiologicas extraidas a los pacientes durante su ingreso (hemocultivos y otros cultivos). Se siguio la evolucion clinica de los pacientes durante su ingreso hasta el alta hospitalaria o su fallecimiento.  la mayoria de las variables siguieron una distribucion no normal seg\u00fan la prueba de kolmogorow-smirnof, por lo que se usaron pruebas no parametricas para el estudio estadistico. Se analizo el comportamiento de la albumina a traves de un analisis de regresion multiple paso a paso. Para el analisis de las distintas variables asi como su valor predictivo independiente de mortalidad se realizo un analisis de regresion multiple.  resultados: el 56,14% fueron varones y el 43,86% mujeres. La edad media fue de 65+-19 a\u00f1os. La diabetes (23%), hta (21,8%) y epoc (19,5%) fueron los antecedentes mas frecuentes. El 49,4% de los pacientes presento 2 criterios de sirs mas frecuente fue la taquipnea (75,25%) y el menos frecuente l<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Sirs y citocinas en un servicio de medicina interna<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Sirs y citocinas en un servicio de medicina interna <\/li>\n<li><strong>Autor:<\/strong>\u00a0  Jarque Lopez Ana M. <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 La laguna<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 30\/07\/2001<\/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>Francisco Javier Santolaria Fernandez<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal:  Gonzalez reimers Carlos emilio <\/li>\n<li>pedro Pe\u00f1a quintana (vocal)<\/li>\n<li>\u00c1lvaro Luis Torres lana (vocal)<\/li>\n<li>Jos\u00e9 Luis Perez arellano (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Jarque Lopez Ana M. Se trata de un estudio realizado en 174 pacientes que ingresaron en un [&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 center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""}},"footnotes":""},"categories":[9,41163,9915,156],"tags":[10486,41165,41166,41164,9186,31043],"class_list":["post-12602","post","type-post","status-publish","format-standard","hentry","category-ciencias-medicas","category-endotoxinas","category-la-laguna","category-patologia","tag-alvaro-luis-torres-lana","tag-francisco-javier-santolaria-fernandez","tag-gonzalez-reimers-carlos-emilio","tag-jarque-lopez-ana-m","tag-jose-luis-perez-arellano","tag-pedro-pena-quintana"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/12602","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/comments?post=12602"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/12602\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=12602"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=12602"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=12602"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}