{"id":128810,"date":"1996-01-01T00:00:00","date_gmt":"1996-01-01T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/cetoacidosis-diabetica-estudio-poblacional-en-el-area-sanitaria-7-de-madrid-1990-1995\/"},"modified":"1996-01-01T00:00:00","modified_gmt":"1996-01-01T00:00:00","slug":"cetoacidosis-diabetica-estudio-poblacional-en-el-area-sanitaria-7-de-madrid-1990-1995","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/cetoacidosis-diabetica-estudio-poblacional-en-el-area-sanitaria-7-de-madrid-1990-1995\/","title":{"rendered":"Cetoacidosis diabetica: estudio poblacional en el area sanitaria 7 de Madrid. 1990-1995."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Mar\u00eda  Paz De Miguel Novoa <\/strong><\/h2>\n<p>Introduccion: la cetoacidosis diabetica (cad) en una grave complicacion aguda de la enfermedad cuya incidencia es desconocida medio y que se ha relacionado con el nivel de educacion diabetologica. Como forma de establecer un punto de referencia de estrategias de mejora de la atencion al paciente desrrollamos un estudio que analizase la incidencia, presentacion clinica, proceso de atencion y mortalidad de la cad en el area sanitaria 7 de Madrid.  metodo: se recogieron retrospectivamente 245 casos de cad (250.1-cie-9-mc) desde abril de 1990 a marzo de 1995 del registro del ordenador central del hospital universitario de san carlos, considerando el consultorio de referencia de los pacientes para el calculo de incidencias (area 7).  resultados: la incidencia de cad fue de 6,54 casos \/100000 hab\/a\u00f1o (1,34 debuts), produciendose un incremento de 3,79 a 8,91 entre 1990 y 1995 (de 5,18 a 23,32 pra mayores de 65 a\u00f1os). Solo el 51,8% de los enfermos habian recibido educacion (19,4% en 65 a\u00f1os -p(0,0001). Los factores precipitantes mas frecuentes fueron infeccion (40,4%), comision\/error en tratamiento (24,1%), debut (18,8) y desconocido (15,5%).  el porcentaje de casos mixtos (osmolaridad 320 mosm\/1) paso del 42,9% en 1990 a 70,5% en 1995-p&lt;0,005-(el 76,7% en 65 a\u00f1os vs 44,8% en menores, p&lt;0,001). La estancia midia (em) fue de 15(15,3) dias, ingresando en uci el 25%. Se correlacionaron independiente con la em la edad, las horas pasadas en uci y la comorbilidad -p&lt;0,05, r=0,4 y con el ingreso en uci la edad y el ph- p&lt;0,01-. La mortalidad fue del 5,71%. El 50% se produjo el las primeras 16 horas. Las tres principales causas de muerte fueron accidente cerebrovascular (21,4%), sepsis (21,4%) y cardiopatia isquematica (14,3%). Las variables asociadas de forma independiente a muerte fueron edad, infeccion, comorbilidad, ingreso en uci y disminucion del nivel de conciencia al ingreso (p&lt;0,05).  conclusion: durante el period<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Cetoacidosis diabetica: estudio poblacional en el area sanitaria 7 de Madrid. 1990-1995.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Cetoacidosis diabetica: estudio poblacional en el area sanitaria 7 de Madrid. 1990-1995. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Mar\u00eda  Paz De Miguel Novoa <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Complutense de Madrid<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 01\/01\/1996<\/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>Juan  Pedro Mara\u00f1es  Pallardo<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Aniceto Luis Charro Salgado <\/li>\n<li>Luis Felipe Pallardo Sanchez (vocal)<\/li>\n<li>Ramon Pati\u00f1o Barrios (vocal)<\/li>\n<li>Jos\u00e9 Luis Herrera Pombo (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Mar\u00eda Paz De Miguel Novoa Introduccion: la cetoacidosis diabetica (cad) en una grave complicacion aguda de la 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