{"id":13782,"date":"2018-03-09T09:00:11","date_gmt":"2018-03-09T09:00:11","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/impacto-de-los-avances-en-los-cuidados-perinatales-en-la-morbimortalidad-de-los-preterminos-menores-de-1500-gramos-estudio-comparativo-de-dos-quinquenios\/"},"modified":"2018-03-09T09:00:11","modified_gmt":"2018-03-09T09:00:11","slug":"impacto-de-los-avances-en-los-cuidados-perinatales-en-la-morbimortalidad-de-los-preterminos-menores-de-1500-gramos-estudio-comparativo-de-dos-quinquenios","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/impacto-de-los-avances-en-los-cuidados-perinatales-en-la-morbimortalidad-de-los-preterminos-menores-de-1500-gramos-estudio-comparativo-de-dos-quinquenios\/","title":{"rendered":"Impacto de los avances en los cuidados perinatales en la morbimortalidad de los preterminos menores de 1500 gramos. estudio comparativo de dos quinquenios"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Manuel Catalan Mu\u00f1oz <\/strong><\/h2>\n<p>La introduccion en la ultima decada de determinadas modalidades terapeuticas (corticoides prenatatales, surfactante exogeno, indometacina, avances en ventiloterapia, dexametasona postnatal&#8230;) Ha contribuido al cambio en la mortalidad y en la frecuencia, severidad y evolucion a corto y largo plazo de las patolog\u00edas mas frencuentes del recien nacido pretermino de muy bajo peso. Dise\u00f1amos un estudio retrospectivo cuasiexperimental en el que se comparan dos grupos de recien nacidos preterminos de muy bajo peso al nacer (&lt;1500 gramos) de las decadas de los ochenta y los noventa nacidos en nuestro centro, antes y despues del uso generalizado de las terapeuticas antes descritas.  se incrementa la supervivencia global del 53.4% en la serie 1 al 64.4% en la serie 2. Entre las 24 y 26 semanas existen diferencias estadisticamente significativas. El limite de viabilidad pasa de las 27 a las 24 semanas y de los 780 gramos a los 585 gramos. El uso de corticoides prenatales incremento la supervivencia en menores de 32 semanas y redujo la incidencia de enfermedad de membrana hialina grados 3 y 4 y de hemorragia intraventricular severa en menores de 30 semanas. Existe un incremento estadisticamente significativo de la supervivencia de los recien nacios entre 24 y 26 semanas cuando se administra al menos 1 dosis de surfactante. El uso de surfactante terapeutico se asocio a mayor incidencia de displasia broncopulmonar entre 27 y 29 semanas. Se incrementa de forma estadisticamente significativa la incidencia de enterocolitis necrosate cuando se usa pauta profilactica de indometacina. El 80.8% de los ni\u00f1os evaluados a los 2 a\u00f1os de edad corregida no tienen secuelas neurosensoriales o solo tienen secuelas leves.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Impacto de los avances en los cuidados perinatales en la morbimortalidad de los preterminos menores de 1500 gramos. estudio comparativo de dos quinquenios<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Impacto de los avances en los cuidados perinatales en la morbimortalidad de los preterminos menores de 1500 gramos. estudio comparativo de dos quinquenios <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Manuel Catalan Mu\u00f1oz <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Sevilla<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 14\/11\/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>Jos\u00e9 Gonz\u00e1lez Hachero<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Jes\u00fas S\u00e1nchez ramos <\/li>\n<li>Manuel Casanova bellido (vocal)<\/li>\n<li>eduardo Narbona lopez (vocal)<\/li>\n<li>guadalupe Perez perez (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Manuel Catalan Mu\u00f1oz La introduccion en la ultima decada de determinadas modalidades terapeuticas (corticoides prenatatales, surfactante exogeno, [&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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