{"id":142159,"date":"2026-03-07T18:28:08","date_gmt":"2026-03-07T18:28:08","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/historia-natural-de-la-cirrosis-hepatica-factores-pronosticos\/"},"modified":"2026-03-07T18:28:08","modified_gmt":"2026-03-07T18:28:08","slug":"historia-natural-de-la-cirrosis-hepatica-factores-pronosticos","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/historia-natural-de-la-cirrosis-hepatica-factores-pronosticos\/","title":{"rendered":"Historia natural de la cirrosis hepatica: factores pronosticos."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Rafael Gomez Maestre <\/strong><\/h2>\n<p>La cirrosis hepatica es una enfermedad cronica con tasas altas de mortalidad al a\u00f1o, siendo el alcohol la causa mas frecuente, con largas supervivencias en pacientes compensados, empeorando el pronostico tras la primera descompensacion clinica,  u otra complicacion mayor. Para la realizacion del estudio se incluyeron en un protocolo dise\u00f1ado con 75 variables, 443 enfermos ingresados en el servicio de aparato digestivo. Se utilizaron para el analisis de factores pronostico y de supervivencia los programas bmd p3d, bmd p2l ademas de otros procedimientos estadisticos. Del global de enfermos, el 79% eran varones, el 21% mujeres. La etiolog\u00eda mas frecuente obtenida fue el alcohol (70,88%). Entre los datos recogidos en el primer ingreso, 34 pacientes estaban en situacion compensada, 409 con cirrosis descompensada, cuyos sindromes clinicos mas frecuentes fueron la ascitis, la ictericia, la encefalopatia hepatica. Del global de enfermos fallecieron 366, por insuficiencia hepatica y por hemorragia digestiva como causas mas frecuentes de muerte. El tiempo medio de supervivencia fue de 22,73 meses, permaneciendo vivos al a\u00f1o un 45,68% de los pacientes, el 20,78% a los 5 a\u00f1os y el 7,27% a los 10 a\u00f1os.  con los programas bmd-p3d y bmd-p2l se obtuvieron como variables altamente significativas la encefalopatia hepatica, la albumina, la ascitis, el sindrome hepatorrenal, construyendose finalmente un modelo matematico para el calculo de la supervivencia esperada.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Historia natural de la cirrosis hepatica: factores pronosticos.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Historia natural de la cirrosis hepatica: factores pronosticos. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Rafael Gomez Maestre <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 C\u00f3rdoba<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 01\/01\/1993<\/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>Gonzalo Mi\u00f1o Fugarolas<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Pedro S\u00e1nchez Guijo <\/li>\n<li> Jaramillo Esteban Jos\u00e9 Luis (vocal)<\/li>\n<li>Javier Salmeron Escobar (vocal)<\/li>\n<li>Manuel Jimenez Saenz (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Rafael Gomez Maestre La cirrosis hepatica es una enfermedad cronica con tasas altas de mortalidad al a\u00f1o, [&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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