{"id":145142,"date":"1993-01-01T00:00:00","date_gmt":"1993-01-01T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/efectividad-de-la-profilaxis-de-la-enfermedad-tromboembolica-en-la-cirugia-de-cadera\/"},"modified":"1993-01-01T00:00:00","modified_gmt":"1993-01-01T00:00:00","slug":"efectividad-de-la-profilaxis-de-la-enfermedad-tromboembolica-en-la-cirugia-de-cadera","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/efectividad-de-la-profilaxis-de-la-enfermedad-tromboembolica-en-la-cirugia-de-cadera\/","title":{"rendered":"Efectividad de la profilaxis de la enfermedad tromboembolica en la cirugia de cadera."},"content":{"rendered":"<h2>Tesis doctoral de <strong>  Villar Casares M. Mar <\/strong><\/h2>\n<p>La enfermedad tromboembolica es una importante causa de morbimortalidad intrahospitalaria, particularmente entre los pacientes intervenidos de cirugia ortopedica. Entre octubre-89 y junio-92 se ha realizado un estudio prospectivo de cohortes para valorar la efectividad de una heparina de bajo peso molecular, enoxaparina, en comparacion con heparina no fraccionada, asi como los factores asociados al riesgo de sufrir tvp postoperatoria en cirugia ortopedica (protesis total de cadera). Se han estudiado 80 pacientes intervenidos de ptc (39 tratados con heparina calcica y 41 con enoxaparina). En todos los casos se ha efectuado una flebografia bilateral ascendente entre los dias 10 y 14 del postoperatorio y se ha valorado tambien el sangrado perioperatorio.  en conjunto han presentado tvp 28 pacientes (35%), siendo 18 (22%) tvp proximales. Seis pacientes (8%) han presentado un tep. La extremidad intervenida (or 3,4 ic 95% 1,5-7,8) y la obesidad (p=0,02) se han mostrado como factores de riesgo de enfermedad tromboembolica. Las caracteristicas basales de ambos grupos de tratamiento han sido comparables entre si, y la incidencia de tvp ha sido superior en el grupo tratado con heparina calcica (44%) respecto al tratado con enoxaparina (27%), or 2,1 ic 95% 0,8-5,4; las trombosis proximales han sido un 30,8% para heparina calcica y un 14,6% para enoxaparina (or 2,6 ic 95% 0,9-8,4). Las perdidas sanguineas han estado similares para los dos grupos, excepto en lo que respecta a la disminucion de los valores analiticos (hemoglobina, etc.), Que han sido algo superiores para la enoxaparina (p=0,039), pero, dada la escasa relevancia clinica de este ultimo hecho, pensamos que la enoxaparina parece superior a la heparina calcica en la profilaxis de la enfermedad tromboembolica en la protesis total de cadera.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Efectividad de la profilaxis de la enfermedad tromboembolica en la cirugia de cadera.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Efectividad de la profilaxis de la enfermedad tromboembolica en la cirugia de cadera. <\/li>\n<li><strong>Autor:<\/strong>\u00a0  Villar Casares M. Mar <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Aut\u00f3noma de barcelona<\/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>Miquel Vilardell Tarres<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Antonio Navarro Quilis <\/li>\n<li>Jaime Guardia Mass\u00f3 (vocal)<\/li>\n<li>Jos\u00e9 Antonio Salva Miquel (vocal)<\/li>\n<li>Santiago Suso Vergara (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Villar Casares M. Mar La enfermedad tromboembolica es una importante causa de morbimortalidad intrahospitalaria, particularmente entre los [&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":[9,141,10665,156,12395],"tags":[13935,13768,297,13703,455,260043],"class_list":["post-145142","post","type-post","status-publish","format-standard","hentry","category-ciencias-medicas","category-cirugia","category-cirugia-osea","category-patologia","category-trombosis","tag-antonio-navarro-quilis","tag-jaime-guardia-masso","tag-jose-antonio-salva-miquel","tag-miquel-vilardell-tarres","tag-santiago-suso-vergara","tag-villar-casares-m-mar"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/145142","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=145142"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/145142\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=145142"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=145142"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=145142"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}