{"id":16519,"date":"2018-03-09T09:04:10","date_gmt":"2018-03-09T09:04:10","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/validacion-de-la-automedida-de-la-presion-arterial-domiciliaria-en-la-evaluacion-del-control-de-la-hipertension-arterial-valores-de-referencia-y-da%c2%adas-de-medicion\/"},"modified":"2018-03-09T09:04:10","modified_gmt":"2018-03-09T09:04:10","slug":"validacion-de-la-automedida-de-la-presion-arterial-domiciliaria-en-la-evaluacion-del-control-de-la-hipertension-arterial-valores-de-referencia-y-da%c2%adas-de-medicion","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/validacion-de-la-automedida-de-la-presion-arterial-domiciliaria-en-la-evaluacion-del-control-de-la-hipertension-arterial-valores-de-referencia-y-da%c2%adas-de-medicion\/","title":{"rendered":"Validaci\u00f3n de la automedida de la presi\u00f3n arterial domiciliaria en la evaluaci\u00f3n del control de la hipertensi\u00f3n arterial: valores de referencia y d\u00edas de medici\u00f3n"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Gustavo Rodr\u00edguez Roca <\/strong><\/h2>\n<p>Objetivos  primario: validar la utilidad cl\u00ednica de la automedida de la presi\u00f3n arterial (ampa) domiciliaria para detectar el buen o mal control de la hipertensi\u00f3n arterial (hta) en atenci\u00f3n primaria (ap), seg\u00fan se utilice un r\u00e9gimen de automedidas que incluya 1,2 \u00f3 3 d\u00edas.  secundarios: investigar en la poblaci\u00f3n inclu\u00edda en el estudio la preValencia de factores de reisgo cardiovascular (frcv) y enfermedad cardiovascular (ecv), as\u00ed como de reacci\u00f3n de alerta (ra) o efecto de bata blanca, analizando su relaci\u00f3n con el mal control de la hta.  material y m\u00e9todos  estudio descriptivo, transversal y anal\u00edtico realizado en el centro de salud docente de la puebla de montalb\u00e1n (toledo), en una muestra no seleccionada de pacientes hipertensos &gt; 17 a\u00f1os de ambos sexos, a los que consecutivamente se les midi\u00f3 la presi\u00f3n arterial (pa) cl\u00ednica (pac) con esfigmoman\u00f3metro de hg, realizaron ampa domiciliaria (equipo validado) y se les practi\u00f3 monitorizaci\u00f3n ambulatoria de la presi\u00f3n arterial (mapa), considerada el patr\u00f3n oro. Para el c\u00e1lculo del tama\u00f1o muestral se utilizaron los criterios de la escuela canadiense de epidemiolog\u00eda cl\u00ednica, que recomienda al menos 50 sanos y 50 enfermos en cada columna del m\u00e9todo de certeza. para evaluar el control de la hta, se analizaron en todos los reg\u00edmenes de ampa los valores de pa de 135\/85, 137\/87, 138\/88, 137\/88, 138\/87, 130\/80, 150\/90, 140\/85, 135\/90, 140\/90, 160\/90, 155\/90, 150\/95, 160\/95, 130\/95, 125\/90, 120\/80 y 125\/80 mn hg, calcul\u00e1ndose los indicadores de validez (iv) sensibilidad (s), especificidad (e) y valores predictivos + (vp+) y &#8211; (vp-), los cocientes de probabilidad + (cp+) y &#8211; (cp-), la calidad de la prueba mediante curvas roc y el grado de acuerdo real no debido al azar con el \u00edndice kappa.  resultados  finalizaron el estudio 163 pacientes con una edad media de 65,6 +- 12,5 a\u00f1os (57 hombres y 106 mujeres). El 87,1% present\u00f3 mal control con la pac, el 54<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Validaci\u00f3n de la automedida de la presi\u00f3n arterial domiciliaria en la evaluaci\u00f3n del control de la hipertensi\u00f3n arterial: valores de referencia y d\u00edas de medici\u00f3n<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Validaci\u00f3n de la automedida de la presi\u00f3n arterial domiciliaria en la evaluaci\u00f3n del control de la hipertensi\u00f3n arterial: valores de referencia y d\u00edas de medici\u00f3n <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Gustavo Rodr\u00edguez Roca <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Miguel hern\u00e1ndez de elche<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 19\/04\/2002<\/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>Vicente Gil Guillen<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Jos\u00e9 manuel Ribera casado <\/li>\n<li>Mar\u00eda  de los reyes Pascual perez (vocal)<\/li>\n<li>Manuel Luque otero (vocal)<\/li>\n<li> Divisi\u00f3n garrote Juan  Antonio (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Gustavo Rodr\u00edguez Roca Objetivos primario: validar la utilidad cl\u00ednica de la automedida de la presi\u00f3n arterial (ampa) 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