{"id":16549,"date":"2018-03-09T09:04:13","date_gmt":"2018-03-09T09:04:13","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/influencia-de-la-hospitalizacion-en-la-racionalizacion-de-los-tratamientos-farmacologicos\/"},"modified":"2018-03-09T09:04:13","modified_gmt":"2018-03-09T09:04:13","slug":"influencia-de-la-hospitalizacion-en-la-racionalizacion-de-los-tratamientos-farmacologicos","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/influencia-de-la-hospitalizacion-en-la-racionalizacion-de-los-tratamientos-farmacologicos\/","title":{"rendered":"Influencia de la hospitalizaci\u00f3n en la racionalizaci\u00f3n de los tratamientos farmacologicos"},"content":{"rendered":"<h2>Tesis doctoral de <strong>  Borrego Hernando M. Isabel <\/strong><\/h2>\n<p>Objetivos  * analizar el impacto de la hospitalizaci\u00f3n en la utilizaci\u00f3n de medicamentos de utilidad terap\u00e9utica baja y en la polifarmacia.  * analizar las modificaciones que realizan los m\u00e9dicos de atenci\u00f3n primaria en los tratamientos prescritos en el informe del alta hospitalaria.  metodos  este es un estudio observacional prospectivo, en el que entrevista a 473 pacientes que ingresan en un hospital terciario para conocer la medicaci\u00f3n que toman antes del ingreso en el hospital. La informaci\u00f3n de la medicaci\u00f3n que toman al recibir el alta hospitalaria se obtiene de los informes de alta informatizados. De estos 473 pacientes, se selecciona una muestra de 230, que se entrevista a los dos meses de recibir el alta hospitalaria para conocer la influencia de los m\u00e9dicos de atenci\u00f3n primaria en los tratamientos farmacol\u00f3gicos.  resultados y conclusiones  la hospitalizaci\u00f3n no origina una reducci\u00f3n significativa de la proporci\u00f3n de pacientes con medicamentos de utilidad terap\u00e9utica baja. El m\u00e9dico hospitalario suspende tratamientos con medicamentos de utilidad terap\u00e9utica baja (vasodilatadores cerebrales y perif\u00e9ricos), pero inicia tratamientos con otros grupos terap\u00e9uticos de utilidad terap\u00e9utica baja (expectorantes y mucol\u00edticos). La preValencia de polifarmacia aumenta ligeramente debido a la hospitalizaci\u00f3n, fundamentalmente en pacientes que ingresan de forma urgente y pacientes de mayor edad. Los m\u00e9dicos hospitalarios disminuyen el n\u00famero de medicamentos a los pacientes que ingresan con m\u00e1s medicamentos. El m\u00e9dico de atenci\u00f3n primaria no reduce significativamente la proporci\u00f3n de pacientes que son dados de alta del hospital con medicamentos de utilidad terape\u00fatica baja, por lo que la responsabilidad de la utilizaci\u00f3n de estos medicamentos recae en ambos niveles de atenci\u00f3n m\u00e9dica. El m\u00e9dico de atenci\u00f3n primaria interviene en los tratamientos del alta hospitalaria, generalmente, suspendiendo tra<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Influencia de la hospitalizaci\u00f3n en la racionalizaci\u00f3n de los tratamientos farmacologicos<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Influencia de la hospitalizaci\u00f3n en la racionalizaci\u00f3n de los tratamientos farmacologicos <\/li>\n<li><strong>Autor:<\/strong>\u00a0  Borrego Hernando M. Isabel <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Complutense de Madrid<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 23\/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>Emilio Vargas Castrill\u00f3n<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: alfonso Moreno gonzalez <\/li>\n<li>adrian Llerena ruiz (vocal)<\/li>\n<li>carmen Mart\u00ed bernal (vocal)<\/li>\n<li>concepci\u00f3n Prieto yerro (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Borrego Hernando M. Isabel Objetivos * analizar el impacto de la hospitalizaci\u00f3n en la utilizaci\u00f3n de medicamentos [&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":[9,189],"tags":[19604,3585,52233,52234,15253,27361],"class_list":["post-16549","post","type-post","status-publish","format-standard","hentry","category-ciencias-medicas","category-farmacodinamia","tag-adrian-llerena-ruiz","tag-alfonso-moreno-gonzalez","tag-borrego-hernando-m-isabel","tag-carmen-marti-bernal","tag-concepcion-prieto-yerro","tag-emilio-vargas-castrillon"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/16549","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=16549"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/16549\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=16549"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=16549"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=16549"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}