{"id":17184,"date":"2002-03-06T00:00:00","date_gmt":"2002-03-06T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/analisis-de-las-actuaciones-terapeuticas-en-la-enfermedad-hepatica-un-estudio-multicentrico-nacional\/"},"modified":"2002-03-06T00:00:00","modified_gmt":"2002-03-06T00:00:00","slug":"analisis-de-las-actuaciones-terapeuticas-en-la-enfermedad-hepatica-un-estudio-multicentrico-nacional","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/analisis-de-las-actuaciones-terapeuticas-en-la-enfermedad-hepatica-un-estudio-multicentrico-nacional\/","title":{"rendered":"An\u00e1lisis de las actuaciones terap\u00e9uticas en la enfermedad hep\u00e1tica: un estudio multic\u00e9ntrico nacional"},"content":{"rendered":"<h2>Tesis doctoral de <strong>  Fraile Fraile Jos\u00e9 M. <\/strong><\/h2>\n<p>Objetivos  describir los patrones de prescripci\u00f3n de f\u00e1rmacos en el manejo de las enfermedades cr\u00f3nicas hep\u00e1ticas y de las condiciones no hep\u00e1ticas m\u00e1s frecuentemente asociadas en pacientes con enfermedad cr\u00f3nica hep\u00e1tica subyacente. Identificar el grado de variabilidad entre los centros participantes en el manejo de las enfermedades hep\u00e1ticas y condicones no hep\u00e1ticas asociadas. Valorar la calidad de los esquemas terap\u00e9uticos utilizados.  material y m\u00e9todos  estudio multic\u00e9ntrico, prospectivo, observacional, realizado entre los meses de febrero y junio de 1999, en el que participaron 25 hospitales espa\u00f1oles, agrupados por comunidades aut\u00f3nomas, con un \u00e1rea de influencia de poblaci\u00f3n de 10.8 millones de habitantes. El centro coordinador fue el hospital universitario de m\u00e1laga (unidad de hepatolog\u00eda y servicio de farmacolog\u00eda cl\u00ednica, donde se centraliz\u00f3 toda la informaci\u00f3n). Se incluyeron en el estudio pacientes encamados con cargo a los servicios de aparato digestivo o unidades de hepatolog\u00eda con diagn\u00f3stico de hepatopat\u00eda. Se us\u00f3 un protocolo estadarizado para la recogida de datos. Se recogieron variables sociodemogr\u00e1ficas, diagn\u00f3sticos y tratamientos al ingreso, y diagn\u00f3sticos y tratamientos recomendados al alta.  resultados  se incluyeron 628 pacientes en el estudio, 577 de ellos con diagn\u00f3stico de cirrosis hep\u00e1tica, correspondiendo la mayor proporci\u00f3n a la cirrosis hep\u00e1tica alcoh\u00f3lica. La complicaci\u00f3n m\u00e1s frecuente fue la ascitis. Para el tratamiento de la ascitis se utilizaron, en similar proporci\u00f3n, espironolactona sola y asociada a furosemida. La lactulosa y el lactitol se usaron para la profilaxis de la eh. Los beta bloqueantes no selectivos, con predominio del propranolol, se usaron para la profilaxis del sangrado por hipertensi\u00f3n portal. Para la pbe se uso norfloxacino. Los f\u00e1rmacos antiulcerosos se prescribieron para la protecci\u00f3n g\u00e1strica y la vitamina k para la coagulopat\u00eda de<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>An\u00e1lisis de las actuaciones terap\u00e9uticas en la enfermedad hep\u00e1tica: un estudio multic\u00e9ntrico nacional<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 An\u00e1lisis de las actuaciones terap\u00e9uticas en la enfermedad hep\u00e1tica: un estudio multic\u00e9ntrico nacional <\/li>\n<li><strong>Autor:<\/strong>\u00a0  Fraile Fraile Jos\u00e9 M. <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 M\u00e1laga<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 03\/06\/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>Raul Jes\u00fas Andrade Bellido<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: pedro Gonz\u00e1lez santos <\/li>\n<li>joaqu\u00edn Fern\u00e1ndez-crehuet navajas (vocal)<\/li>\n<li>Javier Salmeron escobar (vocal)<\/li>\n<li>moises Diago Mar\u00eda (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Fraile Fraile Jos\u00e9 M. Objetivos describir los patrones de prescripci\u00f3n de f\u00e1rmacos en el manejo de las [&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":[9,491,7834,139],"tags":[53921,2071,2223,53922,2192,4063],"class_list":["post-17184","post","type-post","status-publish","format-standard","hentry","category-ciencias-medicas","category-gastroenterologia","category-malaga","category-medicina-interna","tag-fraile-fraile-jose-m","tag-javier-salmeron-escobar","tag-joaquin-fernandez-crehuet-navajas","tag-moises-diago-maria","tag-pedro-gonzalez-santos","tag-raul-jesus-andrade-bellido"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/17184","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=17184"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/17184\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=17184"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=17184"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=17184"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}