{"id":17502,"date":"2018-03-09T09:05:36","date_gmt":"2018-03-09T09:05:36","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/resultados-en-ciruga%c2%ada-general-de-un-hospital-de-area-analisis-de-mortalidad-intrahospitalaria-reingresos-y-complicaciones\/"},"modified":"2018-03-09T09:05:36","modified_gmt":"2018-03-09T09:05:36","slug":"resultados-en-ciruga%c2%ada-general-de-un-hospital-de-area-analisis-de-mortalidad-intrahospitalaria-reingresos-y-complicaciones","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/resultados-en-ciruga%c2%ada-general-de-un-hospital-de-area-analisis-de-mortalidad-intrahospitalaria-reingresos-y-complicaciones\/","title":{"rendered":"Resultados en cirugia general de un hospital de \u00e1rea: an\u00e1lisis de mortalidad intrahospitalaria, reingresos y complicaciones"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Javier Aguil\u00f3 Lucia <\/strong><\/h2>\n<p>Hip\u00f3tesis  el riesgo de permanecer ingresado un mayor tiempo o de experimentar un suceso adverso (complicaci\u00f3n, reintervenci\u00f3n, mortalidad, reingreso) se asociar\u00e1 a determinadas caracter\u00edsticas del paciente que comportan mayor gravedad (mayor comorbilidad, mayor edad y determinados diagn\u00f3sticos) o a determinadas caracter\u00edsticas del episodio de hospitalizaci\u00f3n que, a su vez, se asocien a mayor gravedad (ingreso urgente, cirug\u00eda urgente, tipo de procedimiento quir\u00fargico, menor experiencia quir\u00fargica).  material y m\u00e9todo  cohorte retrospectiva de 6750 episodios de hospitalizaci\u00f3n en el servicio de cirug\u00eda del hospital lllu\u00eds alcany\u00eds, en un per\u00edodo de 5 a\u00f1os, en la que se registraron prospectivamente las complicaciones postoperatorias (28 tipos distintos), las reintervenciones y la mortalidad, y se identificaron retrospectivamente los reingresos en el per\u00edodo. Se seleccionaron 4 grupos de patolog\u00eda: cirug\u00eda de pared (931), apendicitis aguda (792), litiasis biliar (692) y neoplasias digestivas (400). Adem\u00e1s del an\u00e1lisis descriptivo y bivariante, se utiliz\u00f3 la regresi\u00f3n log\u00edstica para valorar las asociaciones entre complicaciones y caracter\u00edsticas de los pacientes (edad, sexo, comorbilidad) y del episodio de hospitalizaci\u00f3n (ingreso e intervenci\u00f3n programado\/urgente, procedimiento quir\u00fargico, tipo de anestesia, experiencia del cirujano), y un modelo de regresi\u00f3n de riesgos proporcionales de cox respecto al reingreso vinculado.  resultados  la presencia de complicaciones se asoci\u00f3 en la cirug\u00eda de pared abdominal a la edad superior a 45 a\u00f1os (or 2,06 p&lt;0,01), al sexo masculino (or 2,06 p&lt;0,001), a la anestesia loco-regional y general respecto a la local (or 1,81 p&lt;0,05 y or 1,99 p&lt;0,01 respectivamente), y al ingreso urgente (or, 1,85 p&lt;0,01); en la apendicectom\u00eda a la edad superior a 45 a\u00f1os (or 3,62 p&lt;0,001), a la presencia de perforaci\u00f3n y\/o peritonitis (or 3,69 p&lt;0,005), y al ci<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Resultados en cirugia general de un hospital de \u00e1rea: an\u00e1lisis de mortalidad intrahospitalaria, reingresos y complicaciones<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Resultados en cirugia general de un hospital de \u00e1rea: an\u00e1lisis de mortalidad intrahospitalaria, reingresos y complicaciones <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Javier Aguil\u00f3 Lucia <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Universitat de val\u00e9ncia (estudi general)<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 17\/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>Salvador Peiro Moreno<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: eduard Jaurrieta mas <\/li>\n<li>adolfo Benages Martinez (vocal)<\/li>\n<li>Jes\u00fas Mar\u00eda Aranaz andr\u00e9s (vocal)<\/li>\n<li> Ponce marco Jos\u00e9 Luis (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Javier Aguil\u00f3 Lucia Hip\u00f3tesis el riesgo de permanecer ingresado un mayor tiempo o de experimentar un suceso [&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":[9,141,387,967],"tags":[11564,1460,54762,19430,19380,54763],"class_list":["post-17502","post","type-post","status-publish","format-standard","hentry","category-ciencias-medicas","category-cirugia","category-cirugia-abdominal","category-salud-publica","tag-adolfo-benages-Martinez","tag-eduard-jaurrieta-mas","tag-javier-aguilo-lucia","tag-jesus-maria-aranaz-andres","tag-ponce-marco-jose-luis","tag-salvador-peiro-moreno"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/17502","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=17502"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/17502\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=17502"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=17502"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=17502"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}