{"id":17653,"date":"2018-03-09T09:05:48","date_gmt":"2018-03-09T09:05:48","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/valor-predictivo-de-los-sa%c2%adntomas-y-signos-gastrointestinal-en-el-diagnostico-sindromico-y-etiologico-del-dolor-abdominal-agudo-del-anciano\/"},"modified":"2018-03-09T09:05:48","modified_gmt":"2018-03-09T09:05:48","slug":"valor-predictivo-de-los-sa%c2%adntomas-y-signos-gastrointestinal-en-el-diagnostico-sindromico-y-etiologico-del-dolor-abdominal-agudo-del-anciano","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/valor-predictivo-de-los-sa%c2%adntomas-y-signos-gastrointestinal-en-el-diagnostico-sindromico-y-etiologico-del-dolor-abdominal-agudo-del-anciano\/","title":{"rendered":"Valor predictivo de los s\u00edntomas y signos gastrointestinal en el diagn\u00f3stico sindr\u00f3mico y etiol\u00f3gico del dolor abdominal agudo del anciano"},"content":{"rendered":"<h2>Tesis doctoral de <strong>  Casamayor Franco M. Carmen <\/strong><\/h2>\n<p>El dolor abdominal agudo es uno de los s\u00edndromes m\u00e1s prevalentes de los servicios de urgencia hospitalaria. Determinamos factores vinculados a las edades avanzadas de la vida son responsables de bajas tasas de acierto diagn\u00f3stico que generan elevada morbi-mortalidad. A pesar de los avances tecnol\u00f3gicos y de las gran disponibilidad de pruebas complementarias, la historia cl\u00ednica y el examen f\u00edsico siguen siendo la piedra angular sobre la que se sustentan los principios b\u00e1sicos del diagn\u00f3stico del dolor abdominal agudo.  con el objetivo de evaluar la sensibilidad de los s\u00edntomas y signos gastrointestinales y su capacidad de predecir el diagn\u00f3stico sindr\u00f3mico y etiol\u00f3gico del dolor abdominal agudo en el paciente anciano (&gt;65 a\u00f1os) que acude a urgencias por este motivo, propusimos la aplicaci\u00f3n de un cuestionario sistematizado especialmente dise\u00f1ado para evaluar la semiolog\u00eda del dolor abdominal. Este cuestionario sirvi\u00f3 de gu\u00eda para la realizaci\u00f3n de una anamnesis guiada y se cumpliment\u00f3 en los 200 pacientes considerados \u00abcasos\u00bb mientras que en igual n\u00famero de pacientes se llev\u00f3 a cabo el procedimiento est\u00e1ndar de los servicios de urgencia (\u00abcontroles\u00bb).  el an\u00e1lisis de nuestros resultados puso de manifiesto que el paciente anciano tiene un 83% de probabilidades de presentar un s\u00edndrome de distensi\u00f3n visceral, inflamaci\u00f3n o un cuadro de dolor abdominal agudo inespec\u00edfico. la aplicaci\u00f3n del cuestionario sistematizado y estructurado en tres niveles: 1 historia cl\u00ednica y exploraci\u00f3n f\u00edsica, 2 pruebas complementarias rutinarias y 3 pruebas complementarias avanzadas, no proporciona ventajas aparentes sobre el procedimiento basado en los conocimientos y la experiencia acumulada de los controles. Sin embargo es importante conocer que el 70% de los pacientes son correctamente diagnosticados desde el punto de vista sindr\u00f3mico con la ayuda exclusiva del primer nivel y que este porcentaje asciende al 84% con el apoy<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Valor predictivo de los s\u00edntomas y signos gastrointestinal en el diagn\u00f3stico sindr\u00f3mico y etiol\u00f3gico del dolor abdominal agudo del anciano<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Valor predictivo de los s\u00edntomas y signos gastrointestinal en el diagn\u00f3stico sindr\u00f3mico y etiol\u00f3gico del dolor abdominal agudo del anciano <\/li>\n<li><strong>Autor:<\/strong>\u00a0  Casamayor Franco M. Carmen <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Zaragoza<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 21\/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>Miguel Montoro Huguet<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: gabriel Guill\u00e9n mart\u00ednez <\/li>\n<li> Lacy fortuny Antonio  de (vocal)<\/li>\n<li>valentin Del villar sordo (vocal)<\/li>\n<li>ernesto Hernando almud\u00ed (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Casamayor Franco M. Carmen El dolor abdominal agudo es uno de los s\u00edndromes m\u00e1s prevalentes de 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":[155,9,141,387,8607,13610],"tags":[55162,55164,18962,47203,55163,23314],"class_list":["post-17653","post","type-post","status-publish","format-standard","hentry","category-ciencias-clinicas","category-ciencias-medicas","category-cirugia","category-cirugia-abdominal","category-geriatria","category-zaragoza","tag-casamayor-franco-m-carmen","tag-ernesto-hernando-almudi","tag-gabriel-guillen-Martinez","tag-lacy-fortuny-antonio-de","tag-miguel-montoro-huguet","tag-valentin-del-villar-sordo"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/17653","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=17653"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/17653\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=17653"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=17653"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=17653"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}