{"id":19094,"date":"2018-03-09T09:07:57","date_gmt":"2018-03-09T09:07:57","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/valoracion-de-la-comorbilidad-y-la-malnutricion-calorica-y-o-proteica-como-factores-pronosticos-de-la-fractura-de-cadera\/"},"modified":"2018-03-09T09:07:57","modified_gmt":"2018-03-09T09:07:57","slug":"valoracion-de-la-comorbilidad-y-la-malnutricion-calorica-y-o-proteica-como-factores-pronosticos-de-la-fractura-de-cadera","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/valoracion-de-la-comorbilidad-y-la-malnutricion-calorica-y-o-proteica-como-factores-pronosticos-de-la-fractura-de-cadera\/","title":{"rendered":"Valoraci\u00f3n de la comorbilidad y la malnutrici\u00f3n cal\u00f3rica y\/o proteica como factores pron\u00f3sticos de la fractura de cadera"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Milagros Garc\u00eda L\u00e1zaro <\/strong><\/h2>\n<p>La fractura de cadera es una patolog\u00eda frecuente entre los ancianos, que conlleva una gran morbimortalidad y un enorme deterioro de la calidad de vida.  hemos estudiado a 110 pacientes consecutivos con esta fractura.  la mayor\u00eda de los pacientes presenta una considerable comorbilidad y una marcada polimedicaci\u00f3n. M\u00e1s de la mitad desarrollaron alguna complicaci\u00f3n m\u00e9dica intrahospitalaria.  al ingreso, los enfermos presentaron con gran frecuencia recuentos bajos de linfocitos, metabolitos de la vitamina d y marcadores bioqu\u00edmicos nutricionales: la mayor\u00eda cumpl\u00edan criterios de malnutrici\u00f3n proteica. La malnutrici\u00f3n cal\u00f3rica y la mixta fueron menos frecuentes.  la mortalidad hospitalaria, tras una estancia media de 12,6 d\u00edas, fue de 6,4%. A los 3 meses fallecieron el 11,8% y al a\u00f1o el 19,4% de los pacientes. adem\u00e1s, tras la fractura se produce un importante deterioro funcional, que persite al a\u00f1o. S\u00f3lo el 39% de los enfermos recupera totalmente al a\u00f1o el nivel funcional prefractura el 27,6% encamados.  la mayor edad, el peor nivel funcional previo, la mayor comorbilidad, las complicaciones intrahospitalarias y el encamamiento al alta predisponen a una mayor mortalidad precoz y tard\u00eda, a una falta de recuperaci\u00f3n funcional al a\u00f1o, y excepto la edad, los mismos factores predisponen a la situaci\u00f3n de encamamiento al a\u00f1o.  la malnutrici\u00f3n proteica se asoci\u00f3 a una mayor tasa de complicaciones intrahospitalarias. la malnutrici\u00f3n cal\u00f3rica y\/o proteica se asoci\u00f3 a una mayor mortalidad precoz y tard\u00eda, a una falta de recuperaci\u00f3n funcional al a\u00f1o y a la situaci\u00f3n de encamamiento al a\u00f1o.  los factores m\u00e9dicos marcan el pron\u00f3stico vital y funcional del pacientes. por tanto es necesario que el paciente con fractura de cadera sea atendido por un equipo mixto m\u00e9dico-quir\u00fargico.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Valoraci\u00f3n de la comorbilidad y la malnutrici\u00f3n cal\u00f3rica y\/o proteica como factores pron\u00f3sticos de la fractura de cadera<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Valoraci\u00f3n de la comorbilidad y la malnutrici\u00f3n cal\u00f3rica y\/o proteica como factores pron\u00f3sticos de la fractura de cadera <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Milagros Garc\u00eda L\u00e1zaro <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 C\u00f3rdoba<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 22\/09\/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>Manuel Montero Perez Barquero<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: pedro S\u00e1nchez guijo <\/li>\n<li>Francisco Le\u00f3n vaquero (vocal)<\/li>\n<li>Luis ignacio Mendez perez (vocal)<\/li>\n<li>Francisco Martos crespo (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Milagros Garc\u00eda L\u00e1zaro La fractura de cadera es una patolog\u00eda frecuente entre los ancianos, que conlleva una [&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":[155,9,973,8607],"tags":[58831,8005,2276,1938,58830,1935],"class_list":["post-19094","post","type-post","status-publish","format-standard","hentry","category-ciencias-clinicas","category-ciencias-medicas","category-cordoba","category-geriatria","tag-francisco-leon-vaquero","tag-francisco-martos-crespo","tag-luis-ignacio-mendez-perez","tag-manuel-montero-perez-barquero","tag-milagros-garcia-lazaro","tag-pedro-sanchez-guijo"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/19094","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=19094"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/19094\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=19094"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=19094"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=19094"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}