{"id":20554,"date":"2018-03-09T09:09:56","date_gmt":"2018-03-09T09:09:56","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/factores-nutricionales-en-las-fracturas-de-cadera\/"},"modified":"2018-03-09T09:09:56","modified_gmt":"2018-03-09T09:09:56","slug":"factores-nutricionales-en-las-fracturas-de-cadera","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/factores-nutricionales-en-las-fracturas-de-cadera\/","title":{"rendered":"Factores nutricionales en las fracturas de cadera"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Pedro L\u00f3pez Castro <\/strong><\/h2>\n<p>En el estudio realizado se observa que las personas ancianas, que ingresaban en el centro hospitalario, por un fractura de cadera, presentaban desnutrici\u00f3n, asociada a factores tales como demencia\/confusi\u00f3n, h\u00e1bitos de consumo t\u00f3xicos (alcohol y tabaco), \u00falceras por dec\u00fabito, comorbilidades, y ten\u00edan tras la cirug\u00eda de la fractura una evoluci\u00f3n distinta seg\u00fan la incidencia, en mayor o menor medida, de dichos factores.  consultada la bibliograf\u00eda, no se ha encontrado un estudio completo de la repercusi\u00f3n de dichos factores en la mortalidad precoz y tard\u00eda de las fracturas de cadera.  se estudiaron de forma prospectiva 165 pacientes (80 varones y 85 hembras) incluidos de forma consecutiva seg\u00fan ingresaron en el centro hospitalario desde marzo\/98 a febrero\/00, excluyendo las fracturas patol\u00f3gicas debidas a tumores, osteopat\u00edas no osteopor\u00f3ticas, enfermedades endocrinas, enfermos gastrectomizados y enfermos con s\u00edndrome de malabsorci\u00f3n. Se les recogieron diferentes datos en una historia cl\u00ednica protocolizada y se les determinaron diferentes par\u00e1metros bioqu\u00edmicos seg\u00fan protocolo. Se registr\u00f3 la mortalidad de los pacientes a los tres meses y al a\u00f1o de la intervenci\u00f3n quir\u00fargica, llegando a las siguientes conclusiones:  1,- los pacientes con fractura de cadera presentan un estado de desnutrici\u00f3n a su ingreso.  2,- los h\u00e1bitos de consumo de alcohol y tabaco se asocian con una mayor mortalidad en estos pacientes, as\u00ed como las alteraciones del estado mental y la aparici\u00f3n de \u00falceras por dec\u00fabito.  3,- hay una relaci\u00f3n directa entre el n\u00famero de comorbilidades o enfermedades asociadas y la mortalidad de estos pacientes.  4,- la disminuci\u00f3n del fosfato en sangre est\u00e1 relacionado con la mortalidad precoz y la disminuci\u00f3n del calcio y del fosfato en sangre lo tienen con la mortalidad tard\u00eda.  5,- la existencia de linfopenia y la disminuci\u00f3n de prote\u00ednas totales y de la alb\u00famina se relaciona con el aume<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Factores nutricionales en las fracturas de cadera<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Factores nutricionales en las fracturas de cadera <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Pedro L\u00f3pez Castro <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 C\u00f3rdoba<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 13\/12\/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>Pedro Carpintero Benitez<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Francisco Leon vaquero <\/li>\n<li>Manuel Zafra g\u00f3mez (vocal)<\/li>\n<li>pedro S\u00e1nchez guido (vocal)<\/li>\n<li>Luis ignacio Mendez perez (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Pedro L\u00f3pez Castro En el estudio realizado se observa que las personas ancianas, que ingresaban en el [&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 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