{"id":22904,"date":"2003-12-05T00:00:00","date_gmt":"2003-12-05T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/desarrollo-de-un-modelo-probabila%c2%adstico-diagnostico-con-parametros-cla%c2%adnico-anala%c2%adticos-en-la-tuberculosis-pleural\/"},"modified":"2003-12-05T00:00:00","modified_gmt":"2003-12-05T00:00:00","slug":"desarrollo-de-un-modelo-probabila%c2%adstico-diagnostico-con-parametros-cla%c2%adnico-anala%c2%adticos-en-la-tuberculosis-pleural","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/desarrollo-de-un-modelo-probabila%c2%adstico-diagnostico-con-parametros-cla%c2%adnico-anala%c2%adticos-en-la-tuberculosis-pleural\/","title":{"rendered":"Desarrollo de un modelo probabil\u00edstico diagn\u00f3stico, con parametros cl\u00ednico-anal\u00edticos, en la tuberculosis pleural"},"content":{"rendered":"<h2>Tesis doctoral de <strong>  Ortiza De Saracho Bobo Juan <\/strong><\/h2>\n<p>La tuberculosis es una de las causas m\u00e1s frecuentes de muerte inducido por pat\u00f3geno identificable. La tuberculosis pleural supone un 23% de las tuberculosis. El diagn\u00f3stico de la tuberculosis pleural sigue siendo un tema en debate. En los \u00faltimos a\u00f1os el m\u00e9todo diagn\u00f3stico m\u00e1s com\u00fanmente usado ha sido la biopsia pleural, pero en los \u00faltimos a\u00f1os se han desarrollado par\u00e1metros bioqu\u00edmicos que permiten obviar el diagn\u00f3stico por t\u00e9cnicas invasivas.  el objetivo principal de nuestro trabajo fue el desarrollo de un modelo probabil\u00edstico basado en par\u00e1metros cl\u00ednico-anal\u00edticos para el diagn\u00f3stico de la tuberculosis pleural que permitiera obviar la realizaci\u00f3n de la biopsia pleural. Para lo cual estudiamos 843 derrame, de los cuales 81 correspond\u00edan a derrames tuberculosos. Analizamos el papel del ada pleural, ada1\/adap, adapleura\/suero en los derrames tuberculosos y su papel discriminante respecto al resto de derrames pleurales.  seleccionamos variables cl\u00ednico anal\u00edticas y mediante un an\u00e1lisis de regresi\u00f3n log\u00edstica m\u00faltiple obtuvimos un modelo que inclu\u00eda tres variables: edad, ada pleural y cociente linfocitos\/neutr\u00f3filos. Con estos par\u00e1metros obtenemos una f\u00f3rmula matem\u00e1tica de probabilidad diagn\u00f3stica de tuberculosis: probabilidad diagn\u00f3stica: e logit\/1 + e logit  logit = -6.704 + (5.604 x ada pleural) + (3.654 x linfocitos\/neutr\u00f3filos) &#8211; (2.025 x edad).  este modelo presenta una sensibilidad de 93.75%, especificidad del 97.38%, vpp del 80% y vpn del 99.29%. Por tanto es un modelo sencillo, no invasivo, econ\u00f3mico que permite la aproximaci\u00f3n diagn\u00f3stica a la tuberculosis pleural obviano la realizaci\u00f3n de biopsia pleural.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Desarrollo de un modelo probabil\u00edstico diagn\u00f3stico, con parametros cl\u00ednico-anal\u00edticos, en la tuberculosis pleural<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Desarrollo de un modelo probabil\u00edstico diagn\u00f3stico, con parametros cl\u00ednico-anal\u00edticos, en la tuberculosis pleural <\/li>\n<li><strong>Autor:<\/strong>\u00a0  Ortiza De Saracho Bobo Juan <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Aut\u00f3noma de Madrid<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 12\/05\/2003<\/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>Jose Villamor Leon<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Luis felipe Pallardo sanchez <\/li>\n<li> G\u00f3mez de terregros sanchez Javier (vocal)<\/li>\n<li>Jos\u00e9 Luis Alvarez sala walther (vocal)<\/li>\n<li> Lucas ramos pilar de (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Ortiza De Saracho Bobo Juan La tuberculosis es una de las causas m\u00e1s frecuentes de muerte inducido [&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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