{"id":24622,"date":"2003-11-07T00:00:00","date_gmt":"2003-11-07T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/factores-de-riesgo-de-insuficiencia-renal-aguda-en-el-postoperatorio-del-trasplante-ortotopico-de-ha%c2%adgado-analisis-multivariante-de-184-casos-consecutivos\/"},"modified":"2003-11-07T00:00:00","modified_gmt":"2003-11-07T00:00:00","slug":"factores-de-riesgo-de-insuficiencia-renal-aguda-en-el-postoperatorio-del-trasplante-ortotopico-de-ha%c2%adgado-analisis-multivariante-de-184-casos-consecutivos","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/murcia\/factores-de-riesgo-de-insuficiencia-renal-aguda-en-el-postoperatorio-del-trasplante-ortotopico-de-ha%c2%adgado-analisis-multivariante-de-184-casos-consecutivos\/","title":{"rendered":"Factores de riesgo de insuficiencia renal aguda en el postoperatorio del trasplante ortot\u00f3pico de h\u00edgado: an\u00e1lisis multivariante de 184 casos consecutivos"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Juan  Bernardo Cabezuelo Romero <\/strong><\/h2>\n<p>La insuficiencia renal aguda (ira) se asocia con un aumento de la morbi-mortalidad en el postoperatorio del trasplante ortot\u00f3pico de h\u00edgado (toh).  nuestra hip\u00f3tesis de trabajo es que existen factores pre, intra y postoperatorios en el toh que predisponen a la ira postrasplante. La identificaci\u00f3n de estos factores permitir\u00eda tomar medidas para prevenirlos o tratarlos y disminurir la incidencia de ira y su gravedad.  para contrastar esta hip\u00f3tesis nos hemos propuesto los siguientes objetivos:  1,- conocer las caracter\u00edsticas epidemiol\u00f3gicas y cl\u00ednicas de los toh que desarrollan ira postrasplante.  2,- determinar los factores preoperatorios de riesgo.  3,- analizar la influencia de la t\u00e9cnica quir\u00fargica sobre la ira postoperatoria.  4,- investigar si existe un perfil hemodin\u00e1mico intraoperatorio caracter\u00edstico.  5,- conocer si existen otras variables intraoperatorias o postoperatorias que se asocien con la ira postrasplante.  para llevar a cabo estos objetivos hemos estudiado retrospectivamente 184 toh consecutivos. Hemos seleccionado 34 variables preoperatorias, 17 intraoperatorias y 28 postoperatorias. El diagn\u00f3stico de ira se ha basado en la determinaci\u00f3n seriada de las niveles de creatinina s\u00e9rica, con los siguientes criterios:  1,- creatinina serica &gt; 1,5 mg\/dl en enfermos con funci\u00f3n renal previa normal.  2,- incremento de la creatinina en un 50% sobre el nivel basal en pacientes con disfunci\u00f3n renal previa conocida.  3,- la oliguria con necesidad de di\u00e1lisis.  el periodo postoperatorio lo hemos subdivido en dos: el postoperatorio precoz (1\u00aa semana) y el postoperatorio tard\u00edo (2\u00aa, 3\u00aa y 4\u00aa semanas). El m\u00e9todo estad\u00edstico ha consistido en un an\u00e1lisis descriptivo, otro univariante y finalmente un an\u00e1lisis multivariante de regresi\u00f3n log\u00edstica (con las variables significativas y relevantes derivadas del estudio univariante).  los resultados principales han sido los siguientes: la incidencia de i<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Factores de riesgo de insuficiencia renal aguda en el postoperatorio del trasplante ortot\u00f3pico de h\u00edgado: an\u00e1lisis multivariante de 184 casos consecutivos<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Factores de riesgo de insuficiencia renal aguda en el postoperatorio del trasplante ortot\u00f3pico de h\u00edgado: an\u00e1lisis multivariante de 184 casos consecutivos <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Juan  Bernardo Cabezuelo Romero <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Murcia<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 11\/07\/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>Pablo Ram\u00edrez Romero<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: ricardo (secretario) Robles campos <\/li>\n<li>Juan  Carlos Garc\u00eda-valdecasas salgado (vocal)<\/li>\n<li> Pallard\u00f3 mateu Luis M\u00aa (vocal)<\/li>\n<li>  (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Juan Bernardo Cabezuelo Romero La insuficiencia renal aguda (ira) se asocia con un aumento de la morbi-mortalidad [&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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