{"id":25696,"date":"2018-03-09T09:17:10","date_gmt":"2018-03-09T09:17:10","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/analisis-evolutivo-de-una-cohorte-de-pacientes-con-conectivopata%c2%ada-indiferenciada\/"},"modified":"2018-03-09T09:17:10","modified_gmt":"2018-03-09T09:17:10","slug":"analisis-evolutivo-de-una-cohorte-de-pacientes-con-conectivopata%c2%ada-indiferenciada","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/analisis-evolutivo-de-una-cohorte-de-pacientes-con-conectivopata%c2%ada-indiferenciada\/","title":{"rendered":"An\u00e1lisis evolutivo de una cohorte de pacientes con conectivopat\u00edaindiferenciada"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Manuel Romero Jurado <\/strong><\/h2>\n<p>Introducci\u00f3n  hasta un 25% de pacientes con conectivopat\u00eda, no reunen en fases iniciales criterios suficientes para establecer un diagn\u00f3stico definitivo. Para esta situaci\u00f3n, le roy acu\u00f1\u00f3 en 1980 el t\u00e9rmino de conectivopat\u00eda indiferenciada (c.I.).  objetivos  describir las principales caracter\u00edsticas cl\u00ednicas y de laboratorio de la poblaci\u00f3n de pacientes con c.I., Del servicio de reumatolog\u00eda del h.U. \u00abreina sof\u00eda\u00bb de c\u00f3rdoba. Analizar la evoluci\u00f3n de los pacientes con c.I de nuestro estudio. Determinar posibles marcadores predictivos de evoluci\u00f3n a conectivopat\u00eda definida (c.D).  pacientes y m\u00e9todos  estudiamos de forma prospectiva 50 pacientes con c.I (45 mujeres y 5 hombres), con edad media de 38,1+-15,92 a\u00f1os y un tiempo de seguimiento de 3,41+-2,44 a\u00f1os. Se analizaron diferentes caracter\u00edsticas cl\u00ednico-anal\u00edticas al inicio y final del seguimiento. Para considerar que un paciente ten\u00eda c.I se requiri\u00f3 al menos 2 par\u00e1metros cl\u00ednicos+ 1 anal\u00edtico o bien 1 cl\u00ednico + 2 anal\u00edticos de los que forman parte de los criterios de clasificaci\u00f3n de las diferentes conectivopat\u00edas.  resultados  el 34%(n:17) evolucion\u00f3 a c.D: 14%les(n:7), 14%ar(n:7), 4%es(n:4), 2%s.Sj\u00ed\u00b6gren(n:1). el 26%(n:13) ya no cumpl\u00edan criterios para c.I y el 40%(n:20) permanec\u00edan como c.I. Las manifestaciones cl\u00ednicas m\u00e1s frecuentes de los pacientes con c.I fueron las osteoarticulares. En cuanto a los par\u00e1metros anal\u00edticos, los m\u00e1s frecuentes fueron la presencia de ana+, linfopenia, descenso de c y leucopenia. Aplicamos un modelo estad\u00edstico de regresi\u00f3n log\u00edstica m\u00faltiple, sin encontrar asociaci\u00f3n entre la presencia al inicio de los par\u00e1metros cl\u00ednico-anal\u00edtico analizados y su futura evoluci\u00f3n. En cambio se encontr\u00f3 asociaci\u00f3n inversa entre el tiempo en que un paciente permanece como c.I y su diferenciaci\u00f3n a c.D (p=0,0065).  conclusiones  las manifestaciones cl\u00ednicas m\u00e1s frecuentes en los pacientes con c.I son<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>An\u00e1lisis evolutivo de una cohorte de pacientes con conectivopat\u00edaindiferenciada<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 An\u00e1lisis evolutivo de una cohorte de pacientes con conectivopat\u00edaindiferenciada <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Manuel Romero Jurado <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 C\u00f3rdoba<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 24\/09\/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> Aguirre Zamorano M. Angeles<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: pedro S\u00e1nchez guijo <\/li>\n<li>Rafael Ariza ariza (vocal)<\/li>\n<li>pilar Font ugalde (vocal)<\/li>\n<li>enrique Raya alvarez (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Manuel Romero Jurado Introducci\u00f3n hasta un 25% de pacientes con conectivopat\u00eda, no reunen en fases iniciales criterios [&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":[9,973,139,877],"tags":[74714,22131,74713,1935,2300,74715],"class_list":["post-25696","post","type-post","status-publish","format-standard","hentry","category-ciencias-medicas","category-cordoba","category-medicina-interna","category-reumatologia","tag-aguirre-zamorano-m-angeles","tag-enrique-raya-alvarez","tag-manuel-romero-jurado","tag-pedro-sanchez-guijo","tag-pilar-font-ugalde","tag-rafael-ariza-ariza"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/25696","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=25696"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/25696\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=25696"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=25696"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=25696"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}