{"id":25785,"date":"2018-03-09T09:17:18","date_gmt":"2018-03-09T09:17:18","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/evolucion-a-largo-plazo-de-la-necrosis-tubular-aguda-factores-que-influencian-la-supervivencia-y-la-funcion-renal\/"},"modified":"2018-03-09T09:17:18","modified_gmt":"2018-03-09T09:17:18","slug":"evolucion-a-largo-plazo-de-la-necrosis-tubular-aguda-factores-que-influencian-la-supervivencia-y-la-funcion-renal","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/alcala\/evolucion-a-largo-plazo-de-la-necrosis-tubular-aguda-factores-que-influencian-la-supervivencia-y-la-funcion-renal\/","title":{"rendered":"Evolucion a largo plazo de la necrosis tubular aguda. factores que influencian la supervivencia y la funcion renal."},"content":{"rendered":"<h2>Tesis doctoral de <strong>  Felipe Fernandez M. Carmen <\/strong><\/h2>\n<p>Introducci\u00f3n: la revisi\u00f3n de la literatura relativa al fracaso renal agudo pone de manifiesto la escasa y heterog\u00e9nea informaci\u00f3n relativa al seguimiento a largo plazo de esta entidad. Objetivo: conocer la evoluci\u00f3n a largo plazo de la necrosis tubular aguda (nta) en la doble vertiente de la supervivencia de los pacientes y de la funci\u00f3n renal e identificar los factores que influencian dicha evoluci\u00f3n. Pacientes y m\u00e9todo: se analizan las nta atendidas en el servicio de nefrolog\u00eda del hospital ram\u00f3n y cajal en el periodo comprendido entre octubre de 1977 y diciembre de 1992; los pacientes son seguidos hasta diciembre de 1999 al objeto de disponer de un seguimiento m\u00ednimo de 7 a\u00f1os. las variables analizadas han sido: edad y sexo, el tipo de ingreso -m\u00e9dico, quir\u00fargico y traumatol\u00f3gico-; los antecedentes personales; la etiolog\u00eda de la nta; la gravedad del contexto cl\u00ednico al diagn\u00f3stico de la nta (isi); la intensidad funcional del fra;  el tipo de fra; el tratamiento con di\u00e1lisis; el ingreso en uci; el grado y nivel de recuperaci\u00f3n de la funci\u00f3n renal al alta hospitalaria; la creatinina al alta hospitalaria y en distintos momentos de la evoluci\u00f3n, y al finalizar el estudio. Se realiza un estudio descriptivo de la poblaci\u00f3n total, un an\u00e1lisis de supervivencias seg\u00fan kaplan-meier, longrank y modelo de cox. La evoluci\u00f3n de la funci\u00f3n renal se estudia de acuerdo a estudios no param\u00e9tricos. Resultados: se analizan 413 historias cl\u00ednicas, la mortalidad durante el ingreso fue 54,7%. Los 187 enfermos supervivientes se siguen durante un per\u00edodo que oscila entre 6 meses y 22 a\u00f1os (mediana de 7,2 a\u00f1os). La supervivencia general es del 77%, 50% y 40% a los 5, 10 y 15 a\u00f1os respectivamente. La comparaci\u00f3n de supervivencias por variables pone de manifiesto diferencias significativas en la probabilidad de supervivencia en relaci\u00f3n con la edad, los antecedentes personales, el tipo de ingreso, el ingreso en uci y la recuperaci<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Evolucion a largo plazo de la necrosis tubular aguda. factores que influencian la supervivencia y la funcion renal.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Evolucion a largo plazo de la necrosis tubular aguda. factores que influencian la supervivencia y la funcion renal. <\/li>\n<li><strong>Autor:<\/strong>\u00a0  Felipe Fernandez M. Carmen <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Alcal\u00e1<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 25\/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>Fernando Lia\u00f1o Garc\u00eda<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: joaquin Ortu\u00f1o mirete <\/li>\n<li>Francisco Mampaso martin buitrago (vocal)<\/li>\n<li>Jes\u00fas Garcia Martinez (vocal)<\/li>\n<li>Jos\u00e9 Luis Rodicio diaz (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Felipe Fernandez M. Carmen Introducci\u00f3n: la revisi\u00f3n de la literatura relativa al fracaso renal agudo pone de [&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":[17426],"tags":[74935,23921,23710,23852,14928,15544],"class_list":["post-25785","post","type-post","status-publish","format-standard","hentry","category-alcala","tag-felipe-fernandez-m-carmen","tag-fernando-liano-garcia","tag-francisco-mampaso-martin-buitrago","tag-jesus-garcia-Martinez","tag-joaquin-ortuno-mirete","tag-jose-luis-rodicio-diaz"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/25785","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=25785"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/25785\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=25785"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=25785"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=25785"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}