{"id":26982,"date":"2018-03-09T09:19:03","date_gmt":"2018-03-09T09:19:03","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/impacto-de-la-neumona%c2%ada-asociada-a-ventilacion-mecanica-en-el-traumatismo-craneoencefalico-grave\/"},"modified":"2018-03-09T09:19:03","modified_gmt":"2018-03-09T09:19:03","slug":"impacto-de-la-neumona%c2%ada-asociada-a-ventilacion-mecanica-en-el-traumatismo-craneoencefalico-grave","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/sevilla\/impacto-de-la-neumona%c2%ada-asociada-a-ventilacion-mecanica-en-el-traumatismo-craneoencefalico-grave\/","title":{"rendered":"Impacto de la neumon\u00edaasociada a ventilaci\u00f3n mec\u00e1nica en el traumatismo craneoencef\u00e1lico grave"},"content":{"rendered":"<h2>Tesis doctoral de <strong>  S\u00e1nchez Olmedo Jos\u00e9 Ignacio <\/strong><\/h2>\n<p>Introducci\u00f3n  el traumatismo craneoencef\u00e1lico grave (tceg) constituye una patolog\u00eda de alta incidencia y elevada morbimortalidad, gravada habitualmente por complicaciones infecciosas, entre las cuales destaca la neumon\u00eda asociada a ventilaci\u00f3n mec\u00e1nica (nav) como la infecci\u00f3n grave m\u00e1s frecuente. Este hecho se explica por la presencia de diferentes factores de riesgo como la alteraci\u00f3n de la conciencia o la necesidad desde el primer momento de intubaci\u00f3n endotraqueal y de ventilaci\u00f3n mec\u00e1nica (vm). Este estudio caso-control analiza la influencia sobre la mortalidad y la morbilidad (medida por d\u00edas de estancia y d\u00edas de vm) de la nav en un colectivo de 144 pacientes con tceg.  objetivo  investigar la influencia sobre la mortalidad y morbilidad de la nav en pacientes con tceg.  material y m\u00e9todo  estudio caso-control emparejado 1:1, realizado en una unidad de cuidados intensivos (uci) neuroquir\u00fargicos del hospital virgen del roc\u00edo de sevilla, durante un periodo de 3 a\u00f1os (enero 1997-diciembre de 2000), incluy\u00e9ndose 144 pacientes mayores de 16 a\u00f1os, estancia en uci mayor a 48 horas y necesidad de ventilaci\u00f3n mec\u00e1nica mayor de 48 horas. Setenta y dos con neumon\u00eda (casos) y 72 sin neumon\u00eda (controles). Ambos grupos de pacientes fueron igualados con respecto al manejo prehospitalario, edad (+-5 a\u00f1os), apache (+-4 puntos); la lesi\u00f3n craneal valorada por la tcdb y los d\u00edas de vm previos al diagn\u00f3stico de neumon\u00eda.  resultados  comparando los pacientes con y sin nav, no hubo diferencias significativas en la mortalidad hospitalaria (20,8% vs 15,3%, p=0,54), aunque si hubo diferencia significativa en los d\u00edas de estancia en uci[21(12,2-25) vs 15,5 (9-22), p=0,008] y los d\u00edas de vm [14(9,20) vs 10 (7,16), p=0,015].  conclusiones  en pacientes con tceg, la nav no se asocia con un incremento significativo de la mortalidad aunque s\u00ed con un aumento de los d\u00edas de vm y de estancia en uci.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Impacto de la neumon\u00edaasociada a ventilaci\u00f3n mec\u00e1nica en el traumatismo craneoencef\u00e1lico grave<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Impacto de la neumon\u00edaasociada a ventilaci\u00f3n mec\u00e1nica en el traumatismo craneoencef\u00e1lico grave <\/li>\n<li><strong>Autor:<\/strong>\u00a0  S\u00e1nchez Olmedo Jos\u00e9 Ignacio <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Sevilla<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 21\/11\/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> Flores Cordero Juan  Manuel<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: enrique Rubio Garc\u00eda <\/li>\n<li>fco Morales redes (vocal)<\/li>\n<li>fco Gomez rodriguez (vocal)<\/li>\n<li>Carlos Alvarez leiva (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de S\u00e1nchez Olmedo Jos\u00e9 Ignacio Introducci\u00f3n el traumatismo craneoencef\u00e1lico grave (tceg) constituye una patolog\u00eda de alta incidencia y [&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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