{"id":27008,"date":"2018-03-09T09:19:05","date_gmt":"2018-03-09T09:19:05","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/prediccion-de-complicaciones-medicas-postoperatorias-tras-reseccion-pulmonar\/"},"modified":"2018-03-09T09:19:05","modified_gmt":"2018-03-09T09:19:05","slug":"prediccion-de-complicaciones-medicas-postoperatorias-tras-reseccion-pulmonar","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/navarra\/prediccion-de-complicaciones-medicas-postoperatorias-tras-reseccion-pulmonar\/","title":{"rendered":"Predicci\u00f3n de complicaciones m\u00e9dicas postoperatorias tras resecci\u00f3n pulmonar"},"content":{"rendered":"<h2>Tesis doctoral de <strong>  Villalobos Monsalve Walter Hernando <\/strong><\/h2>\n<p>Introducci\u00f3n  la predicci\u00f3n de complicaciones postoperatorias tras resecci\u00f3n pulmonar ha generado gran inter\u00e9s, habi\u00e9ndose publicado en los \u00faltimos a\u00f1os varios trabajos con resultados contradictorios entre las pruebas utilizadas para tal fin.  objetivos  determinar qu\u00e9 pruebas preoperatorias predicen el desarrollo de complicaciones m\u00e9dicas postoperatorias en pacientes sometidos a resecci\u00f3n pulmonar.  material y m\u00e9todos  se estudiaron de forma prospectiva 77 pacientes consecutivos sometidos a resecci\u00f3n pulmonar mediante la prueba de esfuerzo cardiopulmonar (pecp), prueba de seis minutos marcha distancia (6-mmd), pruebas de cuantificaci\u00f3n de la funci\u00f3n pulmonar, incluyendo el vef 1-ppo, y el \u00edndice de riesgo cardiopulmonar (ircp) descrito por epstein et al (chest 1993; 104:694-700), analiz\u00e1ndose las siguientes complicaciones m\u00e9dicas en los 30 primeros d\u00edas tras la cirug\u00eda: infarto agudo de miocardio, angina inestable, insuficiencia cardiaca, arritmias que requieren tratamiento, ventilaci\u00f3n mec\u00e1nica prolongda mayor 48h o reincubaci\u00f3n, retenci\u00f3n de di\u00f3xido de carbono (paco2 mayor 50 mmhg o aun aumento mayor 10 mmhg del basal), neumon\u00eda y muerte.  resultados  por medio de an\u00e1lisis univariable las siguientes variables no tuvieron una diferencia significativa (p mayor 0,05) entre el grupo a (pacientes sin complicaciones) y el grupo b (pacientes con complicaciones): \u00edndice de masa corporal, vems-ppo, ircp. Por el contrario, las siguientes variables s\u00ed tuvieron diferencias significativas entre el grupo a y el grupo b: edad [59 (52-82) y 66 (63,5-69,5), p=0,03], vo2m\u00e1x (18,3 +- 4,7 ml\/kg\/min vs. 12,4 +- 3,3 ml\/kg\/min, p menor 0,001), 6-mmd (482 +- 87 vs. 388 +- 73m, p=0.001), dlco (81 +- 20% vs. 64 +- 24%, p=0,015), vems (84 +- 22% vs. 69 +- 26%, p=0,05).  aplicando regresi\u00f3n log\u00edstica binaria, el vo2m\u00e1x fue la \u00fanica variable independiente capaz de predecir complicaciones postoperatorias. Una disminuci\u00f3n<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Predicci\u00f3n de complicaciones m\u00e9dicas postoperatorias tras resecci\u00f3n pulmonar<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Predicci\u00f3n de complicaciones m\u00e9dicas postoperatorias tras resecci\u00f3n pulmonar <\/li>\n<li><strong>Autor:<\/strong>\u00a0  Villalobos Monsalve Walter Hernando <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Navarra<\/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>Javier Zulueta Frances<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: manuel G\u00f3mez flietas <\/li>\n<li>Javier Ortega morales (vocal)<\/li>\n<li>ignacio Lucas ros (vocal)<\/li>\n<li>Jos\u00e9 Luis Viejo ba\u00f1uelos (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Villalobos Monsalve Walter Hernando Introducci\u00f3n la predicci\u00f3n de complicaciones postoperatorias tras resecci\u00f3n pulmonar ha generado gran inter\u00e9s, [&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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