{"id":27664,"date":"2018-03-09T09:20:02","date_gmt":"2018-03-09T09:20:02","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/hemorragia-digestiva-alta-analisis-de-una-va%c2%ada-cla%c2%adnica-instaurada-en-una-unidad-de-sangrantes\/"},"modified":"2018-03-09T09:20:02","modified_gmt":"2018-03-09T09:20:02","slug":"hemorragia-digestiva-alta-analisis-de-una-va%c2%ada-cla%c2%adnica-instaurada-en-una-unidad-de-sangrantes","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/hemorragia-digestiva-alta-analisis-de-una-va%c2%ada-cla%c2%adnica-instaurada-en-una-unidad-de-sangrantes\/","title":{"rendered":"Hemorragia digestiva alta: an\u00e1lisis de una v\u00edacl\u00ednica instaurada en una unidad de sangrantes"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Consuelo Froilan Torres <\/strong><\/h2>\n<p>La hemorragia digestiva alta es una entidad de gran importancia por su elevada frecuencia y alta morbi-mortalidad. Su incidencia se estima, en pa\u00edses occidentales, entre 50-150 casos\/100.000 habitantes\/a\u00f1o lo que supone un elevado n\u00famero de ingresos hospitalarios anuales y un notable consumo de recursos sanitarios. A pesar de la gran cantidad de informaci\u00f3n recogida hasta la actualidad sobre el pron\u00f3stico y tratamiento de la hemorragia digestiva alta, todav\u00eda hoy existe una gran heterogeneidad en la asistencia del enfermo sangrante. Esta diversidad de manejo, junto a la elevada incidencia y al importante consumo de recursos derivados de este s\u00edndrome, perfilan al sangrado digestivo alto como una entidad id\u00f3nea para la confecci\u00f3n de una v\u00eda cl\u00ednica. En la unidad de sangrantes del hospital universitario la paz (Madrid) se instaur\u00f3 en 1999, un v\u00eda cl\u00ednica para el manejo de la hemorragia digestiva alta relacionada con la hipertensi\u00f3n portal y para el sangrado digestivo alton no relacionado con la misma, persiguiendo entre otros, los fines de homogeneizar la conducta, mejorar la calidad de asistencia que perciben los enfermos y optimizar la utilizaci\u00f3n de recursos sanitarios. los objetivos del presente trabajo son:  1,- analizar prospectivamente los resultados de la v\u00eda cl\u00ednica instaurada en la unidad de sangrantes para el manejo de los enfermos con hemorragia digestiva alta secundaria a lesiones derivadas de la hipertensi\u00f3n portal y para aquellos pacientes con sangrado digestivo alto no relacionado con la misma.  1.1,- determinar posibles factores cl\u00ednicos, anal\u00edticos y endosc\u00f3picos al ingreso capaces de condicionar \u00abmal pron\u00f3stico\u00bb en el curso de la hemorragia digestiva alta, en t\u00e9rminos de persistencia o recidiva del sangrado, necesidad de cirug\u00eda urgente por hemorragia digestiva y\/o mortalidad.  1.2,- defenir aquellos factores cl\u00ednicos, anal\u00edticos y endosc\u00f3picos al ingreso que permitan discernir cuales de los<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Hemorragia digestiva alta: an\u00e1lisis de una v\u00edacl\u00ednica instaurada en una unidad de sangrantes<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Hemorragia digestiva alta: an\u00e1lisis de una v\u00edacl\u00ednica instaurada en una unidad de sangrantes <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Consuelo Froilan Torres <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Aut\u00f3noma de Madrid<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 15\/12\/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> Segura Cabral Jos\u00e9 M.<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal:  Pajares Garc\u00eda Jos\u00e9 Mar\u00eda <\/li>\n<li>ignacio Castellanos tortajada (vocal)<\/li>\n<li>  (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 Consuelo Froilan Torres La hemorragia digestiva alta es una entidad de gran importancia por su elevada frecuencia [&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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