{"id":28022,"date":"2018-03-09T09:20:33","date_gmt":"2018-03-09T09:20:33","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/complicaciones-postoperatorias-de-origen-cardiaco-en-mayores-de-40-anos-validacion-de-los-indices-de-detsky-y-de-lee-derivacion-de-un-nuevo-a%c2%adndice-de-prediccion-de-riesgo\/"},"modified":"2018-03-09T09:20:33","modified_gmt":"2018-03-09T09:20:33","slug":"complicaciones-postoperatorias-de-origen-cardiaco-en-mayores-de-40-anos-validacion-de-los-indices-de-detsky-y-de-lee-derivacion-de-un-nuevo-a%c2%adndice-de-prediccion-de-riesgo","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/miguel-hernandez-de-elche\/complicaciones-postoperatorias-de-origen-cardiaco-en-mayores-de-40-anos-validacion-de-los-indices-de-detsky-y-de-lee-derivacion-de-un-nuevo-a%c2%adndice-de-prediccion-de-riesgo\/","title":{"rendered":"Complicaciones postoperatorias de origen cardiaco en mayores de 40 a\u00f1os. validaci\u00f3n de los indices de detsky y de lee. derivaci\u00f3n de un nuevo \u00edndice de predicci\u00f3n de riesgo"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Joan Puig Barbera <\/strong><\/h2>\n<p>En espa\u00f1a se realizan anualmente 3 millones de procedimientos quir\u00fargicos, el 95% sobre poblaci\u00f3n general sin un riesgo especial. Las estimaciones sobre la incidencia de complicaciones cardiacas tras cirug\u00eda mayor programada han sido obtenidas en poblaci\u00f3n y cirug\u00eda de alto riesgo o en contextos distintos del espa\u00f1ol. Los diversos \u00edndices de predicci\u00f3n de riesgo cardiaco postoperatorio no han sido validados en poblaci\u00f3n espa\u00f1ola.  estudio observacional prospectivo, con un seguimiento de 90 d\u00edas, para estimar la incidencia de complicaciones cardiacas postoperatorias, tras ciru\u00c2\u00bfgia mayor programada no cardiaca, en mayores de 40 a\u00f1os, y de validar los \u00edndices de riesgo cardiaco de detsky y de lee. Entre el 1 de noviembre de 1997 y el 30 de octubre de 1999 fueron invitados a participar todos los pacientes sometidos a una intervenci\u00f3n quir\u00fargica en los servicios de cirug\u00eda general, ortopedia y urolog\u00eda, del hospital general de castell\u00f3. se identificaron 1596 pacientes y fueron incluidos 1456 que prestaron su consentimiento informado y cumplieron los criterios de inclusi\u00f3n.  la incidencia acumulada de complicaciones cardiacas postoperatorias fue de 9,6 por 1000, con un intervalo de confianza del 95% (ic95%) de 5,3 a 16 por 1000.  la incidencia acumulada seg\u00fan procedimientos fue de 1,9 por 1000 en los pacientes sometidos a cirug\u00eda superficial, mama, biliar y urolog\u00eda (ic95% de 0,5 a 7,5 por 1000); de 36,2 por 1000 en cirug\u00eda visceral (ic95% de 15 a 87 por 1000) y de 150 por 1000 en cirug\u00eda vascular perif\u00e9rica (ic95% de 67,4 a 333,9 por 1000).  los factores asociados de forma independiente a mayor riesgo de complicaciones cardiacas postoperatorias fueron la diabetes insulino dependiente, riesgo relativo (rr) de 6,2 (ic95% de 1,8 a 21,0); cifras de tensi\u00f3n arterial sist\u00f3lica mayor 180 mmhg, rr de 5,2 (ic95% de 1,2 a 22,1); fibrilaci\u00f3n auricular, rr de 8,3 (ic95% de 1,5 a 47,7) signos de isquemia en el electrocardio<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Complicaciones postoperatorias de origen cardiaco en mayores de 40 a\u00f1os. validaci\u00f3n de los indices de detsky y de lee. derivaci\u00f3n de un nuevo \u00edndice de predicci\u00f3n de riesgo<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Complicaciones postoperatorias de origen cardiaco en mayores de 40 a\u00f1os. validaci\u00f3n de los indices de detsky y de lee. derivaci\u00f3n de un nuevo \u00edndice de predicci\u00f3n de riesgo <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Joan Puig Barbera <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Miguel hern\u00e1ndez de elche<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 19\/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>Soledad Marquez Calderon<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: ildefonso Hernandez aguado <\/li>\n<li>salvador Peiro moreno (vocal)<\/li>\n<li>Miguel Delgado rodriguez (vocal)<\/li>\n<li> Rabanaque hern\u00e1ndez Mar\u00eda  Jos\u00e9 (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Joan Puig Barbera En espa\u00f1a se realizan anualmente 3 millones de procedimientos quir\u00fargicos, el 95% sobre poblaci\u00f3n [&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":[37169],"tags":[19297,80110,3745,71609,54763,43634],"class_list":["post-28022","post","type-post","status-publish","format-standard","hentry","category-miguel-hernandez-de-elche","tag-ildefonso-hernandez-aguado","tag-joan-puig-barbera","tag-miguel-delgado-rodriguez","tag-rabanaque-hernandez-maria-jose","tag-salvador-peiro-moreno","tag-soledad-marquez-calderon"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/28022","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=28022"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/28022\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=28022"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=28022"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=28022"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}