{"id":28539,"date":"2004-06-02T00:00:00","date_gmt":"2004-06-02T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/diseno-y-validacion-de-un-modelo-predictivo-de-desarrollo-de-shock-cardiogenico-en-pacientes-con-infarto-agudo-de-miocardio\/"},"modified":"2004-06-02T00:00:00","modified_gmt":"2004-06-02T00:00:00","slug":"diseno-y-validacion-de-un-modelo-predictivo-de-desarrollo-de-shock-cardiogenico-en-pacientes-con-infarto-agudo-de-miocardio","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/diseno-y-validacion-de-un-modelo-predictivo-de-desarrollo-de-shock-cardiogenico-en-pacientes-con-infarto-agudo-de-miocardio\/","title":{"rendered":"Dise\u00f1o y validaci\u00f3n de un modelo predictivo de desarrollo de shock cardiog\u00e9nico en pacientes con infarto agudo de miocardio"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Juan  Carlos Mart\u00edn Ben\u00edtez <\/strong><\/h2>\n<p>Introducci\u00f3n  el shock cardiog\u00e9nico (sc) constituye la principal causa de muerte en los pacientes con infarto agudo de miocardio (iam). Las medidas terap\u00e9uticas una vez el sc aparece se han mostrado de limitada eficacia, por lo que los esfuerzos deben dirigirse a la prevenci\u00f3n de est\u00e1 complicaci\u00f3n.  objetivo  elaborar un modelo predictivo que permita la identificaci\u00f3n precoz de los pacientes que van a desarrollar sc. Este modelo se genera a partir de variables cl\u00ednicas simples recogidas a l ingreso en el hospital.  m\u00e9todo  se analizan las caracter\u00edsticas cl\u00ednicas, de los pacientes con diagn\u00f3stico de iam ingresados en el periodo 1996-2000 (cohorte a). Mediante an\u00e1lisis multivariado se identifican las variables predecitoras que configuran un modelo predictivo. Este modelo se valida de forma prospectiva en una cohorte diferente (cohorte b) en la que se eval\u00faa su rendimiento.  resultados  en la cohorte a (1013 pacientes) desarrolan sc el 9,1%, con una mortalidad en este grupo del 63%. Se identificaron como variables asociadas al desarrollo de sc e incluidas en el modelo predictivo final: la insuficiencia cardiaca (or=11,09 [ic 95% 6,15-19,98]), rcp preingreso (or=2,55 [1,25-5,22]), presi\u00f3n arterial menor de 110 mmhg (or=2,80 [1,59-4,92]), frecuencia cardiaca patol\u00f3gica (or=1,90 [1,07-3,38]), ritmo no sinusal (or=2,94 [1,48-5,84]), alteraci\u00f3n de la conducci\u00f3n en el electrocardiograma (or=1,90 [1,04-3,46]), elevaci\u00f3n del st (or=2,28 [1,30-3,99]). Este modelo clasifica correctamente al 85% de los pacientes con un \u00e1rea bajo la curva de 0,88 (0,82-0,92). El modelo generado mantiene su rendimiento tras su aplicaci\u00f3n prospectiva en la cohorte b (246 pacientes).  conclusiones  el modelo predictivo elaborado a partir de variables cl\u00ednicas identificadas en el momento del ingreso permite identificar de forma adecuada a los pacientes que van a desarrollar sc.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Dise\u00f1o y validaci\u00f3n de un modelo predictivo de desarrollo de shock cardiog\u00e9nico en pacientes con infarto agudo de miocardio<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Dise\u00f1o y validaci\u00f3n de un modelo predictivo de desarrollo de shock cardiog\u00e9nico en pacientes con infarto agudo de miocardio <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Juan  Carlos Mart\u00edn Ben\u00edtez <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Complutense de Madrid<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 06\/02\/2004<\/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>Emilio Vargas Castrill\u00f3n<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: alfonso Moreno gonzalez <\/li>\n<li>adolfo L\u00f3pez buenadicha (vocal)<\/li>\n<li>Juan Caturla such (vocal)<\/li>\n<li>Santiago L\u00f3pez buendia (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Juan Carlos Mart\u00edn Ben\u00edtez Introducci\u00f3n el shock cardiog\u00e9nico (sc) constituye la principal causa de muerte en los [&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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