{"id":30313,"date":"2018-03-09T09:23:52","date_gmt":"2018-03-09T09:23:52","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/estudio-comparativo-dinamico-de-indices-de-gravedad-en-pacientes-con-necrosis-tubular-aguda\/"},"modified":"2018-03-09T09:23:52","modified_gmt":"2018-03-09T09:23:52","slug":"estudio-comparativo-dinamico-de-indices-de-gravedad-en-pacientes-con-necrosis-tubular-aguda","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/alcala\/estudio-comparativo-dinamico-de-indices-de-gravedad-en-pacientes-con-necrosis-tubular-aguda\/","title":{"rendered":"Estudio comparativo dinamico de indices de gravedad en pacientes con necrosis tubular aguda."},"content":{"rendered":"<h2>Tesis doctoral de <strong>  Rodriguez Palomares Jos\u00e9 Ramon <\/strong><\/h2>\n<p>Introducci\u00f3n:  la necrosis tubular aguda es uno de los cuadros renales agudos mas frecuentes y que conlleva una mayor mortalidad, por lo que es preciso establecer un pron\u00f3stico precoz y preciso. Se han desarrollado m\u00faltiples m\u00e9todos pron\u00f3sticos generales (para cualquier paciente) y otros espec\u00edficos (para aplicarlos a patolog\u00edas concretas). Cualquiera de ellos se aplican el d\u00eda del diagn\u00f3stico o ingreso en uci sin que hasta la fecha se haya estudiado el aspecto din\u00e1mico de aplicarlos a d\u00edas sucesivos.  objetivos:  1\u00c2\u00ba comparar la eficacia de tres m\u00e9todos generales (apache ii, saps ii, y sofa) con un m\u00e9todo espec\u00edfico (isi), tanto el d\u00eda del diagn\u00f3stico como en d\u00edas sucesivos (comparaci\u00f3n interm\u00e9todo). 2\u00c2\u00ba comprobar si los m\u00e9todos pron\u00f3sticos pueden aplicarse a d\u00edas distintos a los del ingreso en uci o diagn\u00f3stico de nta, y si la eficacia de los mismos var\u00eda con el paso del tiempo. (Comparaci\u00f3n intram\u00e9todo). 3\u00c2\u00ba comprobar si la evoluci\u00f3n de las puntuaciones del isi a lo largo de los d\u00edas de evoluci\u00f3n, tiene un valor pron\u00f3stico a\u00f1adido.  material y m\u00e9todos:  se recogieron durante 2 a\u00f1os y medio todos los pacientes diagnosticados de nta en nuestro centro, que fueron seguidos hasta el fallecimiento o el alta. Se registraron todas las variables pron\u00f3sticas necesarias para calcular los cuatro \u00edndices pron\u00f3sticos comparados, y la situaci\u00f3n vital final, en 6 momentos evolutivos, el d\u00eda del diagn\u00f3stico, a las 24, 48 y 72 horas, y posteriormente de forma semanal a los 7 y 14 d\u00edas. Se realizaron c\u00e1lculos de sensibilidad del pron\u00f3stico y de la bondad del ajuste de los cuatro m\u00e9todos en cada uno de los momentos, mediante cuatro test de bondad del ajuste cvb, r2, f snedecor,  mce y \u00e1rea bajo la curva roc.  resultados:  el \u00edndice de gravedad obtuvo el d\u00eda del diagn\u00f3stico mejores valores de sensibilidad y ajuste de la estima (cvb = 14,7; r2 =0,31 f snedecor = 45,8 roc = 0,82) que los otros tres m\u00e9t<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Estudio comparativo dinamico de indices de gravedad en pacientes con necrosis tubular aguda.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Estudio comparativo dinamico de indices de gravedad en pacientes con necrosis tubular aguda. <\/li>\n<li><strong>Autor:<\/strong>\u00a0  Rodriguez Palomares Jos\u00e9 Ramon <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Alcal\u00e1<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 25\/05\/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>Fernando Lia\u00f1o Garc\u00eda<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: joaquin Ortu\u00f1o mirete <\/li>\n<li>Alberto Ortiz arduan (vocal)<\/li>\n<li>Francisco Javier Burgos revilla (vocal)<\/li>\n<li>carmen Felipe fernandez (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Rodriguez Palomares Jos\u00e9 Ramon Introducci\u00f3n: la necrosis tubular aguda es uno de los cuadros renales agudos mas [&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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