{"id":30470,"date":"2004-03-06T00:00:00","date_gmt":"2004-03-06T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/validez-de-la-protea%c2%adna-c-reactiva-en-el-diagnostico-diferencial-de-la-apendicitis-aguda\/"},"modified":"2004-03-06T00:00:00","modified_gmt":"2004-03-06T00:00:00","slug":"validez-de-la-protea%c2%adna-c-reactiva-en-el-diagnostico-diferencial-de-la-apendicitis-aguda","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/validez-de-la-protea%c2%adna-c-reactiva-en-el-diagnostico-diferencial-de-la-apendicitis-aguda\/","title":{"rendered":"Validez de la prote\u00edna c reactiva en el diagn\u00f3stico diferencial de la apendicitis aguda"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Pablo Ortega Deballon <\/strong><\/h2>\n<p>Introducci\u00f3n  en la actualidad es imprescindible disminuir las apendicectom\u00edas negativas, que se asocian con morbilidad y gasto importante. Para ello, el diagn\u00f3stico de laboratorio puede ser un arma eficaz. Se plantea este estudio para valorar la utilidad comparativa de la prote\u00edna c reactiva (pcr).  pacientes y m\u00e9todos  se realiz\u00f3 un estudio prospectivo, anal\u00edtico, de tipo cohortes para validaci\u00f3n de prueba diagn\u00f3stica. Se incluyeron pacientes consecutivos que consultaron por dolor abdominal de inicio agudo, focalizado en fid, acompa\u00f1ado de alg\u00fan signo de irritaci\u00f3n peritoneal. Se determin\u00f3 hemograma con f\u00f3rmula leucocitaria y pcr en todos ellos. Se analiz\u00f3 mediante estad\u00edstica cl\u00e1sica inferencial y con la creaci\u00f3n de modelos predictivos basados en la regresi\u00f3n log\u00edstica, la validez de cada uno de los par\u00e1metros de laboratorio para el diagn\u00f3stico de apendicitis.  asimismo, se valor\u00f3 mediante regresi\u00f3n multinomial y anova la capacidad de la pcr para predecir el estadio inflamatorio en caso de apendicitis.  resultados  se incluyeron 134 pacientes, de los cuales 88 presentaron apendicitis, 11 presentaron otras patolog\u00edas quir\u00fargicas y 35 no presentaban patolog\u00eda quir\u00fargica. Del total de pacientes, fueron intervenidos 117.  el mejor par\u00e1metro de laboratorio aislado, tanto para diagnosticar patolog\u00eda quir\u00fargica como apendicitis, fue la pcr; con un \u00e1rea bajo la curva roc de 0,846, p menor de 0,0005. El \u00e1rea m\u00e1s favorable (0,898) se obtuvo con la combinaci\u00f3n de pcr y leucocitos, a\u00f1adiendo el tiempo de evoluci\u00f3n. La pcr result\u00f3 tener tambi\u00e9n la mejor capacidad para predecir el estadio inflamatorio, si bien su utilidad es superior cuando el tiempo de evoluci\u00f3n es superior a 12 horas.  conclusiones  la prote\u00edna c reactiva es el dato de laboratorio que presenta mejor capacidad discriminativa de patolog\u00eda quir\u00fargica y apendicitis aguda ante un paciente adulto con abdomen agudo cl\u00ednico. Su utilid<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Validez de la prote\u00edna c reactiva en el diagn\u00f3stico diferencial de la apendicitis aguda<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Validez de la prote\u00edna c reactiva en el diagn\u00f3stico diferencial de la apendicitis aguda <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Pablo Ortega Deballon <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Complutense de Madrid<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 03\/06\/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>Juan  Carlos Ruiz De Adana Belbel<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Jaime Arias perez <\/li>\n<li>\u00e1ngel Su\u00e1rez Garc\u00eda (vocal)<\/li>\n<li>Juan  Manuel Bell\u00f3n caneiro (vocal)<\/li>\n<li>pedro Carda abella (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Pablo Ortega Deballon Introducci\u00f3n en la actualidad es imprescindible disminuir las apendicectom\u00edas negativas, que se asocian con [&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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