{"id":32936,"date":"2018-03-09T09:29:48","date_gmt":"2018-03-09T09:29:48","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/mejora-continua-de-la-calidad-en-la-morbilidad-postlaringuectoma%c2%ada-total\/"},"modified":"2018-03-09T09:29:48","modified_gmt":"2018-03-09T09:29:48","slug":"mejora-continua-de-la-calidad-en-la-morbilidad-postlaringuectoma%c2%ada-total","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/mejora-continua-de-la-calidad-en-la-morbilidad-postlaringuectoma%c2%ada-total\/","title":{"rendered":"Mejora continua de la calidad en la morbilidad postlaringuectom\u00edatotal"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Juan Solanellas Soler <\/strong><\/h2>\n<p>Se analiza la frecuencia de la f\u00edscula postoperatoria, y adem\u00e1s, complicaciones postquir\u00fargicas de la laringuectom\u00eda total y se clarifican factores de riesgo con el objetivo de identificar preoperatoriamente a los pacientes de alto riesgo y as\u00ed poder instaurar unas pautas profil\u00e1cticas adecuadas. asimismo, se dise\u00f1a un programa de garant\u00eda de calidad que permita evaluar la efectividad de la asistencia m\u00e9dica elaborando unas medidas de control de calidad hospitalaria.  tras el estudio de 442 casos de pacientes efectos de c\u00e1ncer de laringe, intervenidos de una laringuectom\u00eda total, y despu\u00e9s de efectuar diversos estudios, prospectivos y retrospectivos, entre los que se cuenta un an\u00e1lisis multivariable de los diferentes factores implicados en el aumento de la estancia postquir\u00fargica y la aparici\u00f3n de f\u00edstula faringocut\u00e1nea postoperatoria, llegamos a las siguientes conclusiones:  1,- el aumento de la estancia postquir\u00fargica en nuestra serie hist\u00f3rica se produce fundamentalmente en base a tres factores (consumo de alcohol por parte del paciente, a\u00f1o en que se intervino y aparici\u00f3n de una f\u00edstula salivar), siendo la aparici\u00f3n de una f\u00edstucla faringocut\u00e1nea el \u00fanico elemento susceptible de modificaci\u00f3n con fines de mejora de la calidad.  2,- la cobertura antibi\u00f3tica prolongada del paciente no aporta m\u00e1s ventajas que otra de m\u00e1s corta duraci\u00f3n en la prevenci\u00f3n de la aparici\u00f3n de f\u00edstulas faringocut\u00e1neas y el aumento de la estancia hospitalaria.  3,- la realizaci\u00f3n de cualquier tipo de tratamiento cervical concomitante con la laringuectom\u00eda total (vaciamiento funcional o radical) no representa un incremento de la estancia ni supone un aumento de la frecuencia de aparici\u00f3n de f\u00edstulas en estos pacientes.  4,- en nuestra experiencia, el tratamiento radioter\u00e1pico previo no supone un factor de riesgo en la aparici\u00f3n de f\u00edstulas faringocut\u00e1neas y no prolonga la estancia hospitalaria.  5,- el cirujano res<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Mejora continua de la calidad en la morbilidad postlaringuectom\u00edatotal<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Mejora continua de la calidad en la morbilidad postlaringuectom\u00edatotal <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Juan Solanellas Soler <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Sevilla<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 14\/03\/1997<\/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>Francisco Esteban Ortega<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Juan Bartual pastor <\/li>\n<li>Fernando Navarro ortiz (vocal)<\/li>\n<li>rogelio Garrido teruel (vocal)<\/li>\n<li>Jorge Roquette gaona (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Juan Solanellas Soler Se analiza la frecuencia de la f\u00edscula postoperatoria, y adem\u00e1s, complicaciones postquir\u00fargicas de la [&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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