{"id":33905,"date":"1998-01-01T00:00:00","date_gmt":"1998-01-01T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/utilidad-de-la-tomografia-computadorizada-en-la-evaluacion-inicial-de-los-pacientes-criticos-con-traumatismo-toracico\/"},"modified":"1998-01-01T00:00:00","modified_gmt":"1998-01-01T00:00:00","slug":"utilidad-de-la-tomografia-computadorizada-en-la-evaluacion-inicial-de-los-pacientes-criticos-con-traumatismo-toracico","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/utilidad-de-la-tomografia-computadorizada-en-la-evaluacion-inicial-de-los-pacientes-criticos-con-traumatismo-toracico\/","title":{"rendered":"Utilidad de la tomografia computadorizada en la evaluacion inicial de los pacientes criticos con traumatismo toracico."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Francisco Guerrero Lopez <\/strong><\/h2>\n<p>Objetivo: determinar la consistencia de la radiograf\u00eda de t\u00f3rax (rxt) port\u00e1til y de la tomograf\u00eda computadorizada (tc) tor\u00e1cica en los pacientes cr\u00edticos; analizar la concordancia y discrepancias diagn\u00f3sticas de ambas t\u00e9cnicas en estos pacientes, las modificaciones terap\u00e9uticas inducidas por la tc y si estas modificaciones producen un beneficio cl\u00ednico en los pacientes con reducci\u00f3n de su mortalidad, tiempo de estancia en uci o de ventilaci\u00f3n mec\u00e1nica.  material y m\u00e9todos: estudio de cohortes. Pacientes ingresados en la uci del hospital de traumatolog\u00eda entre 1992 y 1996 con traumatismo tor\u00e1cico seguimiento durante su estancia en uci. Estudio de consistencia (concordancia intra e interobservador) con los \u00edndices kappa simple y ponderado y el \u00edndice de acuerdo simple tanto para la rxt como para la tc.  resultados: 375 pacientes consecutivos estudiados.  demostraci\u00f3n de la consistencia de las exploraciones radiol\u00f3gicas, tanto de la rxt como de la tc en estos pacientes. Inducci\u00f3n de modificaciones terap\u00e9uticas mayores en aproximadamente el 10% de los pacientes y de modificaciones terap\u00e9uticas menores en un 20% adicional.  no reducci\u00f3n de la mortalidad, tiempo de estancia en uci ni tiempo de ventilaci\u00f3n mec\u00e1nica en los pacientes de la cohorte en la que se realiz\u00f3 tc de t\u00f3rax al ingreso respecto a la que no se realiz\u00f3.  conclusiones: tanto la rxt como la tc son exploraciones consistentes en los pacientes traumatizados cr\u00edticos. Las modificaciones terap\u00e9uticas inducidas por la realizaci\u00f3n de tc tor\u00e1cica al ingreso no beneficia a los pacientes en t\u00e9rminos de mortalidad, tiempo de estancia en uci o tiempo de ventilaci\u00f3n mec\u00e1nica.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Utilidad de la tomografia computadorizada en la evaluacion inicial de los pacientes criticos con traumatismo toracico.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Utilidad de la tomografia computadorizada en la evaluacion inicial de los pacientes criticos con traumatismo toracico. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Francisco Guerrero Lopez <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Granada<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 01\/01\/1998<\/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>Guillermo Vazquez Mata<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Jos\u00e9 Mar\u00eda Garcia Gil <\/li>\n<li>Alexandra Prados Torres (vocal)<\/li>\n<li>Francisco Taboada Costa (vocal)<\/li>\n<li>Mar\u00eda no Martinez Fresneda (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Francisco Guerrero Lopez Objetivo: determinar la consistencia de la radiograf\u00eda de t\u00f3rax (rxt) port\u00e1til y 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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