{"id":37023,"date":"1998-01-01T00:00:00","date_gmt":"1998-01-01T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/el-anciano-en-el-servicio-de-urgencias-factores-pronosticos-de-mortalidad-tiempo-de-estancia-e-ingreso\/"},"modified":"1998-01-01T00:00:00","modified_gmt":"1998-01-01T00:00:00","slug":"el-anciano-en-el-servicio-de-urgencias-factores-pronosticos-de-mortalidad-tiempo-de-estancia-e-ingreso","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/el-anciano-en-el-servicio-de-urgencias-factores-pronosticos-de-mortalidad-tiempo-de-estancia-e-ingreso\/","title":{"rendered":"El anciano en el servicio de urgencias: factores pronosticos de mortalidad, tiempo de estancia e ingreso."},"content":{"rendered":"<h2>Tesis doctoral de <strong>  Jimenez Ramos Octavio Luis <\/strong><\/h2>\n<p>Uno de los aspectos caracter\u00edsticos de la medicina de urgencias es la masiva asistencia y presencia de ancianos en estos servicios, cuyo proceso de atenci\u00f3n presenta caracter\u00edsticas diferenciales en la poblaci\u00f3n anciana respecto al resto de la poblaci\u00f3n. El objeto de nuestro estudio fue conocer y analizar los factores que influyen y condicionan la mortalidad, el tiempo de estancia y el ingreso de estos pacientes. Se analizaron los datos correspondientes a 1003 pacientes mayores de 75 a\u00f1os que fueron recogidos mediante muestreo consecutivo.  los pacientes mayores de 75 a\u00f1os suponen, en promedio, el 13,85% (i.C.95% 13,56% a 14,17%) de los pacientes atendidos en el servicio de urgencias.  la mortalidad de este grupo poblacional es, en promedio, del 4,7% (i.C.95%:3,20% a 5,77%). Fueron factores predictivos independientes de mortalidad la cardiopat\u00eda isqu\u00e9mica, la insuficiencia respiratoria y la sepsis.  la proporci\u00f3n de ingreso es, en promedio, del 37% (i.C.95%: 34% a 40%). Fueron factores predictivos independientes de ingreso los siguientes cuadros: abdomen agudo quir\u00fargico, accidentes cerebrovasculares, bloqueo auriculoventricular, cardiopat\u00eda isqu\u00e9mica, fracturas, hemorragias digestivas, hepatopat\u00edas, hiperglucemias, hipoglucemias, isquemias de miembros inferiores, insuficiencia card\u00edaca, insuficiencia respiratoria, neoplasias, neumon\u00edas, sepsis y trombosis venosa profunda.  el tiempo medio de estancia de los pacientes es, en promedio, de 8 horas 34 minutos (i.C.95%: 7,76 a 8,92 horas). Fueron factores predictivos independientes del tiempo de estancia los siguientes cuadros: bloqueo auriculoventricular, deshidrataci\u00f3n, hipoglucemia y la suboclusi\u00f3n intestinal; las pruebas complementarias ecograf\u00eda, endoscopia y tac (tomograf\u00eda axial computarizada).<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>El anciano en el servicio de urgencias: factores pronosticos de mortalidad, tiempo de estancia e ingreso.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 El anciano en el servicio de urgencias: factores pronosticos de mortalidad, tiempo de estancia e ingreso. <\/li>\n<li><strong>Autor:<\/strong>\u00a0  Jimenez Ramos Octavio Luis <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Palmas de gran canaria<\/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>Joaquin Marchena G\u00f3mez<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Pedro Betancor Le\u00f3n <\/li>\n<li>Fermin Rodriguez Moreno (vocal)<\/li>\n<li>Antonio Alarco Hernandez (vocal)<\/li>\n<li>Sergio Ruiz Santana (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Jimenez Ramos Octavio Luis Uno de los aspectos caracter\u00edsticos de la medicina de urgencias es la masiva [&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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