{"id":38770,"date":"1998-03-11T00:00:00","date_gmt":"1998-03-11T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/profilaxis-de-la-etev-en-pacientes-hospitalizados-en-medicina-interna-con-heparinas-de-bajo-peso-molecular\/"},"modified":"1998-03-11T00:00:00","modified_gmt":"1998-03-11T00:00:00","slug":"profilaxis-de-la-etev-en-pacientes-hospitalizados-en-medicina-interna-con-heparinas-de-bajo-peso-molecular","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/profilaxis-de-la-etev-en-pacientes-hospitalizados-en-medicina-interna-con-heparinas-de-bajo-peso-molecular\/","title":{"rendered":"Profilaxis de la etev en pacientes hospitalizados en medicina interna con heparinas de bajo peso molecular"},"content":{"rendered":"<h2>Tesis doctoral de <strong>  G\u00f3mez Ara Ana M. <\/strong><\/h2>\n<p>Estamos asistiendo en los \u00faltimos a\u00f1os a un aumento de la patolog\u00eda tromboemb\u00f3lica en pacientes afectos de patolog\u00eda m\u00e9dica respecto a enfermos quir\u00fargicos. este hecho lo hemos corroborado en nuestro estudio retrospectivo llevado a cabo durante los a\u00f1os 1994 y 1995, donde observamos que el 84,1 % de las tvp y\/o ep ocurr\u00edan en pacientes m\u00e9dicos.  Fue este el motivo que nos impuls\u00f3 a la realizaci\u00f3n de este trabajo: la instauraci\u00f3n de tratamiento profil\u00e1ctico con hbpm en los pacientes ingresados en medicina interna que correspondiesen a los grupos de riesgo moderado y alto con un doble objetivo:  1. Disminuir la incidencia de tvp y\/o ep en las \u00e1reas donde se ha instaurado profilaxis.  2. Mejorar la calidad asistencial mediante la redistribuci\u00f3n del gasto en tvp y\/o ep hacia profilaxis.  se realiz\u00f3 un estudio prospectivo en el que se instaur\u00f3 profilaxis a 365 pacientes ingresados en las plantas 10 y 11 (medicina interna del hospital miguel servet de zaragoza) con hbpm.  los factores de riesgo m\u00e1s frecuente en nuestra serie: edad mayor de 45 a\u00f1os, encamamiento, hta, diabetes mellitus y la insuficiencia cardiaca congestiva.  el estudio de coste &#8211; efectividad realizado nos muestra el doble beneficio de la profilaxis:  1. Cl\u00ednico: reduciendo la morbi-mortalidad intrahospitalaria (ning\u00fan paciente de nuestro estudio ha sufrido trombosis)  2. Coste &#8211; efectividad (el gasto hospitalario es un 91 % menor si al paciente se le instaura profilaxis que si no se le instaura).  en el estudio econ\u00f3mico se han estudiado las siguientes variables: riesgo relativo y atribuible, coste esperado por paciente, costo-efectividad y an\u00e1lisis marginal de costes.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Profilaxis de la etev en pacientes hospitalizados en medicina interna con heparinas de bajo peso molecular<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Profilaxis de la etev en pacientes hospitalizados en medicina interna con heparinas de bajo peso molecular <\/li>\n<li><strong>Autor:<\/strong>\u00a0  G\u00f3mez Ara Ana M. <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Zaragoza<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 03\/11\/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>Mart\u00edn Mart\u00edn Gutierrez<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: soledad Romero colas <\/li>\n<li>Jos\u00e9 Velilla marco (vocal)<\/li>\n<li>Fernando Mart\u00ednez brotons (vocal)<\/li>\n<li>rosa Cornudella lacasa (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de G\u00f3mez Ara Ana M. Estamos asistiendo en los \u00faltimos a\u00f1os a un aumento de la patolog\u00eda tromboemb\u00f3lica [&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 center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""}},"footnotes":""},"categories":[9,156,12395,13610],"tags":[34314,100408,100410,100409,100411,28569],"class_list":["post-38770","post","type-post","status-publish","format-standard","hentry","category-ciencias-medicas","category-patologia","category-trombosis","category-zaragoza","tag-fernando-Martinez-brotons","tag-gomez-ara-ana-m","tag-jose-velilla-marco","tag-martin-martin-gutierrez","tag-rosa-cornudella-lacasa","tag-soledad-romero-colas"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/38770","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/comments?post=38770"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/38770\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=38770"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=38770"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=38770"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}