{"id":40010,"date":"1999-01-01T00:00:00","date_gmt":"1999-01-01T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/analisis-de-la-correspondencia-clinico-patologica-en-las-autopsias-de-ancianos-fallecidos-en-el-hospital-universitario-san-carlos\/"},"modified":"1999-01-01T00:00:00","modified_gmt":"1999-01-01T00:00:00","slug":"analisis-de-la-correspondencia-clinico-patologica-en-las-autopsias-de-ancianos-fallecidos-en-el-hospital-universitario-san-carlos","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/analisis-de-la-correspondencia-clinico-patologica-en-las-autopsias-de-ancianos-fallecidos-en-el-hospital-universitario-san-carlos\/","title":{"rendered":"Analisis de la correspondencia clinico-patologica en las autopsias de ancianos fallecidos en el hospital universitario san carlos."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Angel Toral Revuelta <\/strong><\/h2>\n<p>El objetivo de este trabajo es analizar la correspondencia entre los diagn\u00f3sticos cl\u00ednicos y los de autopsia en los ancianos, compar\u00e1ndola con un grupo de 40 a 64 a\u00f1os. la muestra procede de los pacientes fallecidos en el hospital universitario san carlos durante el periodo 1988-1997.  la confirmaci\u00f3n total del diagn\u00f3stico cl\u00ednico de la causa primaria de muerte fue de 72,7% para los adultos, y descenci\u00f3 de forma significativa entre los ancianos (65,4%). los factores que empeoraron significativamente la concordancia diagn\u00f3stica de los ancianos fueron la inseguridad en el diagn\u00f3stico cl\u00ednico, la pluripatolog\u00eda asociada y un mayor n\u00famero de neoplasias (patolog\u00eda con m\u00e1s discrepancias anatomo-cl\u00ednicas).  en la causa inmediata de muerte, el porcentaje de diagn\u00f3sticos cl\u00ednicos no confirmados en la autopsia fue de 14,8% en los adultos y ascendi\u00f3 hasta 19,6% entre los ancianos. Los factores que m\u00e1s han perjudicado la concordancia diagn\u00f3stica de esta causa de muerte fueron la inseguridad en el diagn\u00f3stico cl\u00ednico y la falta de atenci\u00f3n geri\u00e1trica (20% menos de errores en los ancianos del servicio de geriatr\u00eda).  la neoplasias fueron las causas primarias de muerte m\u00e1s frecuentes entre los ancianos, y las patolog\u00edas cardiovasculares predominaron como causas inmediatas.  las enfermedades espec\u00edficas con m\u00e1s discrepancias anatomo-cl\u00ednicas en los ancianos fueron el c\u00e1ncer de pulm\u00f3n (como causa primaria de muerte) y la neumon\u00eda y el tep (tanto como causa inmediata como patolog\u00eda acompa\u00f1ante).#<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Analisis de la correspondencia clinico-patologica en las autopsias de ancianos fallecidos en el hospital universitario san carlos.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Analisis de la correspondencia clinico-patologica en las autopsias de ancianos fallecidos en el hospital universitario san carlos. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Angel Toral Revuelta <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Complutense de Madrid<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 01\/01\/1999<\/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>Jos\u00e9 Manuel Ribera Casado<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Juli\u00e1n Sanz Esponera <\/li>\n<li>Carlos Martinez Manzanares (vocal)<\/li>\n<li>Horacio Oliva Andaniz (vocal)<\/li>\n<li>Antonio Ruiz-torres (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Angel Toral Revuelta El objetivo de este trabajo es analizar la correspondencia entre los diagn\u00f3sticos cl\u00ednicos y [&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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