{"id":42724,"date":"2018-03-09T09:44:43","date_gmt":"2018-03-09T09:44:43","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/analisis-del-tiempo-de-llegada-al-hospital-en-el-paciente-con-ictus-factores-determinantes\/"},"modified":"2018-03-09T09:44:43","modified_gmt":"2018-03-09T09:44:43","slug":"analisis-del-tiempo-de-llegada-al-hospital-en-el-paciente-con-ictus-factores-determinantes","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/analisis-del-tiempo-de-llegada-al-hospital-en-el-paciente-con-ictus-factores-determinantes\/","title":{"rendered":"Analisis del tiempo de llegada al hospital en el paciente con ictus: factores determinantes."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Sonia Santos Lasaosa <\/strong><\/h2>\n<p>Introducci\u00f3n: al ocluirse un vaso cerebral existe un \u00e1rea hipoperfundida en la periferia del tejido necr\u00f3tico denominada penumbra isqu\u00e9mica que es potencialmente recuperable si se modifican las condiciones hemodin\u00e1micas. Por ello una atenci\u00f3n m\u00e9dica especializada y precoz en el paciente con ictus se traduce en un mejor pron\u00f3stico y una menor estancia hospitalaria. conseguir tiempos de latencia cortos es por tanto una fuerte recomendaci\u00f3n de los expertos. Mi objetivo es determinar cu\u00e1les son los principales factores sociodemogr\u00e1ficos, culturales e intr\u00ednsecos a la naturaleza del ictus que influyen en la latencia de ingreso hospitalario.  m\u00e9todo: estudio prospectivo de todo paciente con ictus ingresado en el hospital cl\u00ednico universitario con evca desde el 15 de febrero de 1997 hasta el 15 de febrero de 1998. an\u00e1lisis de las siguientes datos: edad, sexo, entorno familiar, contacto m\u00e9dico inicial, transporte, categor\u00eda cl\u00ednica y mecanismo patog\u00e9nico. Se valor\u00f3 la gravedad del d\u00e9ficit neurol\u00f3gico y se interrog\u00f3 acerca de la hora exacta de inicio de los s\u00edntomas. La variable principal es la latencia de ingreso hospitalario: tiempo transcurrido entre el inicio de la cl\u00ednica y el ingreso en urgencias: &gt;6 \/ &lt;-6 horas y &gt;3 \/ &lt;-3 horas. Se excluyeron los pacientes que desconoc\u00edan la hora del debut.  resultados: se recogieron 540 pacientes (edad media: 72,09 a\u00f1os). Conoc\u00edan la hora exacta de inicio de los s\u00edntomas 334 pacientes (muestra de estudio). La latencia media de ingreso fue de 9,71 horas (ds: 19,48). el an\u00e1lisis multivariante confirma como predictores independientes de la latencia de ingreso la gravedad del ictus (p=0,0016 y p=0,0002 respectivamante), el contacto m\u00e9dico inicial (p=080178 y p=0,0048) y la categor\u00eda cl\u00ednica (p=0,004 y p=0,006). en la ventana de las seis horas influye tambi\u00e9n la hora de inicio de los s\u00edntomas (p=0,02) y en la de las primeras tres horas el entorno<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Analisis del tiempo de llegada al hospital en el paciente con ictus: factores determinantes.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Analisis del tiempo de llegada al hospital en el paciente con ictus: factores determinantes. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Sonia Santos Lasaosa <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Zaragoza<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 19\/02\/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>Enrique Mostacero Miguel<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: jos\u00e9 Castillo s\u00e1nchez <\/li>\n<li>felicito Garc\u00eda-\u00e1lvarez \u00e1lvarez (vocal)<\/li>\n<li>eduardo Mart\u00ednez vila (vocal)<\/li>\n<li>Carlos Aibar remon (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Sonia Santos Lasaosa Introducci\u00f3n: al ocluirse un vaso cerebral existe un \u00e1rea hipoperfundida en la periferia del [&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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