{"id":4301,"date":"1994-01-01T00:00:00","date_gmt":"1994-01-01T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/1994\/01\/01\/cirugia-cardiaca-factores-de-riesgo-de-infeccion-quirurgica-y-de-mortalidad\/"},"modified":"1994-01-01T00:00:00","modified_gmt":"1994-01-01T00:00:00","slug":"cirugia-cardiaca-factores-de-riesgo-de-infeccion-quirurgica-y-de-mortalidad","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/cirugia-cardiaca-factores-de-riesgo-de-infeccion-quirurgica-y-de-mortalidad\/","title":{"rendered":"Cirugia cardiaca: factores de riesgo de infeccion quirurgica y de mortalidad"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Juan a Torres Martinez <\/strong><\/h2>\n<p>Objetivos: con objeto de identificar las tasas de infeccion profunda en la zona quirurgica ipzq, mortalidad, y los factores asociados a ellas realizamos el siguiente estudio. Pacientes y metodos: estudio retrospectivo de 1554 pacientes intervenidos por esternotomia durante los a\u00f1os 1989-91 (41% bypass, 43% sustituciones valvulares). Calculamos las tasas de ipzq y mortalidad. Identificamos variables demograficas, clinicas y fisiologicas asociadas a mayor riesgo de ipzq y mortalidad.  construimos dos modelos multivariantes por regresion logistica multiple no condicional para identificar y cuantificar los factores asociados a ipzq y mortalidad. Validamos internamente los modelos predictivos.  resultados: la tasa de ipzq es de 4,4%. Los factores asociados independientemente a mayor riesgo de ipzq son el grado funcional clase iv (or=3,4), la estancia preoperatoria alargada (or=2,4), la clasificacion quirurgica no limpia (or=3,2). La duracion de la intervencion (or=1,5) y la presencia de dm o epoc subyacente (or=2,6).  la tasa de mortalidad es 5,7 %. Los factores no confudidos asociados a mayor riesgo de mortalidad son:  grado funcional clase iv (or=6,4), tiempo de conexion a cec (or=2,0), bajo gasto cardiaco (or=5,9) e infeccion hospitalaria grave (or=2,9).  conclusiones:  identificamos varios factores asociados a un mayor riesgo de ipzq y mortalidad que pueden ser aminorados con objeto de prevenir infecciones y evitar mortalidad.  desarrollamos dos modelos predictivos que permiten identificar grupos de pacientes donde se concentran las ipzq y la mortalidad.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Cirugia cardiaca: factores de riesgo de infeccion quirurgica y de mortalidad<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Cirugia cardiaca: factores de riesgo de infeccion quirurgica y de mortalidad <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Juan a Torres Martinez <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Alcal\u00e1<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 01\/01\/1994<\/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>Vicente Monge Jodra<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Pellico Gomez <\/li>\n<li>Cardiel Asin (vocal)<\/li>\n<li>Caballero Garcia (vocal)<\/li>\n<li>Fernando Villagra Blanco (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Juan a Torres Martinez Objetivos: con objeto de identificar las tasas de infeccion profunda en la zona [&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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