{"id":53826,"date":"2006-06-07T00:00:00","date_gmt":"2006-06-07T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/hemovigilancia-en-el-hospital-universitario-la-fe-de-valencia-impacto-en-la-practica-asistencial\/"},"modified":"2006-06-07T00:00:00","modified_gmt":"2006-06-07T00:00:00","slug":"hemovigilancia-en-el-hospital-universitario-la-fe-de-valencia-impacto-en-la-practica-asistencial","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/hemovigilancia-en-el-hospital-universitario-la-fe-de-valencia-impacto-en-la-practica-asistencial\/","title":{"rendered":"Hemovigilancia en el hospital universitario la fe de Valencia. impacto en la pr\u00e1ctica asistencial"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Nelly Carpio Mart\u00ednez <\/strong><\/h2>\n<p>En el a\u00f1o 2003 la uni\u00f3n europea y el parlamento europeo elaboraron y publicaron una directiva que afectaba a todos los pa\u00edses de la uni\u00f3n (directiva 2002\/98\/ce), en la que se establec\u00eda la creaci\u00f3n de un sistema de hemovigilancia para la \u00abdetecci\u00f3n registro y an\u00e1lisis de la informaci\u00f3n relativa a los efectos adversos e inesperados de la transfusi\u00f3n sangu\u00ednea\u00bb. Esta directiva ha sido transcrita a nuestra legislaci\u00f3n nacional y publicada en el boe en septiembre de 2005 (real decreto 1088\/2005). Con el fin de conocer la incidencia real de estos efectos adversos en nuestro medio, hemos realizado un estudio retrospectivo en el hospital la fe de Valencia. En el periodo 2000-2004 se transfundieron 271.412 componentes sangu\u00edneos y se detectaron 847 incidentes. de ellos 470 son episodios de aloinmunizaci\u00f3n, 305 reacciones adversas, 50 incidentes sin efecto y 23 incidentes relacionados con la donaci\u00f3n y obtenci\u00f3n de componentes aut\u00f3logos.  la incidencia de reacciones adversas ha sido de 1,12 por cada 1.000 componentes transfundidos, menor a la publicada por otros autores, los componentes implicados m\u00e1s frecuentemente han sido los hemat\u00edes, el plasma y las plaquetas y las reacciones estudiadas en orden de frecuencia, las reacciones al\u00e9rgicas, febriles, hemol\u00edticas, errores en la administraci\u00f3n de componentes, edema pulmonar agudo asociado a transfusi\u00f3n, infecci\u00f3n v\u00edrica, p\u00farpura postransfusional, sobrecarga de volumen y contaminaci\u00f3n bacteriana. A pesar de que esta incidencia de reacciones adversas es inferior a la reflejada por otros grupos, cuando eliminamos del registro las reacciones sin trascendencia cl\u00ednica, nuestros resultados, a excepci\u00f3n de la menor incidencia de contaminaci\u00f3n bacteriana, est\u00e1n en concordancia con otras series. La donaci\u00f3n aut\u00f3loga presenta una incidencia elevada de reacciones adversas, fundamentalmente s\u00edncopes y crisis en la que la hipotensi\u00f3n juega un papel importante.  en nuestro cen<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Hemovigilancia en el hospital universitario la fe de Valencia. impacto en la pr\u00e1ctica asistencial<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Hemovigilancia en el hospital universitario la fe de Valencia. impacto en la pr\u00e1ctica asistencial <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Nelly Carpio Mart\u00ednez <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Murcia<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 06\/07\/2006<\/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 Vicente Garcia<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: mercedes Corral alonso <\/li>\n<li>eduardo Mu\u00f1iz d\u00edaz (vocal)<\/li>\n<li>Miguel Lozano molero (vocal)<\/li>\n<li>Jos\u00e9 Mar\u00eda Moraleda jim\u00e9nez (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Nelly Carpio Mart\u00ednez En el a\u00f1o 2003 la uni\u00f3n europea y el parlamento europeo elaboraron y publicaron 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