{"id":57220,"date":"2018-03-09T22:45:02","date_gmt":"2018-03-09T22:45:02","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/aplicacion-de-una-metodologa%c2%ada-de-arboles-de-decision-para-predecir-el-reingreso-hospitalario-urgente-tras-reseccion-pulmonar-mayor\/"},"modified":"2018-03-09T22:45:02","modified_gmt":"2018-03-09T22:45:02","slug":"aplicacion-de-una-metodologa%c2%ada-de-arboles-de-decision-para-predecir-el-reingreso-hospitalario-urgente-tras-reseccion-pulmonar-mayor","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/cirugia\/aplicacion-de-una-metodologa%c2%ada-de-arboles-de-decision-para-predecir-el-reingreso-hospitalario-urgente-tras-reseccion-pulmonar-mayor\/","title":{"rendered":"Aplicaci\u00f3n de una metodolog\u00eda de \u00e1rboles de decisi\u00f3n para predecir el reingreso hospitalario urgente tras resecci\u00f3n pulmonar mayor"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Jos\u00e9 Luis Aranda Alcaide <\/strong><\/h2>\n<p>El reingreso hospitalario (rh) ser\u00eda  aquella hospitalizaci\u00f3n producida durante un cierto tiempo tras un ingreso previo (ingreso o episodio \u00edndice). Es un hecho frecuente que supone un sustancial incremento del gasto sanitario y una merma en la calidad asistencial. El rh es una variable sumamente heterog\u00e9nea y escasamente estudiada en cirug\u00eda tor\u00e1cica. Su an\u00e1lisis multivariante presenta ciertas limitaciones, por lo que nos planteamos si ser\u00eda posible predecir  el riesgo de reingreso hospitalario urgente en pacientes sometidos a resecci\u00f3n pulmonar mayor (lobectom\u00eda, bilobectom\u00eda o neumonectom\u00eda) mediante una metodolog\u00eda de \u00e1rboles de clasificaci\u00f3n y regresi\u00f3n, comprobando si la utilizaci\u00f3n de un grupo de variables pre y postoperatorias mejora los resultados obtenidos por esta misma metodolog\u00eda sobre un conjunto de variables exclusivamente preoperatorias. Estudiamos 964 casos entre enero 1994 y agosto 2005, siendo la  tasa de rh del 6% y su causa principal el empiema pleural (38%). Las variables preoperatorias relevantes fueron el fev1 estimado postoperatorio (fev1ppo), fev1 preoperatorio, \u00edndice de masa corporal, edad , tipo de resecci\u00f3n programada, diagn\u00f3stico y sexo ; las postoperatorias: fev1 preoperatorio, fev1 ppo, morbilidad postoperatoria, edad, empiema pleural, sexo y necesidad de reintervenci\u00f3n quir\u00fargica. El modelo con variables preoperatorias predice correctamente el reingreso en un 50,9% de casos, frente al 43,63% del modelo con variables pre y postoperatorias. Por tanto, la aplicaci\u00f3n de dicha metodolog\u00eda sobre un conjunto de variables pre y postoperatorias medidas en pacientes sometidos a resecci\u00f3n pulmonar mayor, no predice el reingreso hospitalario urgente con mayor exactitud que al aplicarla sobre un conjunto de variables exclusivamente preoperatorias.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Aplicaci\u00f3n de una metodolog\u00eda de \u00e1rboles de decisi\u00f3n para predecir el reingreso hospitalario urgente tras resecci\u00f3n pulmonar mayor<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Aplicaci\u00f3n de una metodolog\u00eda de \u00e1rboles de decisi\u00f3n para predecir el reingreso hospitalario urgente tras resecci\u00f3n pulmonar mayor <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Jos\u00e9 Luis Aranda Alcaide <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Salamanca<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 23\/02\/2007<\/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>Gonzalo Varela  Simo<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: alberto Gomez alonso <\/li>\n<li>angel Salvatierra velazquez (vocal)<\/li>\n<li>Jos\u00e9 Manuel Revuelta soba (vocal)<\/li>\n<li>angel Sanchez rodriguez (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Jos\u00e9 Luis Aranda Alcaide El reingreso hospitalario (rh) ser\u00eda aquella hospitalizaci\u00f3n producida durante un cierto tiempo tras [&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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