{"id":58699,"date":"2018-03-09T22:46:31","date_gmt":"2018-03-09T22:46:31","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/estudio-cla%c2%adnico-del-proceso-conductual-de-la-emergencia-del-coma-grave-por-accidente-cerebrovascular\/"},"modified":"2018-03-09T22:46:31","modified_gmt":"2018-03-09T22:46:31","slug":"estudio-cla%c2%adnico-del-proceso-conductual-de-la-emergencia-del-coma-grave-por-accidente-cerebrovascular","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/reaccion-y-reflejos\/estudio-cla%c2%adnico-del-proceso-conductual-de-la-emergencia-del-coma-grave-por-accidente-cerebrovascular\/","title":{"rendered":"Estudio cl\u00ednico del proceso conductual de la emergencia del coma grave por accidente cerebrovascular."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Modesto Jes\u00fas Romero L\u00f3pez <\/strong><\/h2>\n<p>Objetivos: estudiar el proceso de la emergencia del coma en pacientes en coma grave por accidente cerebrovascular (acv). m\u00e9todo: se han evaluado a 32 pacientes ingresados en una unidad de cuidados intensivos por un coma de origen cerebrovascular. Se ha realizado un seguimiento diario por neuropsic\u00f3logos e intensivistas y monitorizado el despertar del coma mediante 8 escalas de evaluaci\u00f3n cl\u00ednica de los niveles de coma. Se han analizado las variables: edad, g\u00e9nero, residencia, \u00edndice prem\u00f3rbido de inteligencia estimado, tipo de acv, complicaciones m\u00e9dicas, paresias, escalas de gravedad del acv utilizadas en la uci, escalas de coma, momentos de evaluaci\u00f3n y permanencia en uci. Se ha utilizado una metodolog\u00eda observacional con dos observadores independientes. resultados: los resultados muestran que despertaron del coma el 72% de los pacientes en los primero 12 d\u00edas desde el comienzo del coma. El tiempo medio de ingreso en la uci fue de 21 d\u00edas. Las variables menor edad, g\u00e9nero masculino, residencia urbana y mayor ci estimado son las variables pron\u00f3sticas para el despertar. La fiabilidad interjueces es alta (cci > 0,8). Los an\u00e1lisis multivariados de los datos muestran que la capacidad de orientaci\u00f3n hacia el est\u00edmulo y la apertura ocular son los \u00edndices o marcadores pron\u00f3sticos de mayor validez. La escala coma near-coma es la que ofrece mayor validez pron\u00f3stica, obteni\u00e9ndose una sensibilidad del 95,45% y una especificidad del 100%. vicerectoradoconclusiones: es posible realizar una monitorizaci\u00f3n cl\u00ednica \u00fatil del despertar en pacientes en coma grave por acv. Algunas de las variables observadas muestran valor pron\u00f3stico para la medici\u00f3n de la emergencia del coma.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Estudio cl\u00ednico del proceso conductual de la emergencia del coma grave por accidente cerebrovascular.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Estudio cl\u00ednico del proceso conductual de la emergencia del coma grave por accidente cerebrovascular. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Modesto Jes\u00fas Romero L\u00f3pez <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Sevilla<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 29\/05\/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>Jos\u00e9 Le\u00f3n Carri\u00f3n<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal:  Rodr\u00edguez santos  Jos\u00e9 Miguel <\/li>\n<li>montserrat G\u00f3mez de terreros guardiola (vocal)<\/li>\n<li>Francisco Murillo cabezas (vocal)<\/li>\n<li>Fernando Machuca murga (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Modesto Jes\u00fas Romero L\u00f3pez Objetivos: estudiar el proceso de la emergencia del coma en pacientes en coma [&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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