{"id":60262,"date":"2018-03-09T22:48:04","date_gmt":"2018-03-09T22:48:04","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/hiponatremias-hospitalarias\/"},"modified":"2018-03-09T22:48:04","modified_gmt":"2018-03-09T22:48:04","slug":"hiponatremias-hospitalarias","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/patologia-clinica\/hiponatremias-hospitalarias\/","title":{"rendered":"Hiponatremias hospitalarias"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Mar\u00eda  Dolores Sanchez De La Nieta Garcia <\/strong><\/h2>\n<p>Introducci\u00f3n    la hiponatremia constituye la principal alteraci\u00f3n hidroelectrol\u00edtica en el medio hospitalario, aunque habitualmente pasa desaparecida probablemente por cursar mayoritariamente de forma asintom\u00e1tica, por su aparente baja mortalidad o por la insuficiente comprensi\u00f3n de sus g\u00e9nesis y tratamiento por facultativos no nefrol\u00f3gos. Al revisar la literatura reciente, cada vez son m\u00e1s los estudios que analizan las hiponatremias y su incidencia. Actualmente se reconoce como un trastorno com\u00fan en la pr\u00e1ctica cl\u00ednica, con una preValencia de aproximadamente entre un 15-30% de los pacientes  hospitalizados y de importantes repercusiones cl\u00ednicas.  objetivos     evaluar si la informaci\u00f3n, mediante una hoja informativa, de su existencia y tratamiento m\u00e1s adecuado al facultativo responsable del paciente, disminuye la incidencia global y la gravedad de las hiponatremias. Examinar el cambio de incidencia de hiponatremias productoras durante 6 meses, con posterioridad a la realizaci\u00f3n de la informaci\u00f3n. Evaluar su reconocimiento y abordaje de acuerdo con los sugerido por nuestra parte en la fase de informaci\u00f3n.  material y m\u00e9todos     estudio transversal, donde se constata la eficacia de una intervenci\u00f3n (actuaci\u00f3n informativa). Se comparan los resultados de una 1\u00aa fase preactuaci\u00f3n con una 2\u00aa fase postactuaci\u00f3n informativa.  resultados     se realiza un an\u00e1lisis descriptivo de las caracter\u00edsticas basales de cada frase. Durante los 12 meses de estudio (6 meses dela 1\u00aa fase y 6 meses de la 2\u00aa fase) la hiponatremia se identific\u00f3 en 299 pacientes ingresados, 212 (70,9%) se produjeron en la primera fase y 87 (29,1%) en la segunda fase. Las causas de hiponatremia m\u00e1s frecuentes en las 2 fases, fueron la deshidrataci\u00f3n, est\u00edmulo no-osm\u00f3tico de adh y diur\u00e9ticos. En ambas fases los servicios predominantes fueron medicina interna, cirug\u00eda general y uci. en el an\u00e1lisis inferencial se observ\u00f3 una diferencia estad\u00edsticamente sig<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Hiponatremias hospitalarias<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Hiponatremias hospitalarias <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Mar\u00eda  Dolores Sanchez De La Nieta Garcia <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 C\u00f3rdoba<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 27\/07\/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>Francisco Rivera Hern\u00e1ndez<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Francisco javier Padillo ruiz <\/li>\n<li>evaristo Fernandez ruiz (vocal)<\/li>\n<li>mario Espinosa hernandez (vocal)<\/li>\n<li>Mar\u00eda  antonia Alvarez de lara sanchez (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Mar\u00eda Dolores Sanchez De La Nieta Garcia Introducci\u00f3n la hiponatremia constituye la principal alteraci\u00f3n hidroelectrol\u00edtica en el [&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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