{"id":62459,"date":"2018-03-09T22:50:21","date_gmt":"2018-03-09T22:50:21","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/un-nuevo-modelo-predictivo-de-complicaciones-bacteriemia-y-neumona%c2%ada-en-pacientes-con-tumores-solidos-y-neutropenia-febril-de-bajo-riesgo\/"},"modified":"2018-03-09T22:50:21","modified_gmt":"2018-03-09T22:50:21","slug":"un-nuevo-modelo-predictivo-de-complicaciones-bacteriemia-y-neumona%c2%ada-en-pacientes-con-tumores-solidos-y-neutropenia-febril-de-bajo-riesgo","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/oncologia-clinica\/un-nuevo-modelo-predictivo-de-complicaciones-bacteriemia-y-neumona%c2%ada-en-pacientes-con-tumores-solidos-y-neutropenia-febril-de-bajo-riesgo\/","title":{"rendered":"Un nuevo modelo predictivo de complicaciones, bacteriemia y neumon\u00edaen pacientes con tumores s\u00f3lidos y neutropenia febril de bajo riesgo."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Alberto Carmona Bayonas <\/strong><\/h2>\n<p>Introducci\u00f3n: los modelos pron\u00f3sticos que permiten estratificar los episodios de neutropenia febril en funci\u00f3n del riesgo, presentan una tasa de complicaciones inesperadas del 5-10% en pacientes considerados de bajo riesgo. Estos modelos han analizado muestras heterog\u00e9neas que incluyen pacientes con tumores s\u00f3lidos, leucemia y transplante de m\u00e9dula \u00f3sea. objetivo: identificar los factores de riesgo de complicaciones inesperadas, bacteriemia y neumon\u00eda en un subgrupo homog\u00e9neo de pacientes con neutropenia febril de bajo riesgo y tumores s\u00f3lidos. pacientes y m\u00e9todos: se dise\u00f1\u00f3 un estudio retrospectivo de casos y controles para evaluar los factores pron\u00f3sticos de complicaciones, bacteriemia y neumon\u00eda en pacientes con neutropenia febril de bajo riesgo. El criterio de bajo riesgo incluy\u00f3 la pertenencia al grupo iv de talcott, y la ausencia de infecciones graves en la presentaci\u00f3n del episodio. resultados: entre 1996 y 2004, 861 pacientes con neutropenia febril y tumores s\u00f3lidos fueron tratados en el hospital virgen de la arrixaca. De ellos, 692 (80%) cumplieron la definici\u00f3n de bajo riesgo. La tasa de complicaciones graves, bacteriemia y neumon\u00eda oculta en pacientes considerados de bajo riesgo fue del 7.5% (n=52), 6.2% (n=43) y 3.1% (n=22), respectivamente. Los factores predictivos de complicaciones fueron un estado funcional ecog mayor o igual a 2 (peso 2, or 2.4), epoc (peso 4, or 4.45), insuficiencia cardiaca cr\u00f3nica (peso 4, or 6.47), estomatitis nci grado 2 o superior (peso 2, or 2.59), monocitopenia inferior a 200\/mm3 (peso 2, or 2.29) y la hiperglucemia de estr\u00e9s (peso 3, or 3.06). Un punto de corte en menos de 5 identific\u00f3 al grupo de bajo riesgo con una tasa de complicaciones inesperadas del 2.9%. Un punto de corte en 8 identific\u00f3 al grupo de alto riesgo con un vpp del 40%, sensibilidad del 43% y especificidad del 95%. En esta muestra, el modelo mascc tuvo una tasa de complicaciones inesperadas del 5.6% y no mejor\u00f3 el rendimiento pro<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Un nuevo modelo predictivo de complicaciones, bacteriemia y neumon\u00edaen pacientes con tumores s\u00f3lidos y neutropenia febril de bajo riesgo.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Un nuevo modelo predictivo de complicaciones, bacteriemia y neumon\u00edaen pacientes con tumores s\u00f3lidos y neutropenia febril de bajo riesgo. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Alberto Carmona Bayonas <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Murcia<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 18\/01\/2008<\/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>Joaquin G\u00f3mez G\u00f3mez<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Jos\u00e9 Manuel Martinez Vazquez <\/li>\n<li>Mar\u00eda no Vald\u00e9s Chavarri (vocal)<\/li>\n<li>Vicente Vicente Garc\u00eda (vocal)<\/li>\n<li>Andr\u00e9s Cervantes Ruip\u00e9rez (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Alberto Carmona Bayonas Introducci\u00f3n: los modelos pron\u00f3sticos que permiten estratificar los episodios de neutropenia febril en funci\u00f3n [&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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