{"id":63178,"date":"2018-03-09T22:51:06","date_gmt":"2018-03-09T22:51:06","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/analisis-de-factores-pronosticos-en-el-fallo-renal-agudo-asociados-a-mortalidad-a-corto-plazo\/"},"modified":"2018-03-09T22:51:06","modified_gmt":"2018-03-09T22:51:06","slug":"analisis-de-factores-pronosticos-en-el-fallo-renal-agudo-asociados-a-mortalidad-a-corto-plazo","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/nefrologia\/analisis-de-factores-pronosticos-en-el-fallo-renal-agudo-asociados-a-mortalidad-a-corto-plazo\/","title":{"rendered":"Analisis de factores pron\u00f3sticos en el fallo renal agudo asociados a mortalidad a corto plazo"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Jos\u00e9 Ram\u00f3n P\u00e9rez Valdivieso <\/strong><\/h2>\n<p>Objetivos: investigar la influencia de nuevas variables sobre el pron\u00f3stico del paciente durante el episodio de fallo renal agudo, y discutir sus posibles implicaciones. Estas variables fueron medidas en el momento en que el nefr\u00f3logo es avisado por primera vez para reconocer al enfermo. Metodos: estudio prospectivo de cohortes con pacientes de la cl\u00ednica universitaria de navarra (pamplona, espa\u00f1a). An\u00e1lisis de car\u00e1cter longitudinal utilizando modelos multivariantes de regresi\u00f3n log\u00edstica y de cox. Resultados: el an\u00e1lisis de nuestros datos mostr\u00f3 lo siguiente: un aumento significativo de la mortalidad, y aumento de la creatinina s\u00e9rica al alta. La tasa de mortalidad intrahospitalaria estaba asociada a menores \u00edndices de karnofsky previos previos al ingreso. Los pacientes oncol\u00f3gicos con un valor de prote\u00edna c-reactiva s\u00e9rica mayor o igual a 8 mg\/dl presentaban mayores tasas de mortalidad. Los niveles de prealb\u00famina s\u00e9rica estaban independientemente relacionados con el riesgo de mortalidad intrahospitalaria si eran menores de 11 mg\/dl. La utilizaci\u00f3n combinada del \u00edndice de lia\u00f1o y la clasificaci\u00f3n rifle mostraba un efecto aditivo en el c\u00e1lculo predictivo de la mortalidad intrahospitalaria. Conclusi\u00f3n. En nuestro medio, el fallo renal agudo estuvo asociado a un alto riesgo del mortalidad. Los pacientes con igual grado de gravedad org\u00e1nica y de fallo renal agudo, pero con mayores incrementos relativos de creatinina s\u00e9rica y\/o niveles prote\u00edna c-reactiva, y menores niveles de prealb\u00famina, y\/o \u00edndice de karnofsky presentaron unas tasas significativamente mayores de mortalidad intrahospitalaria a corto plazo. Aunque la clasificaci\u00f3n rifle presenta cierto poder discriminatorio para predecir la mortalidad no es mejor que la utilizaci\u00f3n del \u00edndice de lia\u00f1o, aunque su combinaci\u00f3n proporciona un modelo predictivo m\u00e1s robusto que el de los dos por separado.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Analisis de factores pron\u00f3sticos en el fallo renal agudo asociados a mortalidad a corto plazo<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Analisis de factores pron\u00f3sticos en el fallo renal agudo asociados a mortalidad a corto plazo <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Jos\u00e9 Ram\u00f3n P\u00e9rez Valdivieso <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Navarra<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 28\/02\/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>Pablo Monedero Rodr\u00edguez<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Miguel \u00e1ngel Mart\u00ednez gonz\u00e1lez <\/li>\n<li>Fernando Liano Garc\u00eda (vocal)<\/li>\n<li>Juan Navia roque (vocal)<\/li>\n<li>Antonio Villalonga morales (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Jos\u00e9 Ram\u00f3n P\u00e9rez Valdivieso Objetivos: investigar la influencia de nuevas variables sobre el pron\u00f3stico del paciente durante [&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 center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""}},"footnotes":""},"categories":[1569,17749,179],"tags":[18793,23921,139494,29648,139495,71033],"class_list":["post-63178","post","type-post","status-publish","format-standard","hentry","category-anestesiologia-quirurgica","category-navarra","category-nefrologia","tag-antonio-villalonga-morales","tag-fernando-liano-garcia","tag-jose-ramon-perez-valdivieso","tag-juan-navia-roque","tag-miguel-angel-Martinez-gonzalez","tag-pablo-monedero-rodriguez"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/63178","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/comments?post=63178"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/63178\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=63178"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=63178"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=63178"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}