{"id":63872,"date":"2008-09-04T00:00:00","date_gmt":"2008-09-04T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/valor-predictivo-de-las-citocinas-en-el-estudio-de-la-fiebre-del-anciano-en-el-servicio-de-urgencias-del-hospital-cla%c2%adnic-de-barcelona\/"},"modified":"2008-09-04T00:00:00","modified_gmt":"2008-09-04T00:00:00","slug":"valor-predictivo-de-las-citocinas-en-el-estudio-de-la-fiebre-del-anciano-en-el-servicio-de-urgencias-del-hospital-cla%c2%adnic-de-barcelona","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-clinicas\/valor-predictivo-de-las-citocinas-en-el-estudio-de-la-fiebre-del-anciano-en-el-servicio-de-urgencias-del-hospital-cla%c2%adnic-de-barcelona\/","title":{"rendered":"Valor predictivo de las citocinas en el estudio de la fiebre del anciano en el servicio de urgencias del hospital cl\u00ednic de barcelona"},"content":{"rendered":"

Tesis doctoral de LLuis Mart\u00ed Arjona <\/strong><\/h2>\n

Existe poca informaci\u00f3n sobre la respuesta inflamatoria durante la infecci\u00f3n en la poblaci\u00f3n de pacientes ancianos. Objetivos: investigar la respuesta inflamatoria en pacientes ancianos con el s\u00edndrome de respuesta sist\u00e9mica inflamatoria (srsi). M\u00e9todos: se midieron los valores de las siguientes citocinas proinflamatorias (tnf-a , il-6, il-1 ) y los valores de la prote\u00edna c reactiva (pcr), en los pacientes ancianos con sris que fueron admitidos en el servicio de urgencias hospitalario (suh). Al cuarto d\u00eda de ingreso se volvieron a analizar las citocinas y la pcr de todos los pacientes ingresados. Resultados: de los 100 pacientes con sris, 92 de ellos cumpl\u00edan los criterios cl\u00ednicos de infecci\u00f3n y 46 tuvieron confirmaci\u00f3n microbiol\u00f3gica. 28 pacientes presentaron bacteriemia. Los niveles basales de tnf-a e il-6 fueron mayores en los pacientes que cursaron con bacteriemia (p<0,001 y p<0,017 respectivamente). Los niveles b\u00e1sales de tnf-a (p <0.001) y al cuarto d\u00eda de pcr (p < 0.004), tnf-a (p < 0.001) y il-6 (p <0.002), se correlacionaron positivamente con estancias m\u00e1s prolongadas. Elevados niveles de il-6 al cuarto d\u00eda de ingreso mostraron correlaci\u00f3n con la mortalidad (p<0,016), sin embargo el resto de las citocinas y la pcr no lo hicieron. Conclusiones: todos los pacientes ancianos febriles , mostraron una respuesta inflamatoria frente a la infecci\u00f3n equivalente a la estudiada en poblaci\u00f3n de pacientes j\u00f3venes. A pesar de diversas limitaciones en el estudio, en la poblaci\u00f3n de enfermos ancianos con fiebre, las citocinas proinflamatorias se muestran como buenos biomarcadores para la predicci\u00f3n y evoluci\u00f3n de las infecciones.\n\n\n\n \n\n\n

Datos acad\u00e9micos de la tesis doctoral \u00abValor predictivo de las citocinas en el estudio de la fiebre del anciano en el servicio de urgencias del hospital cl\u00ednic de barcelona<\/strong>\u00ab<\/h3>\n
    \n
  • T\u00edtulo de la tesis:<\/strong>\u00a0 Valor predictivo de las citocinas en el estudio de la fiebre del anciano en el servicio de urgencias del hospital cl\u00ednic de barcelona <\/li>\n
  • Autor:<\/strong>\u00a0 LLuis Mart\u00ed Arjona <\/li>\n
  • Universidad:<\/strong>\u00a0 Barcelona<\/li>\n
  • Fecha de lectura de la tesis:<\/strong>\u00a0 09\/04\/2008<\/li>\n<\/ul>\n

     <\/p>\n

    Direcci\u00f3n y tribunal<\/h3>\n
      \n
    • Director de la tesis<\/strong>\n
        \n
      • M. Asunci\u00f3n Moreno Camacho<\/li>\n<\/ul>\n<\/li>\n
      • Tribunal<\/strong>\n
          \n
        • Presidente del tribunal: tomas Pumarola su\u00f1e <\/li>\n
        • jordi Carratal\u00e1 fern\u00e1ndez (vocal)<\/li>\n
        • francesc Vidal marsal (vocal)<\/li>\n
        • ferran Segura porta (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n

           <\/p>\n","protected":false},"excerpt":{"rendered":"

          Tesis doctoral de LLuis Mart\u00ed Arjona Existe poca informaci\u00f3n sobre la respuesta inflamatoria durante la infecci\u00f3n en la poblaci\u00f3n de […]<\/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":[951,155],"tags":[20175,33658,134619,141000,33659,10904],"class_list":["post-63872","post","type-post","status-publish","format-standard","hentry","category-barcelona","category-ciencias-clinicas","tag-ferran-segura-porta","tag-francesc-vidal-marsal","tag-jordi-carratala-fernandez","tag-lluis-marti-arjona","tag-m-asuncion-moreno-camacho","tag-tomas-pumarola-sune"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/63872","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=63872"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/63872\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=63872"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=63872"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=63872"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}