{"id":67923,"date":"2008-10-11T00:00:00","date_gmt":"2008-10-11T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/factores-de-riesgo-de-la-neumona%c2%ada-adquirida-en-la-comunidad-en-adultos-la-perspectiva-de-base-poblacional\/"},"modified":"2008-10-11T00:00:00","modified_gmt":"2008-10-11T00:00:00","slug":"factores-de-riesgo-de-la-neumona%c2%ada-adquirida-en-la-comunidad-en-adultos-la-perspectiva-de-base-poblacional","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-clinicas\/factores-de-riesgo-de-la-neumona%c2%ada-adquirida-en-la-comunidad-en-adultos-la-perspectiva-de-base-poblacional\/","title":{"rendered":"Factores de riesgo de la neumon\u00edaadquirida en la comunidad en adultos. la perspectiva de base poblacional"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Ignasi Bolibar Ribas <\/strong><\/h2>\n<p>Con el objetivo de identificar los factores de riesgo cl\u00ednicos de neumon\u00eda adquirida en la comunidad (nac) se ha realizado un estudio de casos y controles en una poblaci\u00f3n de 859.033 habitantes mayores de 14 a\u00f1os. Se incluyeron 1.336 pacientes con nac confirmada y 1.326 controles apareados de forma grupal por edad, sexo y centro de atenci\u00f3n primaria. Se estim\u00f3 el riesgo relativo de nac mediante modelos bivariados y multivariados de regresi\u00f3n log\u00edstica no condicional. Las variables respiratorias asociadas al riesgo de nac fueron la broncoscopia y el sondaje nasog\u00e1strico, las infecciones respiratorias de v\u00edas altas, el antecedente de neumon\u00eda, las enfermedades cr\u00f3nicas del aparato respiratorio, la oxigenoterapia, y los inhaladores anticolin\u00e9rgicos y coricosteroides. Como factores de riesgo cardiovasculares se observaron la insuficiencia card\u00edaca y los tratamientos relacionados, como los diur\u00e9ticos del asa y la amiodarona. Los inhibidores de los canales del calcio mostraran una reducci\u00f3n del riesgo del 33%. La epilepsia increment\u00f3 el riesgo de nac, mientras que los trastornos psiqui\u00e1tricos y, posiblemente, el uso de benzodiazepinas lo redujeron. Los inhibidores de la secreci\u00f3n g\u00e1strica podr\u00edan ser factores de riesgo seg\u00fan el momento de inicio de su consumo. El c\u00e1ncer y los tratamientos relacionados, y la seropositividad al vih fueron factores de riesgo poblacionales. El antecedente de hospitalizaci\u00f3n se mostr\u00f3 como un marcador de riesgo de nac. El presente estudio muestra la nac como una enfermedad infecciosa de naturaleza multicausal, con factores cl\u00ednicos de riesgo y protectores, a partir de los cuales se pueden establecer intervenciones preventivas oportunas para reducir su morbimortalidad.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Factores de riesgo de la neumon\u00edaadquirida en la comunidad en adultos. la perspectiva de base poblacional<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Factores de riesgo de la neumon\u00edaadquirida en la comunidad en adultos. la perspectiva de base poblacional <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Ignasi Bolibar Ribas <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Aut\u00f3noma de barcelona<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 10\/11\/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>Jordi Almirall Pujol<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: josep Vaque rafart <\/li>\n<li>merc\u00e9 Gurgui ferrer (vocal)<\/li>\n<li>Antonio Torres mart\u00ed (vocal)<\/li>\n<li>jordi Roig cutillas (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Ignasi Bolibar Ribas Con el objetivo de identificar los factores de riesgo cl\u00ednicos de neumon\u00eda adquirida en [&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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