{"id":69398,"date":"2018-03-09T23:13:51","date_gmt":"2018-03-09T23:13:51","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/infarto-agudo-de-miocardio-manejo-hospitalario-y-mortalidad-ajustada-por-el-riesgo\/"},"modified":"2018-03-09T23:13:51","modified_gmt":"2018-03-09T23:13:51","slug":"infarto-agudo-de-miocardio-manejo-hospitalario-y-mortalidad-ajustada-por-el-riesgo","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/infarto-agudo-de-miocardio-manejo-hospitalario-y-mortalidad-ajustada-por-el-riesgo\/","title":{"rendered":"Infarto agudo de miocardio: manejo hospitalario y mortalidad ajustada por el riesgo"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Juan  Manuel Sendra Gutierrez <\/strong><\/h2>\n<p>Introducci\u00f3n  el infarto agudo de miocardio (iam) constituye un relevante problema sanitario influido por la variabilidad en la pr\u00e1ctica m\u00e9dica. La investigaci\u00f3n de resultados mediante sistemas de ajuste por el riesgo permite conocer los factores implicados en esta variabilidad y evaluar la calidad asistencial.  objetivos  este trabajo pretende conocer los factores que se asocian a la mortalidad intrahospitalaria del iam, construyendo un modelo multivariante con fines descriptivos y predictivos, as\u00ed como comparar sus resultados con los obtenidos por otros sistemas de ajuste (charlson e ices).  material y m\u00e9todos  la mortalidad de los episodios de atenci\u00f3n inicial de iam seleccionados a trav\u00e9s del conjunto m\u00ednimo b\u00e1sico de datos (cmbd) de la comunidad de Madrid para el a\u00f1o 2001 es estudiada en funci\u00f3n de variables sociodemogr\u00e1ficas, hospitalarias, procedimientos, localizaci\u00f3n anat\u00f3mica, gravedad, factores de riesgo y cornorbilidades-complicaciciones, utilizando los c\u00f3digos de la clasificaci\u00f3n internacional de enfermedades correspondientes. Se utilizan t\u00e9cnicas estad\u00edsticas descriptivas y regresi\u00f3n log\u00edstica bi y multivariante para el an\u00e1lisis de los datos.  principales resultados y conclusiones  las caracter\u00edsticas sociodemogr\u00e1ficas son similares a las de otros estudios, constat\u00e1ndose una infrautilizaci\u00f3n de salas de hemodin\u00e1mica, una mayor utilizaci\u00f3n de coronariograf\u00edas y t\u00e9cnicas coronarias pcrut\u00e1neas y una menor gravedad cl\u00ednica como hechos diferenciales.  la edad es un s\u00f3lido factor explicativo de la mortalidad, pero no as\u00ed el sexo femenino. Se constata un efecto protector sobre la misma en la coronariograf\u00eda y angioplastias, as\u00ed como del tabaquismo, hiperlipemia e hipertensi\u00f3n arterial probablemente relacionado con un mejor perfil de riesgo. El shock cardiog\u00e9nico, la insuficiencia cardiaca congestiva, las arritmias, la insuficiencia renal y la enfermedad cerebrovascular son las comorbili<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Infarto agudo de miocardio: manejo hospitalario y mortalidad ajustada por el riesgo<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Infarto agudo de miocardio: manejo hospitalario y mortalidad ajustada por el riesgo <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Juan  Manuel Sendra Gutierrez <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Complutense de Madrid<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 14\/07\/2004<\/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>Enrique Regidor Poyatos<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: fernando Rodr\u00edguez artalejo <\/li>\n<li>  (vocal)<\/li>\n<li>  (vocal)<\/li>\n<li>  (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Juan Manuel Sendra Gutierrez Introducci\u00f3n el infarto agudo de miocardio (iam) constituye un relevante problema sanitario influido 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