{"id":70608,"date":"2004-01-10T00:00:00","date_gmt":"2004-01-10T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/analisis-de-los-factores-pronosticos-en-la-indicacion-del-trasplante-pulmonar-en-la-fibrosis-qua%c2%adstica\/"},"modified":"2004-01-10T00:00:00","modified_gmt":"2004-01-10T00:00:00","slug":"analisis-de-los-factores-pronosticos-en-la-indicacion-del-trasplante-pulmonar-en-la-fibrosis-qua%c2%adstica","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/analisis-de-los-factores-pronosticos-en-la-indicacion-del-trasplante-pulmonar-en-la-fibrosis-qua%c2%adstica\/","title":{"rendered":"An\u00e1lisis de los factores pron\u00f3sticos en la indicaci\u00f3n del trasplante pulmonar en la fibrosis qu\u00edstica."},"content":{"rendered":"<h2>Tesis doctoral de <strong>  Ferrer Gonz\u00e1lez  Juan  Pablo <\/strong><\/h2>\n<p>La fibrosis qu\u00edstica (fq) es una enfermedad prevalente con una elevada morbilidad y mortalidad cuyo tratamiento es complejo y multidisciplinar. la afectaci\u00f3n del aparato respiratorio condiciona el pron\u00f3stico a largo plazo. La insuficiencia respiratoria por fq es la principal indicaci\u00f3n actual de trasplante pulmonar (tp) bilateral.  el principal objetivo de esta tesis es analizar los resultados obtenidos en  una serie de 101 pacientes afectos de fq en su tratamiento y seguimiento, confirmar los resultados del tp compar\u00e1ndolos con los de otras series m\u00e1s amplias, identificar los factores de riesgo (fr) que condicionan la supervivencia y tratar de definir si existe alguna medida  que pudiese reducir dicho riesgo. Se trata de un trabajo retrospectivo de revisi\u00f3n de historias cl\u00ednicas que comprende un periodo de 10 a\u00f1os (1992-2002), con un seguimiento m\u00ednimo posterior de 1 a\u00f1o. Se recogieron 25 variables (demogr\u00e1ficas, somatom\u00e9tricas, funcionales, de laboratorio y evolutivas). Se realiz\u00f3 un an\u00e1lisis descriptivo, an\u00e1lisis comparativo univariante con curvas de supervivencia de kaplan-meier (test de tarone-ware, mantel-cox y breslow) y comparativo multivariante con el m\u00e9todo de regresi\u00f3n de cox. Los 101 pacientes que compon\u00edan la serie presentaron una supervivencia global de 81,67% a 5 a\u00f1os, fueron trasplantados 49, con una supervivencia para este grupo de 71,04% a 5 a\u00f1os. Al final del estudio 79 permanec\u00edan vivos y 22 fueron \u00e9xitus (14 tp, 6 en espera de tp y 2 por otras causas). Tiempo medio en lista de 158 d\u00edas, edad media al tp 19,2(9-34) a\u00f1os, el 42,8% precis\u00f3 circulaci\u00f3n extracorp\u00f3rea. Las  curvas de supervivencia mostraron diferencias significativas (p&lt;0,05) alestratificar a los pacientes en funci\u00f3n de los valores z para talla, peso,imc y el %ibw (85%), fev1 (31%) y fvc (50%), taussig (50), alb\u00famina, cec,entre otras variables. en el estudio multivariante hemoglobina y tallaentraron en regresi\u00f3n. En la serie<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>An\u00e1lisis de los factores pron\u00f3sticos en la indicaci\u00f3n del trasplante pulmonar en la fibrosis qu\u00edstica.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 An\u00e1lisis de los factores pron\u00f3sticos en la indicaci\u00f3n del trasplante pulmonar en la fibrosis qu\u00edstica. <\/li>\n<li><strong>Autor:<\/strong>\u00a0  Ferrer Gonz\u00e1lez  Juan  Pablo <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Universitat de val\u00e9ncia (estudi general)<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 01\/10\/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>Jos\u00e9 Calvo Medina<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: guillermo Ramos seisdedos <\/li>\n<li>Carlos Paredes cencillo (vocal)<\/li>\n<li>Javier L\u00f3pez pujol (vocal)<\/li>\n<li> Padilla alarc\u00f3n Jos\u00e9 diego (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Ferrer Gonz\u00e1lez Juan Pablo La fibrosis qu\u00edstica (fq) es una enfermedad prevalente con una elevada morbilidad y [&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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