{"id":73232,"date":"2018-03-09T23:18:06","date_gmt":"2018-03-09T23:18:06","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/estudio-de-las-manifestaciones-cla%c2%adnicas-y-la-funcion-respiratoria-en-el-sa%c2%adndrome-de-apnea-obstructiva-del-sueno\/"},"modified":"2018-03-09T23:18:06","modified_gmt":"2018-03-09T23:18:06","slug":"estudio-de-las-manifestaciones-cla%c2%adnicas-y-la-funcion-respiratoria-en-el-sa%c2%adndrome-de-apnea-obstructiva-del-sueno","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/estudio-de-las-manifestaciones-cla%c2%adnicas-y-la-funcion-respiratoria-en-el-sa%c2%adndrome-de-apnea-obstructiva-del-sueno\/","title":{"rendered":"Estudio de las manifestaciones cl\u00ednicas y la funci\u00f3n respiratoria en el s\u00edndrome de apnea obstructiva del sue\u00f1o."},"content":{"rendered":"<h2>Tesis doctoral de <strong>  Garc\u00eda Arroyo Mar\u00eda Isabel <\/strong><\/h2>\n<p>El s\u00edndrome de apnea obstructiva del sue\u00f1o (saos) es una enfermedad muy prevalente, con importantes consecuencias sanitarias, aumento de la morbimortalidad y socio-econ\u00f3micas. Los recursos disponibles en espa\u00f1a, en la actualidad, para el diagn\u00f3stico y tratamiento de esta enfermedad siguen siendo muy escasos. Se estima que existen 2 millones de pacientes y s\u00f3lo el 10% est\u00e1 diagnosticado. En este estudio quisimos conocer el perfil cl\u00ednico de nuestros pacientes, la existencia de variables cl\u00ednicas y\/o de la funci\u00f3n respiratoria diferenciadoras entre enfermos y sanos, y definir un modelo predictivo para optimizar el diagn\u00f3stico de nuestros pacientes. Se incluyeron todos los pacientes derivados a nuestra consulta de neumolog\u00eda, durante 2 a\u00f1os, y se recogieron variables cl\u00ednicas, de la funci\u00f3n respiratoria, pruebas anal\u00edticas y de imagen, cuantificaci\u00f3n de la somnolencia diurna con el test epworth. A todos se les realiz\u00f3 una poligraf\u00eda cardiorrespiratoria basal nocturna y\/o polisomnograf\u00eda, siguiendo el protocolo de validaci\u00f3n del pol\u00edgrafo apnoescreen ii del trabajo de dur\u00e1n et al.  El an\u00e1lisis estad\u00edstico fue descriptivo, test de kolmogorov-smirnov, comparativo con las pruebas chi-cuadrado, t-student o u de mann-whitney. El nivel de significaci\u00f3n fue p menor que  0,05. Se categorizaron algunas variables en funci\u00f3n de la significaci\u00f3n cl\u00ednica y de las curvas roc, y por \u00faltimo se defini\u00f3 un modelo predictivo mediante test de regresi\u00f3n log\u00edstica \u00abblackward stepwise\u00bb excluyendo variables de confusi\u00f3n.  la muestra fue de 223 pacientes (187 hombres), con una media de edad de 54,8 a\u00f1os (de: 14), imc: 30,9 kg\/m2 (de: 5,1). El 38,6%  fumadores y el 19,7% consumidores de alcohol a diario. Sesenta pacientes no ten\u00edan comorbilidad; el resto refer\u00edan enfermedades cardiovasculares, respiratorias, digestivas y otras. Encontramos asociaciones estad\u00edsticamente significativa entre el \u00edndice de eventos o el \u00edndice de ap<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Estudio de las manifestaciones cl\u00ednicas y la funci\u00f3n respiratoria en el s\u00edndrome de apnea obstructiva del sue\u00f1o.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Estudio de las manifestaciones cl\u00ednicas y la funci\u00f3n respiratoria en el s\u00edndrome de apnea obstructiva del sue\u00f1o. <\/li>\n<li><strong>Autor:<\/strong>\u00a0  Garc\u00eda Arroyo Mar\u00eda Isabel <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Valladolid<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 15\/03\/2005<\/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>\u00e1ngel Mara\u00f1\u00f3n Cabello<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: alfonso Velasco martin <\/li>\n<li>Jos\u00e9 Luis Alvarez sala walther (vocal)<\/li>\n<li>victor Sobradillo pe\u00f1a (vocal)<\/li>\n<li> Ancochea berm\u00fadez pr. dr. julio (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Garc\u00eda Arroyo Mar\u00eda Isabel El s\u00edndrome de apnea obstructiva del sue\u00f1o (saos) es una enfermedad muy prevalente, [&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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