{"id":75318,"date":"2005-04-07T00:00:00","date_gmt":"2005-04-07T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/estratificacion-del-riesgo-de-morbimortalidad-en-ciruga%c2%ada-carda%c2%adaca\/"},"modified":"2005-04-07T00:00:00","modified_gmt":"2005-04-07T00:00:00","slug":"estratificacion-del-riesgo-de-morbimortalidad-en-ciruga%c2%ada-carda%c2%adaca","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/estratificacion-del-riesgo-de-morbimortalidad-en-ciruga%c2%ada-carda%c2%adaca\/","title":{"rendered":"Estratificaci\u00f3n del riesgo de morbimortalidad en cirugia card\u00edaca"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Gema Alonso Mu\u00f1oz <\/strong><\/h2>\n<p>Resultados en salud como indicador de la calidad de la pr\u00e1ctica m\u00e9dica. se ha utilizado: mortalidad intrahospitalaria, morbilidad y estancia hospitalaria. justificaci\u00f3n y objetivo: ver la utilidad de las escalas (apache 11,euroscore y parsonnet 95) en pacientes sometidos a cirug\u00eda cardiovascular de nuestro hospital. Objetivos: 1. Comparar los 3 modelos, para predecir: mortalidad, complicaciones postoperatorias y estancia en uci prolongada;2.Analizar las caracter\u00edsticas de la poblaci\u00f3n y estudiar el impacto de los factores de  riesgo.Pacientes y m\u00e9todos: estudio observacional y prospectivo, longitudinal, en el hurs. Octubre 01-marzo 03. Se incluyen 500 pacientes de ccv consecutiva. se estudian variables cl\u00ednicas,operatorias y puntuaci\u00f3n de \u00edndices de riesgo y variables resultado (mortalidad, complicaciones y estancia en uci prolongada). an\u00e1lisis estad\u00edstico: an\u00e1lisis descriptivo; se comparan los modelos:  &#8211; calibraci\u00f3n y_discriminaci\u00f3n; regresi\u00f3n univariante para factores de riesgo; correlaci\u00f3n entre modelos_porcoeflciente k._resultados: se estudian 500 pacientes. 291 hombres y edad 62. Un 45.6% hipertensos y el 31% diab\u00e9ticos y 10.4% epoc.Ei 13% eran reintervenciones y el 4% estaba en situaci\u00f3n preoperatoria cr\u00edtica. El 10% ten\u00eda angina inestable. La fevi deprimida en el 33%.Tipo de cirug\u00eda m\u00e1s frecuente:cirug\u00eda valvular 61%. La puntuaci\u00f3n de los \u00edndices fue: apache 1110.8, parsonnet95 9, euroscore aditivo 5 y  euroscore log\u00edstico 7. La mortalidad observada fue 11.2%, el 30% tuvo complicaciones postoperatorias y 9% una estancia en uci prolongada. Hay factores asociados con mayor morbimortalidad. Los tres modelos tras adaptaci\u00f3n se calibran bien. Los modelos discriminan bien mortalidad y complicaciones. La relaci\u00f3n entre parsonnet 95 y euroscore es moderada y correlaci\u00f3n positiva con  apache ii.Discusi\u00f3n: se aprecia incremento de la edad, en la poblaci\u00f3n sometida a cirug\u00eda cardiovascular (m\u00e1s enfermed<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Estratificaci\u00f3n del riesgo de morbimortalidad en cirugia card\u00edaca<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Estratificaci\u00f3n del riesgo de morbimortalidad en cirugia card\u00edaca <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Gema Alonso Mu\u00f1oz <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 C\u00f3rdoba<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 04\/07\/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>Manuel Gonzalez Eguaras<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: javier L\u00f3pez pujol <\/li>\n<li>heliodoro Sancho ruiz (vocal)<\/li>\n<li>sebastian Rufian pe\u00f1a (vocal)<\/li>\n<li>Carlos Ortiz leyba (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Gema Alonso Mu\u00f1oz Resultados en salud como indicador de la calidad de la pr\u00e1ctica m\u00e9dica. se ha 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