{"id":78538,"date":"2006-03-02T00:00:00","date_gmt":"2006-03-02T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/hemorragia-intracerebral-espontanea-existen-factores-predictores-de-gravedad-que-determinan\/"},"modified":"2006-03-02T00:00:00","modified_gmt":"2006-03-02T00:00:00","slug":"hemorragia-intracerebral-espontanea-existen-factores-predictores-de-gravedad-que-determinan","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/neurologia\/hemorragia-intracerebral-espontanea-existen-factores-predictores-de-gravedad-que-determinan\/","title":{"rendered":"Hemorragia intracerebral espont\u00e1nea. existen factores predictores de gravedad que determinan"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Lara Marques Alvarez <\/strong><\/h2>\n<p>La hemorragia intracerebral presenta el 10-30% de todos los ictus. Algunos estudios epitemiol\u00f3gicos han demostrado que existen factores asociados a su alta mortalidad. Los factores asociados a la morbilidad son menos conocidos. El objetivo es estudiar la influencia que algunos factores de riesgo vascular, par\u00e1metros cl\u00ednicos, de laboratorio y de neuroimagen al ingreso en la uci, podr\u00edan tener en el pron\u00f3stico y en la situaci\u00f3n funcional final.  material y m\u00e9todos     estudiamos prospectivamente a 66 pacientes con hemorragia cerebral espont\u00e1nea ingresados en la uci neurol\u00f3gica, centro de referencia para neuocr\u00edticos de la comunidad aut\u00f3noma del principado de asturias durante el a\u00f1os 2002-03. Recogimos factores de riesgo vascular (hta, dm, etc.), Par\u00e1metros cl\u00ednicos (tensi\u00f3n arterial media, glasgow coma scale (gcs), temperatura, etc.), Par\u00e1metros de laboratorio (leucoticos, plaquetas, tasa de protrombina, etc y de neuroimagen (hemorragia intraventricular, hemorragia subaraconidea, edema, herniaci\u00f3n, volumen medido por el m\u00e9todo de elipsoide abc\/2) le\u00eddo por un neurocorradiol\u00f3gio experto. Se determin\u00f3 la mortalidad y sus factores predictores a los 30 d\u00edas y al a\u00f1o, usando el an\u00e1lisis  estad\u00edstico univariante. La situaci\u00f3n funcional al alta de la uci y al a\u00f1o del evento fueron medidos mediante la gasgow outcome scale (gos), \u00edndice de barhel y ranking modificada.  resultados     43 varones. La mortalidad a los 30 d\u00edas fue del 44% y al a\u00f1o del 57%. La mayor\u00eda de los enfermos fallecieron en los primeros 7 d\u00edas. La edad y el gcs al ingreso en la uci, resultaron ser los factores predictores independientes de mortalidad al mes para todas las localizaciones ( p menor 0,001 ). La mortalidad predicha alcanz\u00f3 una sensibilidad del 76% y una especificidad del 73%. La edad, el gcs y el volumen de la hemorragia al ingreso en la uci, fueron los factores predictores independientes de mortalidad del a\u00f1o 8p menor 0,059. La mortalidad predicha al<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Hemorragia intracerebral espont\u00e1nea. existen factores predictores de gravedad que determinan<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Hemorragia intracerebral espont\u00e1nea. existen factores predictores de gravedad que determinan <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Lara Marques Alvarez <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Oviedo<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 03\/02\/2006<\/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>Francisco Taboada Costa<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal:  Arribas castrillo Jos\u00e9 manuel <\/li>\n<li>Francisco Javier Casta\u00f1eda casado (vocal)<\/li>\n<li>Fernando Seijo fern\u00e1ndez (vocal)<\/li>\n<li>salvador Benito valdes (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Lara Marques Alvarez La hemorragia intracerebral presenta el 10-30% de todos los ictus. Algunos estudios epitemiol\u00f3gicos han [&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 center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""}},"footnotes":""},"categories":[1880,8846],"tags":[8877,94029,9211,31125,168809,168810],"class_list":["post-78538","post","type-post","status-publish","format-standard","hentry","category-neurologia","category-oviedo","tag-arribas-castrillo-jose-manuel","tag-fernando-seijo-fernandez","tag-francisco-javier-castaneda-casado","tag-francisco-taboada-costa","tag-lara-marques-alvarez","tag-salvador-benito-valdes"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/78538","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/comments?post=78538"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/78538\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=78538"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=78538"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=78538"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}