{"id":78543,"date":"2006-03-02T00:00:00","date_gmt":"2006-03-02T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/valor-predictivo-de-los-parametros-clinicos-y-epidemiologicos-en-la-identificacion-de-los-pacientes-con-sa%c2%adndrome-obstructivo-de-apnea-hipopnea-del-sueno\/"},"modified":"2006-03-02T00:00:00","modified_gmt":"2006-03-02T00:00:00","slug":"valor-predictivo-de-los-parametros-clinicos-y-epidemiologicos-en-la-identificacion-de-los-pacientes-con-sa%c2%adndrome-obstructivo-de-apnea-hipopnea-del-sueno","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/valor-predictivo-de-los-parametros-clinicos-y-epidemiologicos-en-la-identificacion-de-los-pacientes-con-sa%c2%adndrome-obstructivo-de-apnea-hipopnea-del-sueno\/","title":{"rendered":"Valor predictivo de los parametros clinicos y epidemiol\u00f3gicos en la identificaci\u00f3n de los pacientes con s\u00edndrome obstructivo de apnea\/hipopnea del sue\u00f1o"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Juan  Ram\u00f3n Iriondo Bedialauneta <\/strong><\/h2>\n<p>El s\u00edndrome de apnea hipoapnea obstructiva del sue\u00f1o (sahos) se describi\u00f3 hace m\u00e1s de 3 d\u00e9cadas, pero s\u00f3lo hace poco ha tomado creciente inter\u00e9s. Su preValencia es elevada, es motivo de complicaciones respiratorias, cardiovasculares u otras, que incluso pueden provocar la muerte de estos pacientes, y la hipersomnolencia que produce este s\u00edndrome ocasiona accidentes de tr\u00e1ficos y laborales, por lo que es considerable el costo para la sociedad que provoca. Por ello, en este estudio hemos pretendido analizar el valor predictivo de los par\u00e1metros cl\u00ednicos, epidemiol\u00f3gicos y antropom\u00e9tricos en la identificaci\u00f3n de pacientes con sospecha de s\u00edndrome de apneas-hipopneas obstructivas durante el sue\u00f1o (sahos), pretendiendo definir los par\u00e1metros cl\u00ednicos que podr\u00edan tener un valor predictivo importante para distinguir a aquellos pacientes que precisan un tratamiento temprano del sahos.     para ello hemos dispuesto de una muestra de 433 pacientes, 83,37% varones y 16,63% mujeres, con una edad media +- desviaci\u00f3n est\u00e1ndar de 47 +- 11,10 a\u00f1os (rango, 18-75 a\u00f1os), en quienes hemos analizado la importancia de factores como edad, sexo, peso, antecedentes, enfermedades asociadas, factores anat\u00f3micos, apneas, hipersomnolencia y maniobra de m\u00ed\u00bcller.     as\u00ed, hemos obtenido la siguiente f\u00f3rmula para predecir el iah\/hora:     iaht= -12.04 + 0.36*p.Cuello + 2.2286*c.Far.(Mm) + 0.1761*ess + 0.0017imc* edad + 1.1949*e.Faringe.     en donde las variables m\u00e1s significativas fueron el per\u00edmetro cervical, la maniobra de m\u00ed\u00bcller (mm), el epworth sleep scale (ess), la interacci\u00f3n imc*edad y la exploraci\u00f3n faringea.     es posible que esto redunde en un ahorro importante de tiempo para priorizar a estos pacientes a la hora de realizar el estudio diagn\u00f3stico necesario, o para la instauraci\u00f3n del tratamiento en las formas m\u00e1s graves de la enfermedad.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Valor predictivo de los parametros clinicos y epidemiol\u00f3gicos en la identificaci\u00f3n de los pacientes con s\u00edndrome obstructivo de apnea\/hipopnea del sue\u00f1o<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Valor predictivo de los parametros clinicos y epidemiol\u00f3gicos en la identificaci\u00f3n de los pacientes con s\u00edndrome obstructivo de apnea\/hipopnea del sue\u00f1o <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Juan  Ram\u00f3n Iriondo Bedialauneta <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Pa\u00eds vasco\/euskal herriko unibertsitatea<\/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 Santaolalla Montoya<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal:  S\u00e1nchez fern\u00e1ndez Jos\u00e9 m. <\/li>\n<li>julio Rama quintela (vocal)<\/li>\n<li>Javier Gil goicouria (vocal)<\/li>\n<li>enrique Perell\u00f3 scherdel (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Juan Ram\u00f3n Iriondo Bedialauneta El s\u00edndrome de apnea hipoapnea obstructiva del sue\u00f1o (sahos) se describi\u00f3 hace m\u00e1s [&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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