{"id":79439,"date":"2006-06-04T00:00:00","date_gmt":"2006-06-04T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/analisis-de-la-determinacion-de-procalcitonina-y-otros-indicadores-uni-y-multifactoriales-en-la-prediccion-de-la-gravedad-en-la-pancreatitis-aguda\/"},"modified":"2006-06-04T00:00:00","modified_gmt":"2006-06-04T00:00:00","slug":"analisis-de-la-determinacion-de-procalcitonina-y-otros-indicadores-uni-y-multifactoriales-en-la-prediccion-de-la-gravedad-en-la-pancreatitis-aguda","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/gastroenterologia\/analisis-de-la-determinacion-de-procalcitonina-y-otros-indicadores-uni-y-multifactoriales-en-la-prediccion-de-la-gravedad-en-la-pancreatitis-aguda\/","title":{"rendered":"An\u00e1lisis de la determinaci\u00f3n de procalcitonina y otros indicadores uni y multifactoriales en la predicci\u00f3n de la gravedad en la pancreatitis aguda"},"content":{"rendered":"<h2>Tesis doctoral de <strong>  Dominguez Jimenez Jos\u00e9 Luis <\/strong><\/h2>\n<p>Introducci\u00f3n     la pancreatitis aguda es un proceso inflamatorio agudo del p\u00e1ncreas. Generalmente el cuadro es leve, pero un 20% de los pacientes tienen un a\u00f1o grave. La procalcitonina (pct) ha demostrado su papel como marcador precoz del s\u00edndrome de respuesta inflamatoria sist\u00e9mica inducida selectivamente por infecci\u00f3n bacteriana sist\u00e9mica, sepsis y fallo multiorg\u00e1nico. Se ha sugerido que el incremento de los niveles s\u00e9ricos de pct puede ser un predictor precoz de gravedad.  objetivos     valorar el comportamiento de los niveles s\u00e9ricos de procalcitonina como factor pron\u00f3stico en la pancreatitis aguda grave. Determinar la eficacia de la prote\u00edna c reactiva (pcr) y las escalas ranson, glasgow y apache-ii como indicadores de la evoluci\u00f3n grave en la pancreatitis durante las primeras 48 h. Evaluar la eficacia predictora de la uni\u00f3n de los distintos marcadores  pron\u00f3sticos.  material y m\u00e9todos     estudio observacional, longitudinal y prospectivo sobre 101 pacientes consecutivos de ambos sexos ingresados en el servicio de aparato digestivo del hu \u00abreina sof\u00eda\u00bb de c\u00f3rdoba con el diagn\u00f3stico de pancreatitis aguda desde el 17\/11\/03 al 14\/12\/04. Todos los pacientes incluidos se encontraban en las primeras 24 h de evoluci\u00f3n, con unos niveles s\u00e9ricos de amilasa superiores a 800u\/i y con edades entre 18 y 85 a\u00f1os. Se determinaron las variables precisas para valorar la escala de ranson, glasgow y apache ii durante el d\u00eda 1 y 2, mientras que la pcr y la pct se recogieron en los d\u00edas 1, 2 y 7. La gravedad de la pancreatitis se definir\u00e1 de acuerdo a los criterios de atlanta. Los niveles de pct se midieron mediante el test inmunocromatogr\u00e1fico pct-q de brahms diagn\u00f3stica(r). El an\u00e1lisis estad\u00edstico se llev\u00f3 a cabo mediante la aplicaci\u00f3n spss 11.0(r). La comparaci\u00f3n de valores medios se realiz\u00f3 con la prueba u de mann-whitney y las proporciones mediante pruebas c2 y test de fisher en caso necesario. Se realiz\u00f3 un an\u00e1lisis de regresi\u00f3n<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>An\u00e1lisis de la determinaci\u00f3n de procalcitonina y otros indicadores uni y multifactoriales en la predicci\u00f3n de la gravedad en la pancreatitis aguda<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 An\u00e1lisis de la determinaci\u00f3n de procalcitonina y otros indicadores uni y multifactoriales en la predicci\u00f3n de la gravedad en la pancreatitis aguda <\/li>\n<li><strong>Autor:<\/strong>\u00a0  Dominguez Jimenez Jos\u00e9 Luis <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 C\u00f3rdoba<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 06\/04\/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>Antonio Naranjo Rodr\u00edguez<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Carlos Pera madrazo <\/li>\n<li>Jos\u00e9 Luis Montero alvarez (vocal)<\/li>\n<li>Manuel Montero perez barquero (vocal)<\/li>\n<li>Antonio Caballero plasencia (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Dominguez Jimenez Jos\u00e9 Luis Introducci\u00f3n la pancreatitis aguda es un proceso inflamatorio agudo del p\u00e1ncreas. Generalmente el [&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":[973,491,8845],"tags":[35314,76774,2043,170496,131711,1938],"class_list":["post-79439","post","type-post","status-publish","format-standard","hentry","category-cordoba","category-gastroenterologia","category-patologia-comparativa","tag-antonio-caballero-plasencia","tag-antonio-naranjo-rodriguez","tag-carlos-pera-madrazo","tag-dominguez-jimenez-jose-luis","tag-jose-luis-montero-alvarez","tag-manuel-montero-perez-barquero"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/79439","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=79439"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/79439\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=79439"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=79439"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=79439"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}