{"id":79909,"date":"2006-12-05T00:00:00","date_gmt":"2006-12-05T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/analisis-de-la-poblacion-de-nonagenarios-en-un-servicio-de-medicina-interna\/"},"modified":"2006-12-05T00:00:00","modified_gmt":"2006-12-05T00:00:00","slug":"analisis-de-la-poblacion-de-nonagenarios-en-un-servicio-de-medicina-interna","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/medicina-interna\/analisis-de-la-poblacion-de-nonagenarios-en-un-servicio-de-medicina-interna\/","title":{"rendered":"An\u00e1lisis de la poblaci\u00f3n de nonagenarios en un servicio de medicina interna"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Marion Hemmersbach-miller <\/strong><\/h2>\n<p>Introducci\u00f3n     el progresivo envejecimiento de la poblaci\u00f3n conlleva un mayor n\u00famero de ingresos de personas en nuestros hospitales.  objetivos     realizar un an\u00e1lisis descriptivo de la poblaci\u00f3n de nonagenerios que ingresa en un servicio de medicina interna. Analizar las caracter\u00edsticas sociodemogr\u00e1ficas, cl\u00ednicas, el estado funcional, nutricional, cognitivo, emocional y examinar los factores relacionados con la estancia, mortalidad y supervivencia. Comparar estos par\u00e1metros con un grupo control de 65 a 75 a\u00f1os.  m\u00e9todos     se estudiaron 421 pacientes con edad = 90 a\u00f1os y 421 pacientes de entre 65 y 75 a\u00f1os ingresados consecutivamente entre los a\u00f1os 1999 y 2004. Inicialmente se realiz\u00f3 un estudio descriptivo de ambos grupos. Luego se analizaron los factores relacionados con la estancia, mortalidad, supervivencia y los reingresos mediante un an\u00e1lisis bivariante. Posteriormente se realiz\u00f3 un an\u00e1lisis multivariante para evaluar las variables que se relacionaban de forma independiente con dichos factores. El an\u00e1lisis estad\u00edstico se realiz\u00f3 con el programa spss 12.0 para windows.  resultados     de los 421 pacientes de cada grupo, 265 eran mujeres (63%) y varones (37%). Los diagn\u00f3sticos m\u00e1s frecuentes en los pacientes mayores fueron las infecciones, la hipertensi\u00f3n arterial, la insuficiencia cardiaca y la insuficiencia renal, diferenci\u00e1ndose claramente de los diagn\u00f3sticos del grupo control. La mitad de los nonagenarios presentaron deterioro cognitivo moderado-severo y dependencia moderada-severa para las actividades b\u00e1sicas de la vida diaria previamente al ingreso. \u00fanicamente se encontraban bien nutridos entre dos tercios y la mitad de los mayores. La estancia media fue de 12 d\u00edas, falleciendo un 23% de los nonagnerios y un 4,5% de los controles durante el ingreso. Reingresaron un 25% de los m\u00e1s ancianos, siendo la supervivencia media de 37 meses y significativamente inferior a los pacientes de menor edad. Se mostraron com<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>An\u00e1lisis de la poblaci\u00f3n de nonagenarios en un servicio de medicina interna<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 An\u00e1lisis de la poblaci\u00f3n de nonagenarios en un servicio de medicina interna <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Marion Hemmersbach-miller <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Palmas de gran canaria<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 12\/05\/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>Alicia Conde Martel<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: jos\u00e9 Regidor Garc\u00eda <\/li>\n<li>Francisco Santolaria fern\u00e1ndez (vocal)<\/li>\n<li>celestino Rey-joly barroso (vocal)<\/li>\n<li> Gonz\u00e1lez reimers Carlos Emilio (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Marion Hemmersbach-miller Introducci\u00f3n el progresivo envejecimiento de la poblaci\u00f3n conlleva un mayor n\u00famero de ingresos de personas [&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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