{"id":80233,"date":"2018-03-10T00:03:54","date_gmt":"2018-03-10T00:03:54","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/pronostico-de-los-enfermos-vih-positivos-ingresados-en-uci-analisis-de-mortalidad-y-supervivencia-al-ano\/"},"modified":"2018-03-10T00:03:54","modified_gmt":"2018-03-10T00:03:54","slug":"pronostico-de-los-enfermos-vih-positivos-ingresados-en-uci-analisis-de-mortalidad-y-supervivencia-al-ano","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/pronostico-de-los-enfermos-vih-positivos-ingresados-en-uci-analisis-de-mortalidad-y-supervivencia-al-ano\/","title":{"rendered":"Pron\u00f3stico de los enfermos vih positivos ingresados en uci. an\u00e1lisis de mortalidad y supervivencia al a\u00f1o."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Gabriel Choperena Alzugaray <\/strong><\/h2>\n<p>Objetivos  conocer las caracter\u00edsticas de los pacientes infectados por el vih ingresados en uci e identificar factores pron\u00f3sticos de mortalidad y supervivencia al a\u00f1o.  material y m\u00e9todos  estudio observacional y de cohorte. Pacientes: todos los enfermos vih positivos ingresados en el servicio de medicina intensiva en el periodo 1985-1996 ambos inclusive.  resultados  se estudiaron 102 enfermos vih positivos, la mayor\u00eda varones (80\/102) con una edad media de 32 a\u00f1os. El 60.8% cumpl\u00eda de sida-1987 y el 65.7 cumpl\u00eda los ampliados de 1993. El 77.5% se hab\u00eda infectado por el uso de drogas por v\u00eda parenteral. El 56.9% ingres\u00f3 por insuficiencia respiratoria, siendo la mayor\u00eda neumon\u00edas por pneumocystis carinni (pcp).La mortalidad en uci fue del 48%, significativamente superior a la de los no infectados por el virus. El 26.8% viv\u00eda al a\u00f1o del ingreso. El \u00edndice apache-ii infravalor\u00f3 la mortalidad de los pacientes ingresados por insuficiencia respiratoria asi como la de los que ten\u00edan un n\u00famero de linfocitos cd4 menor a 100\/mm3. los factores que se asociaron con un incremento significativo de la mortalidad y una disminuci\u00f3n de la supervivencia al a\u00f1o (p&lt;0,05) fueron: sexo femenino, cumplimiento de criterios de sida, presencia de insuficiencia respiratoria, necesidad de ventilaci\u00f3n mec\u00e1nica, presencia de complicaciones (shock, insuficiencia renal aguda o s\u00edndrome de distr\u00e9s respiratorio del adulto), ausencia de diagn\u00f3stico etiol\u00f3gico o presencia al ingreso de hipotensi\u00f3n, hipoxia severa,acidosis, anemia y cd4 menores de 100\/mm3. La falta de conocimiento de infecci\u00f3n vih y la taquipnea solamente se asociaron a una mayor mortalidad en uci. El contagio por un mecanismo diferente a la advp, procedencia desde una planta de medicina y cirug\u00eda (ning\u00fan superviviente al a\u00f1o) y n\u00famero total de linfocitos menor a 1000\/mm3 se asociaron a una pobre supervivencia.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Pron\u00f3stico de los enfermos vih positivos ingresados en uci. an\u00e1lisis de mortalidad y supervivencia al a\u00f1o.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Pron\u00f3stico de los enfermos vih positivos ingresados en uci. an\u00e1lisis de mortalidad y supervivencia al a\u00f1o. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Gabriel Choperena Alzugaray <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Navarra<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 24\/06\/1999<\/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>escolar Alberola Gonez<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Francisco javier Casta\u00f1eda casado <\/li>\n<li>Emilio Perez trallero (vocal)<\/li>\n<li>ram\u00f3n Luis D\u00edaz Garc\u00eda (vocal)<\/li>\n<li>Jos\u00e9 Leiva le\u00f3n (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Gabriel Choperena Alzugaray Objetivos conocer las caracter\u00edsticas de los pacientes infectados por el vih ingresados en uci [&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":[155,9,12132,1085,139,17749,156,384,2935],"tags":[17950,171934,9211,171933,3497,10691],"class_list":["post-80233","post","type-post","status-publish","format-standard","hentry","category-ciencias-clinicas","category-ciencias-medicas","category-cuidados-intensivos","category-enfermedades-infecciosas","category-medicina-interna","category-navarra","category-patologia","category-patologia-clinica","category-sindrome-de-inmunodeficiencia-adquirida","tag-emilio-perez-trallero","tag-escolar-alberola-gonez","tag-francisco-javier-castaneda-casado","tag-gabriel-choperena-alzugaray","tag-jose-leiva-leon","tag-ramon-luis-diaz-garcia"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/80233","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=80233"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/80233\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=80233"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=80233"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=80233"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}