{"id":80431,"date":"2018-03-10T00:04:11","date_gmt":"2018-03-10T00:04:11","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/pronostico-vital-y-funcional-de-la-hemorragia-intracerebral-espontanea\/"},"modified":"2018-03-10T00:04:11","modified_gmt":"2018-03-10T00:04:11","slug":"pronostico-vital-y-funcional-de-la-hemorragia-intracerebral-espontanea","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/pronostico-vital-y-funcional-de-la-hemorragia-intracerebral-espontanea\/","title":{"rendered":"Pron\u00f3stico vital y funcional de la hemorragia intracerebral espont\u00e1nea."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Manuel Mart\u00edn Casado <\/strong><\/h2>\n<p>Fundamento:  el desarrollo reciente de modelos pron\u00f3sticos permite abordar el pron\u00f3stico de la hemorragia intracerebral hic bajo una nueva perspectiva. Establecimos la hip\u00f3tesis de que es posible comaprar la mortalidad y el estado funcional subsiguientes a la hic observados en nuestros pacientes con los resulados esperados aplicando modelos predictivos multivariantes y examinar las posibles oportunidades de mejora asistencial.  metodos:  el estudio con dise\u00f1o de cohorte prospectiva, indluy\u00f3 a 86 pacientes diagnosticados de hic supratentorial espont\u00e1nea hicse durante el bienio 1996-97. Todos los casos se atuvieron a la definici\u00f3n de ictus, fueron comprobados por tomografia computarizada y se excluyeron las hemorragias secundarias a causas conocidas y detectables con excepci\u00f3n de la hipertensi\u00f3n arterial y la angiopat\u00eda congofilica cerebral. El tama\u00f1o de la hemorragia se evalu\u00f3 por un procedemiento semicuantitativo. Los datos cl\u00ednicos y complementarios fueron recogidos al ingreso y a los 3,60 y 180 d\u00edas. Todos los \u00f3bitos producidos han sido registrados as\u00ed como el tiempo transcurrido desde la hemorragia. para la determinaci\u00f3n del estado funcional fueron entrevistados el paciente o su sustituo al ingreso y a los 2 y 6 meses, aplic\u00e1ndose el \u00edndice de katz, el \u00edndice de barhel, la reserva fisiol\u00f3gica y una escala de un solo \u00edtem para la evaluaci\u00f3n de la calidad de vida. La estimaci\u00f3n de la mortalidad y de la discapacidad func\u00f1ional a distitnos tiempos ha sido llevada a cabo mediante el modelo de tuhrim de predicci\u00f3n de supervivencia en al hic supratentorial, el modelo de probabilidad d emortalidad hospitalaria al ingreso (mpm iio) y cuatro modelos originados en el estudio support. Fueron utilizadas t\u00e9cnicas convencionales de comparaci\u00f3n de proporciones, medias artim\u00e9ticas y medianas. las diferencias de supervivencia fueron estimadas con test log-rank. El an\u00e1lisis de resutlados ha sido complementado con una revis<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Pron\u00f3stico vital y funcional de la hemorragia intracerebral espont\u00e1nea.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Pron\u00f3stico vital y funcional de la hemorragia intracerebral espont\u00e1nea. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Manuel Mart\u00edn Casado <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Salamanca<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 17\/07\/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>Manuel Mart\u00edn Marcos<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: manuel Noya  Garc\u00eda <\/li>\n<li>Francisco Rubio borrego (vocal)<\/li>\n<li>Jos\u00e9 Castillo s\u00e1nchez (vocal)<\/li>\n<li>Jos\u00e9 Ojeda (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Manuel Mart\u00edn Casado Fundamento: el desarrollo reciente de modelos pron\u00f3sticos permite abordar el pron\u00f3stico de la hemorragia [&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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