{"id":81283,"date":"2018-03-10T00:05:10","date_gmt":"2018-03-10T00:05:10","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/factores-pronosticos-de-mortalidad-precoz-y-tardia-en-el-trasplante-hepatico\/"},"modified":"2018-03-10T00:05:10","modified_gmt":"2018-03-10T00:05:10","slug":"factores-pronosticos-de-mortalidad-precoz-y-tardia-en-el-trasplante-hepatico","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/factores-pronosticos-de-mortalidad-precoz-y-tardia-en-el-trasplante-hepatico\/","title":{"rendered":"Factores pronosticos de mortalidad precoz y tardia en el trasplante hepatico"},"content":{"rendered":"<h2>Tesis doctoral de <strong>  Lama Borrajo M. Carmen <\/strong><\/h2>\n<p>Objetivos: 1-descripcion de las causas de exitus ajustadas a tres periodos: mortalidad postoperatoria (1\u00c2\u00ba mes postoperatorio), precoz (2\u00c2\u00ba-6\u00c2\u00ba postoperatorio) y tardia (&lt;6\u00c2\u00ba mes postoperatorio). 2-identificar factores predictivos y pronosticos de mortalidad.3-proponer nuevos protocolos de actuacion y selecci\u00f3n de pacientes para mejorar los resultados.  material y metodos: se incluyeron 349 pacientes (401 tho) desde febrero-84-junio-97. diferenciamos entre causas predisponentes (cp) de exitus, la que motiva la mala evolucion del paciente y causas inmediatas (ci), la que precipita el exitus. El analisis estadistico se baso en el metodo de la regresion logistica. Realizamos tambien un analisis por periodos: 1984-89 y 1990-97 la tecnica quirurgica utilizada fue el piggy-back, el liquido de preservacion, belzar y la inmunosupresion, la cuadrupleterapia secuencial.  resultados: las causas de muerte son: m. Postoperatoria: c.P. Relacionadas con la inmunosupresi\u00f3n, 32,6%,(rechazo agudo e infecciones) y causas medicas, 26% (compl. Neurol\u00f3gicas). C.I: infecciones: 26% .M.Precoz:c.P: relacionadas con la inmunosupresion, 45,5%(rechazo ductopenico) y recidiva de la enfermedad 1\u00aa, 45.4% (recidiva viral por vhb). C.I: infecciones (27%) m. Tard\u00eda: c.P: relacionadas con la inmunosupresion, 38,4% (tumores de novo y rechazo ductopenico) y relacionadas con la recidiva de la enfermedad 1\u00aa,36.5%(recidiva vhc y recidiva neoplasica). C.I: infeccion (16%).  analisis estadistico (multivariante): 1-m. Postoperatoria: f.Predictivos: edad donante&gt;70 a\u00f1os (odds ratio: 6,04) y estadio unos del receptor (odds ratio: 5,49) 2-m. Precoz: f. Predictivos: edad del donante &gt;70 a\u00f1os (odds ratio:8,39), trombosis portal preoperatorio del receptor (odds ratio: 5,43).3-m. tardia: ningun factor preoperatorio con valor pronostico. Periodo historico: encontramos una mayor mortalidad postoperatoria y tardia en el periodo 1984-89.  conclusiones: 1-c.P. De m.Postope<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Factores pronosticos de mortalidad precoz y tardia en el trasplante hepatico<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Factores pronosticos de mortalidad precoz y tardia en el trasplante hepatico <\/li>\n<li><strong>Autor:<\/strong>\u00a0  Lama Borrajo M. Carmen <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Barcelona<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 19\/11\/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>Eduard Jaurrieta Mas<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Francisco Sanchez bueno <\/li>\n<li>xavier Xiol quingles (vocal)<\/li>\n<li>Carlos Margarit creixell (vocal)<\/li>\n<li>Antonio Rafecas renau (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Lama Borrajo M. Carmen Objetivos: 1-descripcion de las causas de exitus ajustadas a tres periodos: mortalidad postoperatoria [&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":[951,9,141,10],"tags":[33799,33803,1460,8254,173519,1490],"class_list":["post-81283","post","type-post","status-publish","format-standard","hentry","category-barcelona","category-ciencias-medicas","category-cirugia","category-cirugia-de-trasplantes","tag-antonio-rafecas-renau","tag-carlos-margarit-creixell","tag-eduard-jaurrieta-mas","tag-francisco-sanchez-bueno","tag-lama-borrajo-m-carmen","tag-xavier-xiol-quingles"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/81283","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=81283"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/81283\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=81283"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=81283"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=81283"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}