{"id":81817,"date":"2018-03-10T00:05:45","date_gmt":"2018-03-10T00:05:45","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/factores-predictivos-de-riesgo-de-morbilidad-y-mortalidad-en-la-cirugia-cardiaca\/"},"modified":"2018-03-10T00:05:45","modified_gmt":"2018-03-10T00:05:45","slug":"factores-predictivos-de-riesgo-de-morbilidad-y-mortalidad-en-la-cirugia-cardiaca","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/factores-predictivos-de-riesgo-de-morbilidad-y-mortalidad-en-la-cirugia-cardiaca\/","title":{"rendered":"Factores predictivos de riesgo de morbilidad y mortalidad en la cirugia cardiaca."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Gema Vega Gonzalez <\/strong><\/h2>\n<p>Introduccion; las intervenciones de cirug\u00eda card\u00edaca con circulaci\u00f3n extracorp\u00f3rea (cec) se han incrementado de forma acelerada en las \u00faltimas d\u00e9cadas.No obstante,registra una alta incidencia de morbilidad (mb) y mortalidad (mt) existiendo diferencias de resultados entre instituciones. Esto hace necesario ajustarlos por la gravedad preoperatoria de los pacientes. Actualmente , no existe ninguna escala de riesgo obtenida en la poblaci\u00f3n espa\u00f1ola, la utilizaci\u00f3n de las ya existentes tienen claras limitaciones al confirmarse una menor precisi\u00f3n en la predicci\u00f3n del riesgo.  objetivos 1) identificar los factores de riesgo (fr) de mt o mb en la cirug\u00eda cardiaca con cec ( valvular y\/ocoronaria)2) crear dos modelos matem\u00e1ticos predicitvos con los fr preoperatorios calculando su poder discriminante y comprobar si existe modificaciones al introducir la informaci\u00f3n de las variables intraoperatorias,    3) crear 2 escalas  cl\u00ednicas de riesgo y validarlas en otra muestra de pacientes. 4) estudiar la predicci\u00f3n de la escala de riesgo de tuman.  dise\u00f1o estudio observacional prospectivo de cohortes de pacientes en el hospital de la princesa de Madrid desde el 1 de febrero de 1994 que cumpl\u00edan los criterios de inclusi\u00f3n, la muestra ven\u00eda condicionada por el total de exitus. Las variables en el primer a\u00f1o fueron: 52 pre, 20 intra, y 38 postoperatorias. A partir del 2  2\u00c2\u00ba a\u00f1o: 20 pre, 2 intra y 2 dependientes; la mt (&gt; = 30 d\u00edas post -cirugg\u00eda o posterior si es consecuencia de \u00e9sta) y la mb ( estancia en uci&gt;72 h).  analisis estadistico.De forma aleatoria se escogi\u00f3 una muestra de aprendizaje (ma90% de pacientes) y otra de validaci\u00f3n (mv). Se realiz\u00f3: an\u00e1lisis bivariado y multivariado de regresi\u00f3n log\u00edstica (rl). El poder discriminante  y predictivo se midi\u00f3 pro el `\u00c2\u00bfindice &#8211; y la cuantificaci\u00f3n del riesgo por el riesgo relativo (rr). Se crearon 2 escalas cl\u00ednicas a partir del rr de r\u00f1l, valid\u00e1ndolas en la mv.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Factores predictivos de riesgo de morbilidad y mortalidad en la cirugia cardiaca.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Factores predictivos de riesgo de morbilidad y mortalidad en la cirugia cardiaca. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Gema Vega Gonzalez <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Aut\u00f3noma de Madrid<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 17\/12\/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>Antonio Reyes Garcia<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: manuel Oya otero <\/li>\n<li>agustin Hidalgo pascual (vocal)<\/li>\n<li>Juan Duarte manzanal (vocal)<\/li>\n<li> Suarez fernandez Mar\u00eda  carmen (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Gema Vega Gonzalez Introduccion; las intervenciones de cirug\u00eda card\u00edaca con circulaci\u00f3n extracorp\u00f3rea (cec) se han incrementado de [&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":[9,141,2189],"tags":[174393,115098,174392,105304,2097,174394],"class_list":["post-81817","post","type-post","status-publish","format-standard","hentry","category-ciencias-medicas","category-cirugia","category-cirugia-cardiaca","tag-agustin-hidalgo-pascual","tag-antonio-reyes-garcia","tag-gema-vega-gonzalez","tag-juan-duarte-manzanal","tag-manuel-oya-otero","tag-suarez-fernandez-maria-carmen"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/81817","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=81817"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/81817\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=81817"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=81817"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=81817"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}