{"id":83895,"date":"2018-03-10T00:08:03","date_gmt":"2018-03-10T00:08:03","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/estudio-continuo-durante-24-horas-del-metabolismo-energetico-en-ninos-en-la-fase-inmediata-postagresion\/"},"modified":"2018-03-10T00:08:03","modified_gmt":"2018-03-10T00:08:03","slug":"estudio-continuo-durante-24-horas-del-metabolismo-energetico-en-ninos-en-la-fase-inmediata-postagresion","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/estudio-continuo-durante-24-horas-del-metabolismo-energetico-en-ninos-en-la-fase-inmediata-postagresion\/","title":{"rendered":"Estudio continuo durante 24 horas del metabolismo energ\u00e9tico en ni\u00f1os en la fase inmediata postagresi\u00f3n."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Jos\u00e9 Luis Vazquez Martinez <\/strong><\/h2>\n<p>El incorrecto manejo nutricional conduce a un aumento de la morbi-mortalidad de los ni\u00f1os cr\u00edticos. Por esta raz\u00f3n, es fundamental el conocimiento del gasto energ\u00e9tico (ge) real de los ni\u00f1os cr\u00edticos.  dicho ge est\u00e1 demostrado que puede ser medido mediante calorimetr\u00eda indirecta (ci); sin embargo, en los ni\u00f1os cr\u00edticos, el ge est\u00e1 condicionado por el momento de la fase de respuesta a la agresi\u00f3n en la que se encuentra, as\u00ed como por una serie de factores cl\u00ednicos, determinando una gran variabilidad del citado ge. Por ello, te\u00f3ricamente, la ci deber\u00eda durar 24 horas continuas para ser fiable, siendo esto poco pr\u00e1ctico en la cl\u00ednica diaria.  la hip\u00f3tesis planteada es la posibilidad de determinar el ge en los ni\u00f1os cr\u00edticos meidante estudios de ci m\u00e1s cortos, cuyos resultados sean extrapolables al total diario, o bien mediante la predicci\u00f3n del mismo mediante la aplicaci\u00f3n de una serie de f\u00f3rmulas te\u00f3ricas.  hemos estudiado en total 43 ni\u00f1os, a quines se realiz\u00f3 una valoraci\u00f3n antropom\u00e9tirca, as\u00ed como estudios de ci continua, durante 24 horas,y otra serie de estudios calorim\u00e9tricos m\u00e1s cortos (en total 10 al d\u00eda, realizados a los 30 min, 60 min, 90 min, 120 min, 150 min, y a las 3,4,6,18 y 24 horas del ingreso); as\u00ed mismo en todos ellos aplicamos las ecuaciones predictivas de harris-benedict, caldwell-kennedy, schofield, fao\/who\/unu, fleisch, kleiber, hunter, dreyer, maffeis y dorao, utilizando tanto el peso real como el ideal.  se pareci\u00f3 una sobrestimaci\u00f3n del ge de los ni\u00f1os cr\u00edticos mediante la aplicaci\u00f3n de las f\u00f3rmulas te\u00f3ricas, resultando la ecuaci\u00f3n de caldwell-kennedy la m\u00e1s ajustada al ge real (considerado este como el medido con ci durante 24 horas continuas).  el ge a lo largo de 24 horas present\u00f3 una variabilidad del 15,9%, pese a lo cual, los estudios calorimetricos cortos determinaron fiablemente el ge total diario; \u00fanicamente los estudios calorim\u00e9tricos cortos, realizados a p<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Estudio continuo durante 24 horas del metabolismo energ\u00e9tico en ni\u00f1os en la fase inmediata postagresi\u00f3n.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Estudio continuo durante 24 horas del metabolismo energ\u00e9tico en ni\u00f1os en la fase inmediata postagresi\u00f3n. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Jos\u00e9 Luis Vazquez Martinez <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Aut\u00f3noma de Madrid<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 24\/03\/2000<\/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>Francisco Ruza Tarrio<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: manuel Hern\u00e1ndez rodr\u00edguez <\/li>\n<li>abelardo Garc\u00eda de lorenzo (vocal)<\/li>\n<li>Juan  Luis Perez navero (vocal)<\/li>\n<li>Fernando Villaera blanco (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Jos\u00e9 Luis Vazquez Martinez El incorrecto manejo nutricional conduce a un aumento de la morbi-mortalidad de los 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