{"id":83988,"date":"2018-03-10T00:08:12","date_gmt":"2018-03-10T00:08:12","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/utilidad-diagnostica-y-beneficios-finales-de-la-ecografia-en-los-pacientes-con-sospecha-clinica-de-apendicitis-aguda\/"},"modified":"2018-03-10T00:08:12","modified_gmt":"2018-03-10T00:08:12","slug":"utilidad-diagnostica-y-beneficios-finales-de-la-ecografia-en-los-pacientes-con-sospecha-clinica-de-apendicitis-aguda","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/utilidad-diagnostica-y-beneficios-finales-de-la-ecografia-en-los-pacientes-con-sospecha-clinica-de-apendicitis-aguda\/","title":{"rendered":"Utilidad diagnostica y beneficios finales de la ecografia en los pacientes con sospecha clinica de apendicitis aguda."},"content":{"rendered":"<h2>Tesis doctoral de <strong>  Garcia Aguayo Francisco Javier <\/strong><\/h2>\n<p>Un total de 374 pacientes consecutivos con posibles apendicitis se examinaron prospectivamente mediante ecograf\u00eda. Se establecieron dos grupos:  a (alta probabilidad cl\u00ednica de apendicitis-0,70)  b (probabilidad cl\u00ednica media de apendicitis, 0,20-0,60)  los pacientes del grupo a (n=105 (28%), preValencia de apendicitis=0,90) se operaron independientemente del resultado ecogr\u00e1fico. Los del grupo b (n=269(72%), preValencia de apendicitis=0,28) se operaron ante una ecograf\u00eda positiva, mientras que una ecograf\u00eda negativa no descart\u00f3 absolutamente apendicitis. La utilidad diagn\u00f3stica de la ecograf\u00eda se evalu\u00f3 utilizando los \u00abumbrales de decisii\u00f3n\u00bb de paukler y kasirer. La influencia en la evoluci\u00f3n se evalu\u00f3 comprando el total de pacientes apendicectomizados (190\/374) con un grupo control de 181 pacientes apendicectomizados anteriormente al uso de la ecograf\u00eda.  la probabilidad de apendicitis posttest ecogr\u00e1fico positivo fue 0,95 en el grupo a y 0,89 en el grupo b. La probalilidad de apendicitis psotest ecogr\u00e1fico negativo fue de 0,58 en el grupo a y 0,03 en el grupo b. Se concluye con ello que la ecograf\u00eda reseult\u00f3 \u00fatil en el grupo b y no en el grupo a. En el 46% de pacientes la ecograf\u00eda introdujo un cambio en el tratamiento. La incidencia de apendicectom\u00edas negativas se redujo significativamente (19,3% vs 11,6% con ecograf\u00eda, p=0,03), as\u00ed como el retrasso en el diagn\u00f3stico (antes de las 6 horas en el 68,5% vs 84,2% con ecograf\u00eda, p=0,001). No hubo reducci\u00f3n significativa en la incidencia de perforaciones (17,1% vs 17,9% con ecograf\u00eda). La ecograf\u00eda permiti\u00f3 un diagn\u00f3stico correcto, distinto de apendicitis, en el 40% de los casos. La ecograf\u00eda diagn\u00f3stic\u00f3 perforaci\u00f3n con una sensibilidad del 62% y una especificidad del 97%.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Utilidad diagnostica y beneficios finales de la ecografia en los pacientes con sospecha clinica de apendicitis aguda.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Utilidad diagnostica y beneficios finales de la ecografia en los pacientes con sospecha clinica de apendicitis aguda. <\/li>\n<li><strong>Autor:<\/strong>\u00a0  Garcia Aguayo Francisco Javier <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Universitat de val\u00e9ncia (estudi general)<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 31\/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>M. Lloret Llorens<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Francisco Mart\u00ednez soriano <\/li>\n<li>Francisco Aparisi rodriguez (vocal)<\/li>\n<li>vicente Pallares delgado (vocal)<\/li>\n<li>Juan  Jos\u00e9 Arenas jimenez (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Garcia Aguayo Francisco Javier Un total de 374 pacientes consecutivos con posibles apendicitis se examinaron prospectivamente mediante [&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":[155,9,346,2046],"tags":[67303,11451,177670,94780,177671,177672],"class_list":["post-83988","post","type-post","status-publish","format-standard","hentry","category-ciencias-clinicas","category-ciencias-medicas","category-diagnostico-por-imagen","category-radiologia","tag-francisco-aparisi-rodriguez","tag-francisco-Martinez-soriano","tag-garcia-aguayo-francisco-javier","tag-juan-jose-arenas-jimenez","tag-m-lloret-llorens","tag-vicente-pallares-delgado"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/83988","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=83988"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/83988\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=83988"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=83988"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=83988"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}