{"id":84465,"date":"2000-11-05T00:00:00","date_gmt":"2000-11-05T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/neumonia-por-pneumocystis-carinii-en-el-sida-factores-pronosticos-de-mortalidad-precoz-y-supervivencia-a-largo-plazo\/"},"modified":"2000-11-05T00:00:00","modified_gmt":"2000-11-05T00:00:00","slug":"neumonia-por-pneumocystis-carinii-en-el-sida-factores-pronosticos-de-mortalidad-precoz-y-supervivencia-a-largo-plazo","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/neumonia-por-pneumocystis-carinii-en-el-sida-factores-pronosticos-de-mortalidad-precoz-y-supervivencia-a-largo-plazo\/","title":{"rendered":"Neumonia por pneumocystis carinii en el sida: factores pronosticos de mortalidad precoz y supervivencia a largo plazo"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Ana Fernandez Cruz <\/strong><\/h2>\n<p>Objetivos:describir la tasa de mortalidad de la pcp ( neumon\u00eda por pneumocystis carinii)y los factores relacionados con la supervivencia al episodio y a largo plazo. Analizar la incidencia de recidiva y los factores predictivos del riesgo de recidiva.Describir las caracter\u00edsticas epidemiol\u00f3gicas, cl\u00ednicas, diagn\u00f3sticas y terap\u00e9uticas de la pcp en los enfermos con infecci\u00f3n vih.  pacientes y m\u00e9todos: estudios de cohortes longitudinales, retrospectivos. se incluyeron en el estudio todos los pacientes adultos con infeccion por vih y pcp confirmada microbiologimacemnte diagnosticados en los hospotales \u00ab\u00bb la paz y doce de octubre entre agosto de 1985 y marzo de 1996.Las historias cl\u00ednicas de los pacientes se utilizaron como fuente de informaci\u00f3n. Se emple\u00f3 el m\u00e9todo de kaplan-meier para estimar la probabilidad de supervivencia. las curvas de superviviencia se compararon mediante la prueba de log-rank. los riesgos relativos de muerte y recidiva se estimaron mediante los modelos de riesgo proporcional de cox, o regresi\u00f3n en el caso de la supervivencia a corto plazo.  resultados y conclusiones: un 13,3% de los pacientes con infecciones por vih que desarrollan, una pcp fallecen durante el episodio. Los factores relacionados de forma independiente con la supervivencia al episodio de pcp son la edad de 45 a\u00f1os, el no haber tenido con anterioridad otra enfermedad de sida y presentar en el momento del diagn\u00f3stico un gradiente  alveolo arterial de ox\u00edgeno inferior a 50 mm hg. La mediana de supervivencia de los pacientes con infecci\u00f3n por vih que no reciben targa tras presentar una pcp es de 19 meses. Los factores asociados de forma independiente con un mejor pron\u00f3stico vital son: una fecha de diagn\u00f3stico de sida posterior a 1993, no haber recibido tratamiento antirretroviral previamente, la hemoglobinemia superior a 10g\/dl, el recuento de monocitos superior a 500 mg\/mm3, una ldh inferior a 2,5 veces el l\u00edmite superior de la normalid<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Neumonia por pneumocystis carinii en el sida: factores pronosticos de mortalidad precoz y supervivencia a largo plazo<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Neumonia por pneumocystis carinii en el sida: factores pronosticos de mortalidad precoz y supervivencia a largo plazo <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Ana Fernandez Cruz <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Aut\u00f3noma de Madrid<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 11\/05\/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>Jos\u00e9 Mar\u00eda Pe\u00f1a  Sanchez De Rivera<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Francisco Arnalich fern\u00e1ndez <\/li>\n<li>Rafael Rubio Garc\u00eda (vocal)<\/li>\n<li> Palacio perez medal angel (vocal)<\/li>\n<li>angel Gil de Miguel (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Ana Fernandez Cruz Objetivos:describir la tasa de mortalidad de la pcp ( neumon\u00eda por pneumocystis carinii)y los [&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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