{"id":86007,"date":"2018-03-10T00:10:33","date_gmt":"2018-03-10T00:10:33","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/ampa-automedida-de-presion-arterial-o-mapa-monitorizacion-ambulatoria-de-la-presion-arterialaque-procedimiento-utilizar-en-atencion-primaria-para-la-valoracion-del-buen-o-mal-control-tension\/"},"modified":"2018-03-10T00:10:33","modified_gmt":"2018-03-10T00:10:33","slug":"ampa-automedida-de-presion-arterial-o-mapa-monitorizacion-ambulatoria-de-la-presion-arterialaque-procedimiento-utilizar-en-atencion-primaria-para-la-valoracion-del-buen-o-mal-control-tension","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/ampa-automedida-de-presion-arterial-o-mapa-monitorizacion-ambulatoria-de-la-presion-arterialaque-procedimiento-utilizar-en-atencion-primaria-para-la-valoracion-del-buen-o-mal-control-tension\/","title":{"rendered":"Ampa (automedida de presion arterial) o mapa (monitorizacion ambulatoria de la presion arterial)\u00c2\u00bfque procedimiento utilizar en atencion primaria para la valoracion del buen o mal control tensional?"},"content":{"rendered":"<h2>Tesis doctoral de <strong>  Llisterri Caro Jos\u00e9 Luis <\/strong><\/h2>\n<p>Objetivos  validar la utilidad clinica de la automedida de la presion arterial (ampa) para detectar el buen o mal control tensional en atencion primaria (ap).  material y metodos  estudio observacional, transversal y analitico. Se utiliza como patron oro la monitorizacion ambulatoria de presion arterial (mapa) con monitor oscilometrico spacelabs 90207 y la prueba a validar esla ampa, utilizando un monitor electronico oscilometrico y un total de doce automedidas durante dos dias consecutivos. La hipotesis de trabajo es valorar si la ampa puede sustituir a la mapa en el diagnostico del grado de control tensional considerando como criterios de buen control los valores inferiores a 135\/85 mmhg. Se calcularon los siguientes indicadores de validez:  sensibilidad(s), especificidad (e), valor predictivo positivo (vp+), valor predictivo negativo (vp-), cociente de probabilidad positivo (cp+) y cociente de probabilidad negativo (cp-). La obtencion de los pacientes fue por muestreo consecutivo (n=124). La prueba estadistica utilizada fue la de mcnemar. se calcularon los indices kappa junto con los limites de confianza al 95%.  resultados  la tabla de 2&#215;2 y los indicadores son (tabla):  mapa  ampa  +  -s=97,3%(ic 95%:89,6-99,5)  e=62,7% (ic 95%: 48,1-75,5)  +  71  19     vp+=78,9% (ic95%:68,8-86,5)    vp-=94,1%(ic95%:78,9-99,9)  &#8211;   2  32     cp+=2,62(ic 95%:1,83-3,75)   cp-=0,04(ic 95%:0,009-0,16)  conclusiones  en la practica clinica la ampa puede sustituir a la mapa para descartar el mal control de la pa en los pacientes en los que el promedio de medidas por ampa es &lt;135\/85 (en ellos no es necesario realizar mapa). Cuando las cifras son 135 y\/o 85 por ampa (mal control) habria que realizar mapa por la existencia de un 375 de falsos +. En nuestra experiencia la ampa es mucho mas sensible que especifica, ello implica aceptar la existencia de muchos mas falsos+que falsos-<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Ampa (automedida de presion arterial) o mapa (monitorizacion ambulatoria de la presion arterial)\u00c2\u00bfque procedimiento utilizar en atencion primaria para la valoracion del buen o mal control tensional?<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Ampa (automedida de presion arterial) o mapa (monitorizacion ambulatoria de la presion arterial)\u00c2\u00bfque procedimiento utilizar en atencion primaria para la valoracion del buen o mal control tensional? <\/li>\n<li><strong>Autor:<\/strong>\u00a0  Llisterri Caro Jos\u00e9 Luis <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Miguel hern\u00e1ndez de elche<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 14\/07\/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>Vicente Gil Guillen<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: manuel Luque otero <\/li>\n<li>Francisco Rivera hern\u00e1ndez (vocal)<\/li>\n<li>Francisco Jos\u00e9 Morales olivas (vocal)<\/li>\n<li>Jorge Navarro lopez (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Llisterri Caro Jos\u00e9 Luis Objetivos validar la utilidad clinica de la automedida de la presion arterial (ampa) 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