{"id":86216,"date":"2018-03-10T00:10:46","date_gmt":"2018-03-10T00:10:46","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/bacteriemia-nosocomial-en-el-paciente-adulto-estudio-de-costes-asociados\/"},"modified":"2018-03-10T00:10:46","modified_gmt":"2018-03-10T00:10:46","slug":"bacteriemia-nosocomial-en-el-paciente-adulto-estudio-de-costes-asociados","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/bacteriemia-nosocomial-en-el-paciente-adulto-estudio-de-costes-asociados\/","title":{"rendered":"Bacteriemia nosocomial en el paciente adulto. estudio de costes asociados"},"content":{"rendered":"<h2>Tesis doctoral de <strong>  Morano Amado Luis Enrique <\/strong><\/h2>\n<p>Fundamento: la infecci\u00f3n nosocomial produce una prolongaci\u00f3n de la estancia hospitalaria y del coste. El objetivo del estudio fue determinar el exceso de estancia y los costes atribuibles a la bacteriemia nosocomial. Se compararon dos metodos: calculo del coste de prolongaci\u00f3n de estancia y calculo de los costes alternativos.  pacientes y metodos: estudio retrospectivo de los pacientes con bacteriemia nosocomial durante 1996. Se realizo un estudio de casos y controles. Para el apareamiento se utilizaron las siguientes variables: g.R.D. A\u00f1o de ingreso, edad +-10 a\u00f1os, diagnostico principal y numero de diagnosticos secundarios. se logro el apareamiento en 100 casos (67,5%) sobre los que se realiz\u00f3 la estimaci\u00f3n de costes.  resultados:la bacteriemia nosocomial se diagnostico en 12,3\/1,000 admisiones, durante el periodo de estudio. Los casos no apareados presentaron diferencias con los apareados en diferentes aspectos significativos para el coste como la estancia en los casos vario significativamente de la de los casos (35 vs 15.5 dias, respectivamente, p=0.000). Cuando solo se consideraron los casos sobrevivientes (n=75), los casos permanecieron en el hospital una mediana de 36 dias vs 15 los controles (p=0.000). Los dias de estancia atribuible a la bacteriemia nosocomial fueron 19.5 y 21 respectivamente. solamente el 76% de los casos presento dias de estancia atribuibles a la bacteriemia. Al estudiar la relaci\u00f3n entre el coste total (ptas). Y la estancia de los pacientes (dias) mediante regresion lineal, se encontr\u00f3 una relacion significativa entre ambas (r=0,70,p=0,0000). La diferencia de los costes medios fue significativa entre casos y controles en el coste medio total del ingreso (p=000), coste de la estancia (p=0,001), coste farmaceutico (p=0.000), estudios microbiol\u00f3gicos (p=0.000), analisis clinicos (p=0.001) y radiolog\u00eda (p=0.000). La estancia supuso mas del 60% del coste en casos y controles, seguido del coste farmaceuti<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Bacteriemia nosocomial en el paciente adulto. estudio de costes asociados<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Bacteriemia nosocomial en el paciente adulto. estudio de costes asociados <\/li>\n<li><strong>Autor:<\/strong>\u00a0  Morano Amado Luis Enrique <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 A coru\u00f1a<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 28\/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>Jos\u00e9 Domingo Pedreira Andrade<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Jos\u00e9 manuel Martinez vazquez <\/li>\n<li>Luis Miguel Anton aparicio (vocal)<\/li>\n<li>Javier Juega puig (vocal)<\/li>\n<li>jordi Carratala fernandez (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Morano Amado Luis Enrique Fundamento: la infecci\u00f3n nosocomial produce una prolongaci\u00f3n de la estancia hospitalaria y del [&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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