{"id":86510,"date":"2018-03-10T00:11:07","date_gmt":"2018-03-10T00:11:07","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/factores-determinantes-de-las-decisiones-de-reanimacion-cardiopulmonar-en-el-ictus\/"},"modified":"2018-03-10T00:11:07","modified_gmt":"2018-03-10T00:11:07","slug":"factores-determinantes-de-las-decisiones-de-reanimacion-cardiopulmonar-en-el-ictus","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/factores-determinantes-de-las-decisiones-de-reanimacion-cardiopulmonar-en-el-ictus\/","title":{"rendered":"Factores determinantes de las decisiones de reanimaci\u00f3n cardiopulmonar en el ictus"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Mar\u00eda Bestue Cardiel <\/strong><\/h2>\n<p>Justificaci\u00f3n  desde 1960 las maniobras de reanimaci\u00f3n cardiopulmonar (rcp) se plantean en todo paciente en el que se observa un cese de las funciones vitales, aplic\u00e1ndose hasta en un tercio de los que fallecen. Sin embargo los estudios realizados desde entonces muestran el escaso \u00e9xito que se obtiene tras la rcp, observ\u00e1ndose una supervivencia tras la rcp del 15% de alta hospitalaria en t\u00e9rminos generales y en determinadas patolog\u00edas graves como el ictus este \u00edndice desciende al 0-5%. Este escaso \u00edndice de \u00e9xitos recogidos indica que se aplica la rcp incluso cuando se prev\u00e9 que no va aser eficaz, lo que induce a pensar que a la hora de tomar una decisi\u00f3n adem\u00e1s de los factores pron\u00f3sticos, intervienen otros factores. En una poblaci\u00f3n como el ictus, considerada como una de las de peor pron\u00f3stico para la rcp, la implicaci\u00f3n de factores no estrictamente t\u00e9cnicos en la toma de decisi\u00f3n podr\u00eda ser elevado.  objetivos  conocer la incidencia y supervivencia a la rcp en el ictus, los factores determinantes de la toma de decisi\u00f3n de rcp y de aplicaci\u00f3n de \u00f3rdenes de no reanimaci\u00f3n (onr) en el ictus, y en \u00faltimo lugar establecer un protocolo de actuaci\u00f3n ante una pcr en el ictus.  material y m\u00e9todos  del total de pacientes con ictus ingresados en el hospital miguel servet entre el 1 de julio de 1996 al 1 de julio de 1997 (1050 pacientes), se estudiaron de forma prospectiva aquellos que sufrieron una parada cardiorrespiratoria (pcr) en las 4 primeras semanas de evoluci\u00f3n del ictus (165 pacientes). mediante un an\u00e1lisis de regresi\u00f3n log\u00edstica se analizaron dos grupos de variables independientes que se dividieron en \u00abt\u00e9cnicas\u00bb (aqu\u00e9llas que seg\u00fan los datos de la literatura se relacionan con la mortalidad tras el ictus y con la supervivencia tras la rcp) y \u00abno estrictamente t\u00e9cnicas\u00bb (edad y sexo del paciente, hora y lugar de la parada, edad y sexo del reanimador &#8230;), Valor\u00e1ndose cu\u00e1les influian de forma inde<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Factores determinantes de las decisiones de reanimaci\u00f3n cardiopulmonar en el ictus<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Factores determinantes de las decisiones de reanimaci\u00f3n cardiopulmonar en el ictus <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Mar\u00eda Bestue Cardiel <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Zaragoza<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 22\/09\/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>Miguel Angel Suarez Pinilla<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Juan  jose Zarranz imirizaldu <\/li>\n<li>Antonio Oliveros juste (vocal)<\/li>\n<li>Francisco Morales asin (vocal)<\/li>\n<li>Miguel S\u00e1nchez gonz\u00e1lez (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Mar\u00eda Bestue Cardiel Justificaci\u00f3n desde 1960 las maniobras de reanimaci\u00f3n cardiopulmonar (rcp) se plantean en todo paciente [&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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