{"id":87025,"date":"2018-03-10T00:11:43","date_gmt":"2018-03-10T00:11:43","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/influencia-de-la-transfusion-de-hemoderivados-sobre-el-desarrollo-de-infecciones-postquirurgicas-en-pacientes-sometidos-a-ciruga%c2%ada-carda%c2%adaca\/"},"modified":"2018-03-10T00:11:43","modified_gmt":"2018-03-10T00:11:43","slug":"influencia-de-la-transfusion-de-hemoderivados-sobre-el-desarrollo-de-infecciones-postquirurgicas-en-pacientes-sometidos-a-ciruga%c2%ada-carda%c2%adaca","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/influencia-de-la-transfusion-de-hemoderivados-sobre-el-desarrollo-de-infecciones-postquirurgicas-en-pacientes-sometidos-a-ciruga%c2%ada-carda%c2%adaca\/","title":{"rendered":"Influencia de la transfusi\u00f3n de hemoderivados sobre el desarrollo de infecciones postquir\u00fargicas en pacientes sometidos a cirugia card\u00edaca"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Mar\u00eda  Dolores Rincon Ferrari <\/strong><\/h2>\n<p>Los resultados de los pacientes sometidos a cirug\u00eda card\u00edaca estan estrechamente relacionados con el desarrollo de infecciones postquir\u00fargicas. La neumon\u00eda nosocomial, mediastinitis, bacteriemia y sepsis de cualquier origen son proceos infecciosos frecuentes, con una alta transcendecia sobre la morbimortalidad. las transfusiones alog\u00e9nicas pueden producir un aumento de infecciones postquir\u00fargicas enpacientes sometidos a cirug\u00eda card\u00edaca, infrarregulando la respuesta celular y suprarregulando la respuesta humoral immune.  el objetivo de este trabajo ha sido conocer si la transfusci\u00f3n alog\u00e9nica influye en la adquisici\u00f3n de infecci\u00f3n postoperatoria grave en pacientes sometidos a cirug\u00eda card\u00edaca. Para ello, se realiza un estudio cohorte en una unidad de cuidados intensivos postquir\u00fargica de un hospital universitario de tercer nivel, incluy\u00e9ndose 738 pacientes sometidos a cirug\u00eda card\u00edaca durante un periodo de 4 a\u00f1os (1994-1996). Los pacientes fueron clsificados en dos grupos: infectados y no infectados.Se investig\u00f3 la influencia de 36 varialbes sobre el desarrollo de infecci\u00f3n postquir\u00fargica grave en general (neumon\u00eda y\/o mediastinitis y\/o septicemia) y de forma indiviudalizada para cada una de estas 3 infecciones. Las variables estudiadas fueron preoperatorios, intraoperatorias y postoperatorias. La influencia de la transfusic\u00f3n de hemoderivados sobre infecci\u00f3n fue investigada para concentrados de hemat\u00edes ch, ch y plasma, ch y plaquetas y ch m\u00e1s plasma y plaquetas. Se realiz\u00f3 an\u00e1lisis uni y multivariante -regresi\u00f3nlog\u00edstica- para los 36 potenciales factores de riesgos, incluidas las transfusiones. Setenta pacientes 9,4 % fueron clasificados como infectados y 668 (90,6%) como no infectados. las sigueitnes variables se asociaron, en el an\u00e1lisis multivariante, con el desarrollo de infecci\u00f3n grave: reintubaci\u00f3n (riesgo relativo (rr); 16,8; intervalo de confianza (ic); 8,1-34,9) deshiscencia esternal (rr: 7,1,<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Influencia de la transfusi\u00f3n de hemoderivados sobre el desarrollo de infecciones postquir\u00fargicas en pacientes sometidos a cirugia card\u00edaca<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Influencia de la transfusi\u00f3n de hemoderivados sobre el desarrollo de infecciones postquir\u00fargicas en pacientes sometidos a cirugia card\u00edaca <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Mar\u00eda  Dolores Rincon Ferrari <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Sevilla<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 23\/10\/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> Leal Noval Santiago Ramon<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: hugo Galera davidson <\/li>\n<li>Manuel Concha ruiz (vocal)<\/li>\n<li>augenio Arevalo gimenez (vocal)<\/li>\n<li> Arenas linares Carlos Jos\u00e9 (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Mar\u00eda Dolores Rincon Ferrari Los resultados de los pacientes sometidos a cirug\u00eda card\u00edaca estan estrechamente relacionados con [&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":[9,141,2189,10715],"tags":[108207,182349,7891,51751,2286,163942],"class_list":["post-87025","post","type-post","status-publish","format-standard","hentry","category-ciencias-medicas","category-cirugia","category-cirugia-cardiaca","category-sevilla","tag-arenas-linares-carlos-jose","tag-augenio-arevalo-gimenez","tag-hugo-galera-davidson","tag-leal-noval-santiago-ramon","tag-manuel-concha-ruiz","tag-maria-dolores-rincon-ferrari"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/87025","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=87025"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/87025\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=87025"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=87025"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=87025"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}