{"id":87753,"date":"2000-05-12T00:00:00","date_gmt":"2000-05-12T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/fallo-hepatico-fulminante-factores-pronosticos-pre-y-postrasplante\/"},"modified":"2000-05-12T00:00:00","modified_gmt":"2000-05-12T00:00:00","slug":"fallo-hepatico-fulminante-factores-pronosticos-pre-y-postrasplante","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/fallo-hepatico-fulminante-factores-pronosticos-pre-y-postrasplante\/","title":{"rendered":"Fallo hepatico fulminante: factores pronosticos pre- y postrasplante"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Jos\u00e9 Luis Montero Alvarez <\/strong><\/h2>\n<p>El fallo hepatico fulminante es un proceso poco frecuente pero muy grave y presenta una mortalidad entre el 60 y 90% en caso de asociarse a encefalopatia grado ii o iv respectivamente. El tratamiento de eleccion es el trasplante hepatico que ofrece una supervivencia al a\u00f1o del 50 al 60% seg\u00fan los centros. sin embargo esta tasa de supervivencia es significativamente menor a la que presenta el trasplante hepatico por otros procesos como puede ser la cirrosis hepatica (80-90% a un a\u00f1o).  el objetivo de este trabajo es determinar posibles factores de riesgo de mortalidad en enfermos trasplantados de higado por fallo hepatico fulminante. adquieren una gran importancia tanto la insuficiencia renal como la infeccion en cuanto al pronostico, por lo cual tambien se ha pretendido identificar factores predictivos de aparicion de estas complicaciones (insuficiencia renal pre- y postrasplante e infeccion bacteriana y fungica).  se han incluido en el trabajo 43 enfermos trasplantados por fallo hepatico fulminante en la unidad de trasplante hepatico de hospital reina sofia de cordoba, en el periodo comprendido entre 1989 y 1998, con una edad media de 37 a\u00f1os y con un claro predominio del sexo femenino (28 mujeres frente a 15 varones) y de la causa indeterminada (25 frente a 12 de etiolog\u00eda virica, 3 casos t\u00f3xicos y 3 pertenecientes al grupo miscelaneo). Se han recogido 112 variables clinico-analiticas y epidemiologicas, pertenecientes a todas las etapas del trasplante hepatico (pretrasplante, trasplante y postrasplante) para posteriormente determinar los factores de riesgo de mortalidad (regresion de cos uni- y multivariante) y factores predictores de aparicion de disfuncion renal tanto en el periodo pre-como postrasplante y de infeccioin tanto bacteriana como fungica (regresion logistica uni- y multivariante).  los factores de riesgo de muerte de los enfermos trasplantados por fallo hepatico fulminante fueron los siguientes: insuficiencia renal<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Fallo hepatico fulminante: factores pronosticos pre- y postrasplante<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Fallo hepatico fulminante: factores pronosticos pre- y postrasplante <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Jos\u00e9 Luis Montero Alvarez <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 C\u00f3rdoba<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 05\/12\/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>Gonzalo Mi\u00f1o Fugarolas<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Jos\u00e9 Antonio Jim\u00e9nez perep\u00e9rez <\/li>\n<li>Javier Salmeron escobar (vocal)<\/li>\n<li>gerardo Clemente ricote (vocal)<\/li>\n<li> Pozo caderas Juan  Carlos (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Jos\u00e9 Luis Montero Alvarez El fallo hepatico fulminante es un proceso poco frecuente pero muy grave y [&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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