{"id":8967,"date":"1995-01-01T00:00:00","date_gmt":"1995-01-01T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/1995\/01\/01\/aplicacion-del-sistema-pronostico-apache-ii-en-la-umi-del-hospital-nuestra-senora-del-pino\/"},"modified":"1995-01-01T00:00:00","modified_gmt":"1995-01-01T00:00:00","slug":"aplicacion-del-sistema-pronostico-apache-ii-en-la-umi-del-hospital-nuestra-senora-del-pino","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/aplicacion-del-sistema-pronostico-apache-ii-en-la-umi-del-hospital-nuestra-senora-del-pino\/","title":{"rendered":"Aplicacion del sistema pronostico apache ii en la umi del hospital nuestra se\u00f1ora del pino"},"content":{"rendered":"<h2>Tesis doctoral de <strong>  Manzano Alonso Juan  Jose <\/strong><\/h2>\n<p>La utilizacion de sistemas pronosticos basados en puntuacion numerica o \u00abscoring\u00bb en ci son aun admitidos con escepticismo. Su necesidad y valor potencial solo son apreciados si se comprende su capacidad.  los avances tecnicos en el soporte de pacientes criticos condujeron a la creacion de uci en los a\u00f1os 1.960. A pesar del enorme gasto, las demandas superaban las ofertas y como existia gran necesidad de utilizar estas uci lo mas objetivamente posible, era preciso encontrar metodos predictivos precisos de mortalidad para optimizar la utilizacion de recursos. Los primeros esfuerzos se realizaron en los a\u00f1os 1.970 por civetta, culler, shoemaker y jennet.  la mayor limitacion de estos sistemas fue su referencia a solo una seccion de pacientes de ci, pero prepararon el camino para la segunda generacion de sistemas pronosticos en la siguiente decada. El mas importante de estos sistemas es el apache (acute physiologic and chronic health evaluation). Este sistema puntuaba inicialmente 32 variables en las primeras 24 horas del ingreso del paciente y posteriormente estas se redujeron a 12. El peso de cada variable es empirico y depende de su desviacion del valor normal, y el score final es la suma de estos puntos mas los correspondientes a edad y cronicidad. La ecuacion de regresion logistica es utilizada para encontrar la probabilidad de muerte de cada paciente individual. Este sistema ha sido validado en numerosas unidades en el mundo y aunque es util para estratificar grados de severidad de la enfermedad, y comparar uci considerando indices de mortalidad (real\/predicha), no lo es para tomar decisiones en pacientes individuales y por ello se ha desarrollado el apache ii basado en datos sobre 16000 pacientes.  los objetivos planteados fueron:  &#8211; validar los datos recogidos en nuestra uci en \u00ab625 pacientes\u00bb durante 1.991 y compararlos con la base de datos de la unidad de investigacion del hospital george washington.  &#8211; profundizar<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Aplicacion del sistema pronostico apache ii en la umi del hospital nuestra se\u00f1ora del pino<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Aplicacion del sistema pronostico apache ii en la umi del hospital nuestra se\u00f1ora del pino <\/li>\n<li><strong>Autor:<\/strong>\u00a0  Manzano Alonso Juan  Jose <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Palmas de gran canaria<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 01\/01\/1995<\/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>Luis Inglada Galiana<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Bonifacio Nicol\u00e1s Diaz Chico <\/li>\n<li>Juan Caturla Such (vocal)<\/li>\n<li>Santiago Lubillo Montenegro (vocal)<\/li>\n<li>Francisco Taboada Costa (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Manzano Alonso Juan Jose La utilizacion de sistemas pronosticos basados en puntuacion numerica o \u00abscoring\u00bb en ci 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