{"id":94362,"date":"2018-03-11T10:14:06","date_gmt":"2018-03-11T10:14:06","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/utilidad-del-hierro-intravenoso-en-el-perioperatorio-del-paciente-anciano-con-fractura-de-cadera\/"},"modified":"2018-03-11T10:14:06","modified_gmt":"2018-03-11T10:14:06","slug":"utilidad-del-hierro-intravenoso-en-el-perioperatorio-del-paciente-anciano-con-fractura-de-cadera","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/traumatologia\/utilidad-del-hierro-intravenoso-en-el-perioperatorio-del-paciente-anciano-con-fractura-de-cadera\/","title":{"rendered":"Utilidad del hierro intravenoso en el perioperatorio del paciente anciano con fractura de cadera"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Jos\u00e9 Antonio Serrano Trenas <\/strong><\/h2>\n<p>Objetivo: comprobar la eficacia y seguridad del hierro-sacarosa intravenoso en los pacientes ancianos intervenidos quir\u00fargicamente de fractura de cadera. Material y m\u00e9todos: ensayo cl\u00ednico, controlado, aleatorizado y abierto con 200 pacientes intervenidos de fractura de cadera osteopor\u00f3tica. A 100 pacientes (grupo a) no se le administr\u00f3 ning\u00fan tratamiento especial y a otros 100 (grupo b) se le administraron 600 mg de hierro-sacarosa intravenoso repartidos en 3 dosis de 200 mg cada 48 horas. Se realizaron contrastes bivariantes, un modelo de regresi\u00f3n lineal m\u00faltiple y un estudio de supervivencia mediante una regresi\u00f3n de cox, para encontrar los factores predictores del n\u00famero de concentrados necesarios y de la mortalidad. Resultados: el porcentaje de pacientes transfundidos, el n\u00famero de concentrados necesarios,  la incidencia de infecciones, la morbimortalidad y la estancia hospitalaria no difirieron estad\u00edsticamente entre ambos grupos. Los pacientes del grupo b presentaron cifras de hematocrito al 7\u00c2\u00ba d\u00eda postoperatorio significativamente superiores a las de las 24 horas de la intervenci\u00f3n, hallazgo que no se encontr\u00f3 en el grupo a. Conclusiones: las necesidades transfusionales, la morbimortalidad y el tiempo de estancia hospitalaria de los pacientes ancianos intervenidos de fractura de cadera son independientes del tratamiento con hierro-sacarosa intravenoso, aunque los pacientes tratados con dicho f\u00e1rmaco experimentan una recuperaci\u00f3n m\u00e1s r\u00e1pida de las p\u00e9rdidas sangu\u00edneas sufridas por la fractura y por la intervenci\u00f3n quir\u00fargica. Los pacientes con cifras bajas de hemoglobina al ingreso y los que necesitan una intervenci\u00f3n con fresado intramedular tienen mayor riesgo de necesitar una transfusi\u00f3n. Los pacientes cardi\u00f3patas y los que precisan una transfusi\u00f3n preoperatoria presentan mayor mortalidad.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Utilidad del hierro intravenoso en el perioperatorio del paciente anciano con fractura de cadera<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Utilidad del hierro intravenoso en el perioperatorio del paciente anciano con fractura de cadera <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Jos\u00e9 Antonio Serrano Trenas <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 C\u00f3rdoba<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 23\/06\/2009<\/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>Pedro Carpintero Benitez<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: eduardo Collantes estevez <\/li>\n<li>justo Julia bueno (vocal)<\/li>\n<li>Francisco Jos\u00e9 Berral de la rosa (vocal)<\/li>\n<li>magdalena Casas ruiz (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Jos\u00e9 Antonio Serrano Trenas Objetivo: comprobar la eficacia y seguridad del hierro-sacarosa intravenoso en los pacientes ancianos [&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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