{"id":95960,"date":"2018-03-11T10:16:04","date_gmt":"2018-03-11T10:16:04","guid":{"rendered":""},"modified":"2018-03-11T10:16:04","modified_gmt":"2018-03-11T10:16:04","slug":"validacion-de-una-estrategia-diagnostica-basada-en-aplicacion-de-criterios-cla%c2%adnicos-niveles-de-da%c2%admero-d-y-angio-tomografa%c2%ada-computarizada-toracica-para-descartar-embolia-pulmonar-en-u","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/enfermedades-infecciosas\/validacion-de-una-estrategia-diagnostica-basada-en-aplicacion-de-criterios-cla%c2%adnicos-niveles-de-da%c2%admero-d-y-angio-tomografa%c2%ada-computarizada-toracica-para-descartar-embolia-pulmonar-en-u\/","title":{"rendered":"Validaci\u00f3n de una estrategia diagn\u00f3stica basada en aplicaci\u00f3n de criterios cl\u00ednicos niveles de d\u00edmero-d y angio tomograf\u00edacomputarizada tor\u00e1cica para descartar embolia pulmonar en un servicio de urgencias"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Javier Galipienzo Garcia <\/strong><\/h2>\n<p>1.\tNuestros resultados han permitido validar una estrategia diagn\u00f3stica basada en la combinaci\u00f3n de la estimaci\u00f3n del riegos cl\u00ednico de enfermedad tromboemb\u00f3lica venosar, niveles plasm\u00e1ticos de d\u00edmero d angio tc tor\u00e1cica en pacientes que acuden a urgencias con sospecha de embolia pulmonar en nuestro medio. 2.\tLa aplicaci\u00f3n del modelo diagn\u00f3stico basado en la escala de wells junto con d\u00edmero d negativo permite excluir de forma segura el diagn\u00f3stico de embolia pulmonar cl\u00ednicamente significativa en pacientes atendidos en nuestro medio. 3.\tLa aplicaci\u00f3n de dicha estrategia permitir\u00eda evitar la realizaci\u00f3n de una agio tc tor\u00e1cica en una cuarta parte de los pacientes atendidos en urgencias en los que se sospecha embolia pulmonar respecto a la estrategia actual de nuestro centro basada en impresi\u00f3n cl\u00ednica y angio tc tor\u00e1cica. 4.\tEl beneficio de esta estrategia diagn\u00f3stica en t\u00e9rminos de poder evitar la realizaci\u00f3n de angio tc tor\u00e1cica es, seg\u00fan nuestros resultados, menor en pacientes ancianos y con neoplasias. 5.\tLa aplicaci\u00f3n de esta estrategia diagn\u00f3stica en nuestro medio presenta una buena relaci\u00f3n coste-eficacia. 6.\tEl empleo del d\u00edmero d sin estimar previamente la probabilidad cl\u00ednica de ep, puede inducir a errores diagn\u00f3sticos en pacientes con probabilidad cl\u00ednica alta de ep. 7.\tUna angio tc tor\u00e1cica negativa presenta un alto valor predictiva negativo en pacientes atendidos en urgencias en los que sospecha embolia pulmonar, seg\u00fan nuestro estudio. 8.\tLa angio tc realizada en pacientes con sospecha de ep permite identificar diagn\u00f3sticos alternativos en un tercio de los pacientes en los que no se confirma ep, siendo infecciones respiratorias y neoplasias con diagn\u00f3siticos m\u00e1s frecuentes en dichos pacientes.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Validaci\u00f3n de una estrategia diagn\u00f3stica basada en aplicaci\u00f3n de criterios cl\u00ednicos niveles de d\u00edmero-d y angio tomograf\u00edacomputarizada tor\u00e1cica para descartar embolia pulmonar en un servicio de urgencias<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Validaci\u00f3n de una estrategia diagn\u00f3stica basada en aplicaci\u00f3n de criterios cl\u00ednicos niveles de d\u00edmero-d y angio tomograf\u00edacomputarizada tor\u00e1cica para descartar embolia pulmonar en un servicio de urgencias <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Javier Galipienzo Garcia <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Alcal\u00e1<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 17\/09\/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>Jaime Garc\u00eda De Tena<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: melchor Alvarez de mon soto <\/li>\n<li>ignacio Arribas g\u00f3mez (vocal)<\/li>\n<li>isabel Salmer\u00f3n b\u00e9liz (vocal)<\/li>\n<li>julio Gonz\u00e1lez moraleja (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Javier Galipienzo Garcia 1. Nuestros resultados han permitido validar una estrategia diagn\u00f3stica basada en la combinaci\u00f3n de [&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":[17426,1085,1880],"tags":[22956,189964,61584,197201,102173,14431],"class_list":["post-95960","post","type-post","status-publish","format-standard","hentry","category-alcala","category-enfermedades-infecciosas","category-neurologia","tag-ignacio-arribas-gomez","tag-isabel-salmeron-beliz","tag-jaime-garcia-de-tena","tag-javier-galipienzo-garcia","tag-julio-gonzalez-moraleja","tag-melchor-alvarez-de-mon-soto"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/95960","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=95960"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/95960\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=95960"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=95960"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=95960"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}