{"id":96542,"date":"2018-03-11T10:16:48","date_gmt":"2018-03-11T10:16:48","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/la-inercia-clinica-en-el-proceso-diagnostico-y-terapeutico-de-la-hipertension-arterial-cunatificacon-y-factores-explicativos\/"},"modified":"2018-03-11T10:16:48","modified_gmt":"2018-03-11T10:16:48","slug":"la-inercia-clinica-en-el-proceso-diagnostico-y-terapeutico-de-la-hipertension-arterial-cunatificacon-y-factores-explicativos","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/medicina-interna\/la-inercia-clinica-en-el-proceso-diagnostico-y-terapeutico-de-la-hipertension-arterial-cunatificacon-y-factores-explicativos\/","title":{"rendered":"La inercia clinica en el proceso diagnostico y terapeutico de la hipertension arterial: cunatificacon y factores explicativos."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Rafael Peset Perez <\/strong><\/h2>\n<p>Esta tesis doctoral plantea la cuantificaci\u00f3n de la inercia m\u00e9dica diagn\u00f3stica y terap\u00e9utica de la hipertensi\u00f3n arterial, as\u00ed como el estudio de los factores asociados que la explicar\u00edan, en una muestra de una poblaci\u00f3n que acude a un programa de actividades preventivas en la comunidad Valenciana. la tesis, por otra parte, establece un nuevo concepto de inercia m\u00e9dica. Al concepto de inercia m\u00e9dica terap\u00e9utica definida por fhillips (a\u00f1o 2001) como una actitud conservadora de los m\u00e9dicos, en d\u00f3nde a pesar de saber que no se consiguen un control optimo de la presi\u00f3n arterial estos no modifican el tratamiento, el estudio introduce un nuevo concepto, el de inercia m\u00e9dica diagn\u00f3stica, entendida esta como una actitud tolerante de los m\u00e9dicos que ante cifras alterada de presi\u00f3n arterial en los cribados, las registran en la hoja preventiva de la historia cl\u00ednica como presiones normales. el estudio cuantifica, por una parte, la inercia medica diagnostica (32,5 %) y la inercia m\u00e9dica terap\u00e9utica (35,3 %), y por otra, realiza un estudio bivariante de la inercia medica con respecto a las variables cualitativas (sexo, antecedente de tabaquismo, dislipemia, diabetes, cardiopat\u00eda isqu\u00e9mica y acv, tipo de hipertensi\u00f3n, grado de hipertensi\u00f3n y riesgo cardiovascular) y las variables cuantitativas (edad, imc, cifras de colesterol total, glucosa, presi\u00f3n arterial sist\u00f3lica y diast\u00f3lica) y un estudio multivariante de las variables. el resultado del estudio establece un modelo que explicar\u00eda la variabilidad de la inercia m\u00e9dica diagn\u00f3stica entorno a un 70% siendo los factores asociados a desarrollar mayor riesgo de inercia los antecedentes de cardiopat\u00eda isquemica, tabaco, diabetes mellitus, y cifras bajas de presi\u00f3n arterial sist\u00f3lica y diast\u00f3lica y imc m\u00e1s bajo. con respecto a la inercia m\u00e9dica terap\u00e9utica el estudio establece un modelo que explicar\u00eda su variabilidad en un 74%. En este caso los factores asociados a mayor riesgo de inercia serian el ser diab\u00e9tico, haber presentado cardiopat\u00eda isqu\u00e9mica o acv y tener cifras l\u00edmite de presi\u00f3n arterial sist\u00f3lica y diast\u00f3lica.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>La inercia clinica en el proceso diagnostico y terapeutico de la hipertension arterial: cunatificacon y factores explicativos.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 La inercia clinica en el proceso diagnostico y terapeutico de la hipertension arterial: cunatificacon y factores explicativos. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Rafael Peset Perez <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Universitat de val\u00e9ncia (estudi general)<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 14\/10\/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>Vicente Gil Guillen<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Jos\u00e9 Mar\u00eda Mart\u00edn moreno <\/li>\n<li>Andr\u00e9s Prat mar\u00edn (vocal)<\/li>\n<li>Luis Carlos Abecia inchaurregui (vocal)<\/li>\n<li>Antonio Cueto espinar (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Rafael Peset Perez Esta tesis doctoral plantea la cuantificaci\u00f3n de la inercia m\u00e9dica diagn\u00f3stica y terap\u00e9utica 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":[139,1686],"tags":[19804,1937,8053,41246,198206,19282],"class_list":["post-96542","post","type-post","status-publish","format-standard","hentry","category-medicina-interna","category-medicina-preventiva","tag-andres-prat-marin","tag-antonio-cueto-espinar","tag-jose-maria-martin-moreno","tag-luis-carlos-abecia-inchaurregui","tag-rafael-peset-perez","tag-vicente-gil-guillen"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/96542","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=96542"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/96542\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=96542"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=96542"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=96542"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}