{"id":96746,"date":"2018-03-11T10:17:03","date_gmt":"2018-03-11T10:17:03","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/aportaciones-a-la-comprension-cla%c2%adnica-del-delirium\/"},"modified":"2018-03-11T10:17:03","modified_gmt":"2018-03-11T10:17:03","slug":"aportaciones-a-la-comprension-cla%c2%adnica-del-delirium","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/aportaciones-a-la-comprension-cla%c2%adnica-del-delirium\/","title":{"rendered":"Aportaciones a la comprensi\u00f3n cl\u00ednica del delirium"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Gabriel Franco  Vasquez <\/strong><\/h2>\n<p>Objetivo: avanzar en la comprensi\u00f3n cl\u00ednica del delirium. m\u00e9todos: primera fase.  Validaci\u00f3n de la adaptaci\u00f3n colombiana de la escala revisada-98 para valoraci\u00f3n del delirium (drs-r-98) espa\u00f1ola, en adultos ingresados por causas m\u00e9dicas o quir\u00fargicas en una cl\u00ednica universitaria (medell\u00edn, colombia).  Segunda fase.  An\u00e1lisis factorial de la drs-r-98.  Tercera fase.  Estudio de casos y controles anidado, en pacientes hospitalizados mayores de 60 a\u00f1os, durante el periodo de un a\u00f1o, excluyendo aquellos con delirium en el momento del ingreso.  Los pacientes de la tercera fase fueron evaluados inicialmente con la versi\u00f3n colombiana del mini-mental (mmse) para valorar su estado cognitivo global basal y el m\u00e9todo para la evaluaci\u00f3n del estado confusional-espa\u00f1ol (cam-s) se aplic\u00f3 diariamente durante el seguimiento.  Cuando alg\u00fan paciente fue positivo para delirium seg\u00fan el cam-s, se le administr\u00f3 la drs-r-98 para confirmar el diagn\u00f3stico y cuantificar su severidad (casos), los dem\u00e1s, fueron considerados controles.   resultados: primera fase.  El cci fue de 0,95.  El \u00e1rea bajo la cor para la puntuaci\u00f3n total de la escala fue del 94,8%.  La drs-r-98 fue sensible al cambio cl\u00ednico (t 4,071, p 0,007).  Segunda fase.  El primer factor rotado fue responsable del 35,3% de la varianza, el segundo, del 28,1%.  Tercera fase.  A medida que empeoraba la puntuaci\u00f3n del mmse el riesgo de delirium se incrementaba (or 1,164).  El 12% de la varianza de la puntuaci\u00f3n en la drs-r-98 se explicaba por la puntuaci\u00f3n en el mmse.   conclusiones: la adaptaci\u00f3n colombiana de la drs-r-98 espa\u00f1ola es v\u00e1lida, fiable y \u00fatil para valorar la severidad del delirium.  Dos factores podr\u00edan explicar la varianza en el delirium valorado con la drs-r-98.  El deterioro cognitivo en mayores de 60 a\u00f1os es un factor de riesgo que se comporta de forma lineal en relaci\u00f3n al delirium y la severidad del delirium se relaciona de forma lineal con el estado cognitivo.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Aportaciones a la comprensi\u00f3n cl\u00ednica del delirium<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Aportaciones a la comprensi\u00f3n cl\u00ednica del delirium <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Gabriel Franco  Vasquez <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Barcelona<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 23\/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>Joan De Pablo Rabass\u00f3<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: manuel Valdes miyar <\/li>\n<li>antoni Labad alquezar (vocal)<\/li>\n<li>  (vocal)<\/li>\n<li>  (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Gabriel Franco Vasquez Objetivo: avanzar en la comprensi\u00f3n cl\u00ednica del delirium. m\u00e9todos: primera fase. Validaci\u00f3n de la [&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":[951,9,1408],"tags":[85822,198519,34199,13671],"class_list":["post-96746","post","type-post","status-publish","format-standard","hentry","category-barcelona","category-ciencias-medicas","category-psiquiatria","tag-antoni-labad-alquezar","tag-gabriel-franco-vasquez","tag-joan-de-pablo-rabasso","tag-manuel-valdes-miyar"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/96746","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=96746"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/96746\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=96746"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=96746"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=96746"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}