Evaluación del pronóstico y complicaciones del tratamiento, según el tamaño de los aneurismas intracraneales de los pacientes que debutan con hemorragia subaracnoidea en la Clínica Foscal en el periodo de enero de 2014 a marzo de 2019

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dc.contributor.advisorMantilla García, Daniel Eduardo
dc.contributor.advisorOchoa Vera, Miguel Enrique
dc.contributor.authorSotomayor Rubio, Arístides Jesús
dc.contributor.cvlacMantilla García, Daniel Eduardo [0001437130]spa
dc.contributor.cvlacOchoa Vera, Miguel Enrique [0000898465]spa
dc.contributor.googlescholarMantilla García, Daniel Eduardo [PUqdPK8AAAAJ&hl=es&oi=ao]spa
dc.contributor.orcidMantilla García, Daniel Eduardo [0000-0002-5727-3195]spa
dc.contributor.orcidOchoa Vera, Miguel Enrique [0000-0002-4552-3388]spa
dc.contributor.researchgateOchoa Vera, Miguel Enrique [Miguel-Enrique-Ochoa-2186675588]spa
dc.coverage.campusUNAB Campus Bucaramangaspa
dc.coverage.spatialBucaramanga (Santander, Colombia)spa
dc.coverage.temporal2014-2019spa
dc.date.accessioned2021-08-23T18:27:56Z
dc.date.available2021-08-23T18:27:56Z
dc.date.issued2021
dc.degree.nameEspecialista en Radiología Intervencionistaspa
dc.description.abstractLa hemorragia subaracnoidea (HSA) es causada principalmente por la ruptura de aneurismas intracraneales. Se han descrito importantes factores de riesgo como la edad, el sexo, el tabaquismo, la hipertensión (HTA), el tamaño de los aneurismas y la estación del año, entre otros. La mortalidad es de hasta el 50%, hasta un 30% permanecen con secuelas graves y sólo un 30% pueden desarrollar sus actividades de forma independiente. La HSA requiere tratamiento inmediato para evitar nuevos eventos de sangrado. Actualmente no hay estudios de HSA en nuestra región evaluando la relación del tamaño de los aneurismas con los riesgos del tratamiento . Este estudio de cohorte retrospectivo se basa en el análisis de datos secundarios anonimizados, y el objetivo es evaluar la asociación entre el pronóstico y las complicaciones del tratamiento, con el tamaño de los aneurismas intracraneales de los pacientes atendidos con hemorragia subaracnoidea en la clínica FOSCAL en el periodo de enero de 2014 a marzo de 2019. Se realizará una descripción de las variables y análisis bivariado.spa
dc.description.abstractenglishSubarachnoid hemorrhage (SAH) is mainly caused by ruptured intracranial aneurysms. Important risk factors such as age, sex, smoking, hypertension (HT), the size of the aneurysms and the season of the year, among others, have been described. Mortality is up to 50%, up to 30% remain with serious sequelae and only 30% can carry out their activities independently. SAH requires immediate treatment to prevent further bleeding events. Currently, there are no SAH studies in our region evaluating the relationship of the size of the aneurysms with the risks of treatment. This retrospective cohort study is based on the analysis of anonymized secondary data, and the objective is to evaluate the association between prognosis and treatment complications, with the size of intracranial aneurysms in patients treated with subarachnoid hemorrhage at the FOSCAL clinic in the period from January 2014 to March 2019. A description of the variables and bivariate analysis will be made.spa
dc.description.degreelevelEspecializaciónspa
dc.description.learningmodalityModalidad Presencialspa
dc.description.tableofcontents1 RESUMEN 6 2 INTRODUCCIÓN 7 3 PLANTEAMIENTO DEL PROBLEMA Y JUSTIFICACIÓN 9 4 MARCO TEÓRICO 16 5 ESTADO DEL ARTE 30 6 OBJETIVOS 36 6.1 OBJETIVO GENERAL 36 6.2 OBJETIVOS ESPECÍFICOS : 36 7 METODOLOGÍA PROPUESTA 38 7.1 TIPO DE ESTUDIO 38 7.2 POBLACIÓN DE ESTUDIO 38 7.3 CRITERIOS DE INCLUSIÓN Y EXCLUSIÓN 38 8 PLAN DE ANÁLISIS 40 9 RESULTADOS/PRODUCTOS ESPERADOS Y POTENCIALES BENEFICIARIOS: 41 10 ASPECTOS ÉTICOS 42 11 RESULTADOS 43 11.1 DATOS INICIALES 43 11.2 CARACTERIZACIÓN GENERAL DE LA POBLACIÓN ESTUDIADA 43 11.3 SÍNTOMAS RELACIONADOS AL INGRESO DE LA POBLACIÓN ESTUDIADA 44 11.4 CARACTERÍSTICAS DE LOS PACIENTES CON HSA A SU INGRESO 44 11.5 TIPO DE TRATAMIENTO REQUERIDO 46 11.6 COMPLICACIONES ASOCIADAS 47 11.7 ANÁLISIS BIVARIADO 48 12 DISCUSIÓN 57 13 CONCLUSIONES 62 14 LIMITACIONES Y FORTALEZAS 63 15 BIBLIOGRAFÍA 64 16 ANEXOS 71 16.1 ANEXO 1 : VARIABLES 71spa
dc.format.mimetypeapplication/pdfspa
dc.identifier.instnameinstname:Universidad Autónoma de Bucaramanga - UNABspa
dc.identifier.reponamereponame:Repositorio Institucional UNABspa
dc.identifier.repourlrepourl:https://repository.unab.edu.cospa
dc.identifier.urihttp://hdl.handle.net/20.500.12749/13958
dc.language.isospaspa
dc.publisher.facultyFacultad Ciencias de la Saludspa
dc.publisher.grantorUniversidad Autónoma de Bucaramanga UNABspa
dc.publisher.programEspecialización en Radiología Intervencionistaspa
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dc.rights.accessrightsinfo:eu-repo/semantics/openAccessspa
dc.rights.accessrightshttp://purl.org/coar/access_right/c_abf2
dc.rights.creativecommonsAtribución-NoComercial-SinDerivadas 2.5 Colombiaspa
dc.rights.localAbierto (Texto Completo)spa
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/2.5/co/*
dc.subject.keywordsMedical sciencesspa
dc.subject.keywordsHealth sciencesspa
dc.subject.keywordsSubarachnoid hemorrhagespa
dc.subject.keywordsHead traumaspa
dc.subject.keywordsIntracranial hemorrhagespa
dc.subject.keywordsAneurysmsspa
dc.subject.keywordsCerebrovascular disordersspa
dc.subject.lembCiencias médicasspa
dc.subject.lembHemorragia intracranealspa
dc.subject.lembAneurismasspa
dc.subject.lembTrastornos cerebrovascularesspa
dc.subject.proposalCiencias de la saludspa
dc.subject.proposalHemorragia subaracnoideaspa
dc.subject.proposalTraumatismo craneoencefálicospa
dc.titleEvaluación del pronóstico y complicaciones del tratamiento, según el tamaño de los aneurismas intracraneales de los pacientes que debutan con hemorragia subaracnoidea en la Clínica Foscal en el periodo de enero de 2014 a marzo de 2019spa
dc.title.translatedEvaluation of the prognosis and complications of the treatment, according to the size of the intracranial aneurysms of the patients presenting with subarachnoid hemorrhage at the Foscal Clinic in the period from January 2014 to March 2019spa
dc.typeThesiseng
dc.type.coarhttp://purl.org/coar/resource_type/c_bdcc
dc.type.driverinfo:eu-repo/semantics/masterThesisspa
dc.type.hasversioninfo:eu-repo/semantics/acceptedVersionspa
dc.type.localTesisspa
dc.type.redcolhttp://purl.org/redcol/resource_type/TMspa

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