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dc.contributor.advisorChona Vásquez, Jorge Enriquespa
dc.contributor.advisorMeléndez Flórez, Héctor Juliospa
dc.contributor.authorContreras Forero, Francisco Javierspa
dc.coverage.spatialBucaramanga (Santander, Colombia)spa
dc.date.accessioned2020-06-26T19:47:57Z
dc.date.available2020-06-26T19:47:57Z
dc.date.issued2017
dc.identifier.urihttp://hdl.handle.net/20.500.12749/1626
dc.description.abstractEl déficit cognitivo postoperatorio(DCPOP) definido como disminución de la función cognitiva después de la cirugía y la anestesia teniendo en cuenta el estado previo del paciente, depende de las características de la población y se ha relacionado con las técnicas anestésicas ya sea general balanceada o regional con sedación, basado en diversas teorías que evidencian alteración de neurotransmisores y desencadenamiento de cascadas de apoptosis; con mayor presentación en poblaciones de riesgo, como lo son la población adulta, de baja escolaridad y sometida a múltiples intervenciones, generando en nuestro medio aumento en los costos por atención tanto intra-hospitalaria como ambulatoria; por lo tanto es fundamental establecer que técnicas predisponen a un aumento de estas comorbilidades en nuestro medio y de esta manera anticiparse a las mismas, disminuyendo complicaciones y costos en la atención en salud de nuestras instituciones. Con el presente estudio se estableció la incidencia de déficit cognitivo POP en población mayor de 55 años, sometidos a cirugía bajo anestesia, en FOSCAL-FOSCAL internacional, mediante la aplicación del test Minimental State Examination (MMSE), realizando una primera medición previo a la cirugía programada, una segunda medición a los 7 días y una tercera a los 3 meses posterior al procedimiento quirúrgico. Se realizara un estudio observacional prospectivo de incidencia en una cohorte, los datos posteriormente serán analizados por el grupo de epidemiologia UNAB-FOSCAL. Mediante la realización de este proyecto y posterior publicación, se buscará suministrar herramientas al anestesiólogo para determinar qué situaciones aumentan la comorbilidad de los pacientes y así disminuir las complicaciones prevenibles, y mejorar la calidad de la atención en las instituciones de salud de Santander y Colombia.spa
dc.description.tableofcontents1. RESUMEN DEL PROYECO 7 2. DESCRIPCION DEL PROYECTO 8 2.1 Planteamiento del problema 2.2 Pregunta de investigación 2.3 Hipótesis investigativa 2.4 Justificación 2.5 Palabras clave 3. OBJETIVOS 11 3.1 Objetivo general 3.2 Objetivos específicos 4. MARCO TEÓRICO 12 4.1 Definición 4.2 Fisiopatología 4.2.1 Factores inmunológicos y hormonales 4.2.2 Factores de riesgo asociados 4.2.3 Relación entre déficit cognitivo y tipo de anestesia 4.3 Prevención de DCPOP y monitoria en anestesia 4.4 Diagnostico 5. METODOLOGIA 21 5.1 Tipo y diseño general del estudio 5.2 Lugar donde se realizó la investigación 5.3 Población objetivo 5.4 Selección y tamaño de la Muestra 5.5 Criterios de inclusión y excusión 6. RECOLECCIÓN DE LA INFORMACIÓN 22 6.1 Definición de variables 7. CONSIDERACIONES ÉTICAS 31 8. RECURSOS 34 9. PLAN DE DIVULGACION DE DATOS 35 10. RESULTADOS 36 11. DISCUSION 49 12. CONCLUSIONES 53 13. REFERENCIAS BIBLIOGRÁFICAS 54 14. ANEXOS 60spa
dc.format.mimetypeapplication/pdfspa
dc.language.isospaspa
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/2.5/co/*
dc.titleIncidencia de disfunción cognitiva postoperatoria en anestesia regional y general en una institución de cuarto nivel en Bucaramangaspa
dc.title.translatedIncidence of postoperative cognitive dysfunction in regional and general anesthesia in a fourth level institution in Bucaramangaeng
dc.degree.nameEspecialista en Anestesiologíaspa
dc.publisher.grantorUniversidad Autónoma de Bucaramanga UNABspa
dc.rights.localAbierto (Texto Completo)spa
dc.publisher.facultyFacultad Ciencias de la Saludspa
dc.publisher.programEspecialización en Anestesiologíaspa
dc.description.degreelevelEspecializaciónspa
dc.type.driverinfo:eu-repo/semantics/masterThesis
dc.type.localTesisspa
dc.type.coarhttp://purl.org/coar/resource_type/c_bdcc
dc.subject.keywordsCognitive dysfunctioneng
dc.subject.keywordsAnesthesiaeng
dc.subject.keywordsAnestheticseng
dc.subject.keywordsMedicineeng
dc.subject.keywordsAnesthesiologyeng
dc.subject.keywordsComplicationseng
dc.subject.keywordsSide effectseng
dc.subject.keywordsInvestigationseng
dc.subject.keywordsAnalysiseng
dc.subject.keywordsRisk populationseng
dc.subject.keywordsPostoperative cognitive deficiteng
dc.subject.keywordsCognitive disorderseng
dc.identifier.instnameinstname:Universidad Autónoma de Bucaramanga - UNABspa
dc.identifier.reponamereponame:Repositorio Institucional UNABspa
dc.type.hasversioninfo:eu-repo/semantics/acceptedVersion
dc.rights.accessrightsinfo:eu-repo/semantics/openAccessspa
dc.rights.accessrightshttp://purl.org/coar/access_right/c_abf2spa
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dc.contributor.cvlachttps://scienti.minciencias.gov.co/cvlac/visualizador/generarCurriculoCv.do?cod_rh=0000320609*
dc.contributor.cvlachttps://scienti.minciencias.gov.co/cvlac/visualizador/generarCurriculoCv.do?cod_rh=0001624852*
dc.contributor.orcidhttps://orcid.org/0000-0003-1791-8099*
dc.subject.lembDisfunción cognitivaspa
dc.subject.lembAnestesiaspa
dc.subject.lembAnestésicosspa
dc.subject.lembMedicinaspa
dc.subject.lembAnestesiologíaspa
dc.subject.lembComplicacionesspa
dc.subject.lembEfectos colateralesspa
dc.subject.lembInvestigacionesspa
dc.subject.lembAnálisisspa
dc.description.abstractenglishPostoperative cognitive deficit (DCPOP), defined as a decrease in cognitive function after surgery and anesthesia, taking into account the previous state of the patient, depends on the characteristics of the population and has been related to anesthetic techniques, whether balanced or general. regional with sedation, based on various theories that show alteration of neurotransmitters and triggering of apoptosis cascades; with greater presentation in risk populations, such as the adult population, with low education and subjected to multiple interventions, generating in our environment an increase in costs for both intra-hospital and outpatient care; therefore, it is essential to establish which techniques predispose to an increase in these comorbidities in our environment and thus anticipate them, reducing complications and costs in health care in our institutions. With the present study, the incidence of POP cognitive deficit in a population over 55 years of age who underwent surgery under anesthesia was established in FOSCAL-FOSCAL international, by applying the Minimental State Examination (MMSE) test, making a first measurement prior to the scheduled surgery, a second measurement at 7 days and a third at 3 months after the surgical procedure. A prospective observational study of incidence will be carried out in a cohort, the data will later be analyzed by the epidemiology group UNAB-FOSCAL. By carrying out this project and subsequent publication, it will seek to provide tools to the anesthesiologist to determine which situations increase the comorbidity of patients and thus reduce preventable complications, and improve the quality of care in the health institutions of Santander and Colombia.eng
dc.subject.proposalPoblaciones de riesgo
dc.subject.proposalDéficit cognitivo postoperatorio
dc.subject.proposalTrastornos cognitivos
dc.type.redcolhttp://purl.org/redcol/resource_type/TM
dc.rights.creativecommonsAtribución-NoComercial-SinDerivadas 2.5 Colombia*
dc.coverage.campusUNAB Campus Bucaramangaspa
dc.description.learningmodalityModalidad Presencialspa


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