{"id":7185,"date":"2013-07-23T18:22:21","date_gmt":"2013-07-23T23:22:21","guid":{"rendered":"http:\/\/medicinainterna.com.mx\/?p=7185"},"modified":"2013-07-23T18:22:21","modified_gmt":"2013-07-23T23:22:21","slug":"valoracion-del-riesgo-quirurgico-de-roques","status":"publish","type":"post","link":"https:\/\/medicinainterna.com.mx\/?p=7185","title":{"rendered":"Valoraci\u00f3n del riesgo quir\u00fargico de Roques."},"content":{"rendered":"

<\/h3>\n\n\n\n\n\n\n\n\n\n\n\n\n
Factor de riesgo<\/i><\/b><\/td>\n\n

\u00cdndice de riesgo<\/i><\/b><\/p>\n<\/td>\n<\/tr>\n

Edad en a\u00f1os
\n70-74
\n75-79
\n>79<\/td>\n		\n

\n3
\n4
\n5<\/p>\n<\/td>\n<\/tr>\n

Insuficiencia renal cr\u00f3nica
\nCreatinina >2 mg\/ml
\nDi\u00e1lisis<\/td>\n		\n

\n5
\n6<\/p>\n<\/td>\n<\/tr>\n

Fracci\u00f3n de eyecci\u00f3n VI
\n30-50%
\n<30%<\/td>\n		\n

\n2
\n5<\/p>\n<\/td>\n<\/tr>\n

Uso exclusivo de vena safena en cirug\u00eda coronaria<\/td>\n\n

2<\/p>\n<\/td>\n<\/tr>\n

Reintervenci\u00f3n<\/td>\n\n

2<\/p>\n<\/td>\n<\/tr>\n

Cirug\u00eda tric\u00faspide<\/td>\n\n

4<\/p>\n<\/td>\n<\/tr>\n

Cirug\u00eda valvular + coronaria<\/td>\n\n

2<\/p>\n<\/td>\n<\/tr>\n

Situaciones cr\u00edticas
\nIAM <48 h
\nTV o FV
\nIntubaci\u00f3n preoperatoria
\nTrasplante
\nCIV postinfarto
\nDisecci\u00f3n a\u00f3rtica aguda
\nEmbolectom\u00eda pulmonar<\/td>\n		\n

\n4
\n4
\n10
\n9
\n8
\n13
\n15<\/p>\n<\/td>\n<\/tr>\n

VI: ventr\u00edculo izquierdo; IAM: infarto agudo de miocardio; TV: taquicardia ventricular; FV: fibrilaci\u00f3n ventricular; CIV: comunicaci\u00f3n interventricular.<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

\u00a0<\/b><\/p>\n

Correlaci\u00f3n puntuaci\u00f3n-mortalidad<\/b><\/p>\n

\n\n\n\n\n\n\n\n
\n

Puntuaci\u00f3n<\/b><\/p>\n<\/td>\n

\n

Grupo<\/b><\/p>\n<\/td>\n

\n

Mortalidad (%)<\/b><\/p>\n<\/td>\n<\/tr>\n

\n

<2<\/p>\n<\/td>\n

\n

A<\/p>\n<\/td>\n

\n

2<\/p>\n<\/td>\n<\/tr>\n

\n

2-3<\/p>\n<\/td>\n

\n

B<\/p>\n<\/td>\n

\n

3,9<\/p>\n<\/td>\n<\/tr>\n

\n

4-6<\/p>\n<\/td>\n

\n

C<\/p>\n<\/td>\n

\n

6,1<\/p>\n<\/td>\n<\/tr>\n

\n

>6<\/p>\n<\/td>\n

\n

D<\/p>\n<\/td>\n

\n

21,2<\/p>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/div>\n

Fuente: Roques F, Gabrielle F, Michel P, De Vincentis C, David M, Baudet E. Quality of care in adult heart surgery: proposal for a self-assessment approach based on a French multicenter study. Eur J Cardio-thorac surg 1995; 9: 433-440.<\/p>\n","protected":false},"excerpt":{"rendered":"

Factor de riesgo \u00cdndice de riesgo Edad en a\u00f1os 70-74 75-79 >79 3 4 5 Insuficiencia renal cr\u00f3nica Creatinina >2 mg\/ml Di\u00e1lisis 5 6 Fracci\u00f3n de eyecci\u00f3n VI 30-50% <30% 2 5 Uso exclusivo de vena safena en cirug\u00eda coronaria 2 Reintervenci\u00f3n 2 Cirug\u00eda tric\u00faspide 4 Cirug\u00eda valvular + coronaria 2 Situaciones cr\u00edticas IAM <48 … Continue reading “Valoraci\u00f3n del riesgo quir\u00fargico de Roques.”<\/span><\/a><\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[2],"tags":[],"class_list":["post-7185","post","type-post","status-publish","format-standard","hentry","category-cardiologia"],"jetpack_sharing_enabled":true,"jetpack_featured_media_url":"","_links":{"self":[{"href":"https:\/\/medicinainterna.com.mx\/index.php?rest_route=\/wp\/v2\/posts\/7185","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medicinainterna.com.mx\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medicinainterna.com.mx\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/medicinainterna.com.mx\/index.php?rest_route=\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/medicinainterna.com.mx\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=7185"}],"version-history":[{"count":0,"href":"https:\/\/medicinainterna.com.mx\/index.php?rest_route=\/wp\/v2\/posts\/7185\/revisions"}],"wp:attachment":[{"href":"https:\/\/medicinainterna.com.mx\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=7185"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medicinainterna.com.mx\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=7185"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medicinainterna.com.mx\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=7185"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}