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     Item: 
      Title: EJEMPLAR_TESIS_0 5.pdf
      Children: 
       Item: 
        Title: _GoBack
       Item: 
        Title: Tabla 1. Factores de riesgo asociados al desarrollo de disfagia adquirida en UCI. 
       Item: 
        Title: Tabla 2. Ventajas e inconvenientes de los métodos instrumentales para diagnóstico de disfagia.
       Item: 
        Title: Tabla 3. Resumen de resultados del estudio observacional realizado en 2015
       Item: 
        Title: Tabla 4. Escala Medical Research Council modificada.
       Item: 
        Title: Tabla 5. Resumen del cuaderno de recogida de datos. 
       Item: 
        Title: Tabla 6. Representación gráfica de los resultados de validación.
       Item: 
        Title: Tabla 7. Análisis bivariante de ambos grupos. 
       Item: 
        Title: Tabla 8. Incidencia de disfagia en la muestra global.
       Item: 
        Title: Tabla 9. Incidencia de disfagia en ambas poblaciones.
       Item: 
        Title: Tabla 10. Análisis bivariante para la variable disfagia en paciente crítico extubado.
       Item: 
        Title: Tabla 11. Análisis bivariante para la variable disfagia en paciente crítico portador de cánula de traqueostomía. 
       Item: 
        Title: Tabla 12. Análisis bivariante para la recuperación de la disfagia. 
       Item: 
        Title: Tabla 13. Validación del MECVVm en el paciente crítico extubado.
       Item: 
        Title: Tabla 14. Índice de concordancia Kappa del MECVVm en el paciente crítico extubado.
       Item: 
        Title: Tabla 15. Validación del MECVVm en el paciente crítico portador de cánula de traqueostomía.
       Item: 
        Title: Tabla 16. Índice de concordancia Kappa del MECVVm en el paciente crítico portador de cánula de traqueostomía.
       Item: 
        Title: Tabla 17. Comparativa de eficiencias.
       Item: 
        Title: Figura 1. Fases de la deglución. 
       Item: 
        Title: Figura 2. Figuras del primer artículo de disfagia accesible en PubMed. 
       Item: 
        Title: Figura 3. Alteraciones que produce la presencia de la cánula de traqueostomía en la deglución.
       Item: 
        Title: Figura 4. Cánula de traqueostomía no fenestrada con neumotaponamiento. 
       Item: 
        Title: Figura 5. Cánula de traqueostomía fenestrada con neumotaponamiento. 
       Item: 
        Title: Figura 6. Cánula de traqueostomía fenestrada sin neumotaponamiento.
       Item: 
        Title: Figura 7. Fisiopatología del desarrollo de disfagia adquirida en UCI.
       Item: 
        Title: Figura 8. Componentes de la Debilidad Adquirida en UCI (DAUCI). 
       Item: 
        Title: Figura 9. Diagnóstico de disfagia tras el ingreso en UCI.
       Item: 
        Title: Figura 10. Método de Exploración Clínica Volumen Viscosidad. 
       Item: 
        Title: Figura 11. Parámetros de seguridad y de eficacia valorados en el MECVV.
       Item: 
        Title: Figura 12. Figura de FEES (cedida por el Servicio de Otorrinolaringología del Hospital Germans Trias i Pujol). 
       Item: 
        Title: Figura 13. Figura de VFSS. 
       Item: 
        Title: Figura 14. Metodología de evaluación de la adecuación de las viscosidades IDDSI. 
       Item: 
        Title: Figura 15. Volumen residual que queda en la jeringa en función del nivel IDDSI. 
       Item: 
        Title: Figura 16. Método de Exploración Clínica Volumen Viscosidad modificado para el despistaje de disfagia en el paciente crítico.
       Item: 
        Title: Figura 17. Momento de realización de las exploraciones en el paciente crítico extubado. 
       Item: 
        Title: Figura 18. Momento de realización de las exploraciones en el paciente crítico portador de cánula de traqueostomía. 
       Item: 
        Title: Figura 19. Protocolo del estudio con tiempos entre exploraciones. 
       Item: 
        Title: Figura 20. Diagrama de flujo. 
       Item: 
        Title: Figura 21. Curva ROC de validación del MECVVm en el paciente crítico extubado. 
       Item: 
        Title: Figura 22. Curva ROC de validación del MECVVm en el paciente crítico portador de cánula de traqueostomía. 
       Item: 
        Title: Figura 23. Comparativa de curvas ROC para la validación del MECVVm.
       Item: 
        Title: RESUMEN / SUMMARY
       Item: 
        Title: RESUMEN
       Item: 
        Title: SUMMARY
       Item: 
        Title: 1. INTRODUCCIÓN
       Item: 
        Title: 1.3. SITUACIÓN ACTUAL
        Children: 
         Item: 
          Title: 1.3.1.	Incidencia de disfagia tras el ingreso en UCI
         Item: 
          Title: 1.3.2.	Factores de riesgo para el desarrollo de disfagia tras el ingreso en UCI
          Children: 
           Item: 
            Title: 1.3.2.1.	Tipos de cánulas de traqueostomía
         Item: 
          Title: 1.3.3.	Fisiopatología del desarrollo de disfagia tras el ingreso en UCI
         Item: 
          Title: 1.3.4.	Diagnóstico de disfagia tras el ingreso en UCI
          Children: 
           Item: 
            Title: 1.3.4.1.	Cribaje 
           Item: 
            Title: 1.3.4.2.	Diagnóstico instrumental 
           Item: 
            Title: 1.3.4.3.	Unificación de viscosidades
         Item: 
          Title: 1.3.5.	Morbilidad y mortalidad de los pacientes con disfagia tras el ingreso en UCI
         Item: 
          Title: 1.3.6.	Recuperación de los pacientes con diagnóstico de disfagia tras el ingreso en UCI
       Item: 
        Title: 1.2. BREVE HISTORIA DE LA DISFAGIA
       Item: 
        Title: 1.1. CONCEPTOS BÁSICOS
        Children: 
         Item: 
          Title: 1.1.1. Fisiología de la deglución
         Item: 
          Title: 1.1.2.	Terminología 
       Item: 
        Title: 2. JUSTIFICACIÓN Y PLANTEAMIENTO
       Item: 
        Title: 3. HIPÓTESIS
       Item: 
        Title: 4. OBJETIVOS
       Item: 
        Title: 4.2. OBJETIVOS SECUNDARIOS
       Item: 
        Title: 4.1. Objetivo principal
       Item: 
        Title: 5. METODOLOGÍA
       Item: 
        Title: 5.13. Consideraciones éticas y legales
       Item: 
        Title: 5.12. Análisis estadístico
        Children: 
         Item: 
          Title: 5.12.1.	Validación estadística del Método de Exploración Clínica Volumen Viscosidad modificado
       Item: 
        Title: 5.11. Variables del estudio
        Children: 
         Item: 
          Title: 5.11.1.	Variables demográficas
         Item: 
          Title: 5.11.2.	Variables del ingreso
         Item: 
          Title: 5.11.3.	Variables evolutivas 
         Item: 
          Title: 5.11.4.	Variables durante la realización de las exploraciones 
         Item: 
          Title: 5.11.5.	Variables al alta hospitalaria
         Item: 
          Title: 5.11.6.	Variables de seguimiento
       Item: 
        Title: 5.10. Tamaño muestral
       Item: 
        Title: 5.9. Seguimiento de los pacientes
       Item: 
        Title: 5.8. Valoración de la Debilidad Adquirida en UCI
       Item: 
        Title: 5.7. Valoración de la presencia de disfagia previa al ingreso
       Item: 
        Title: 5.6. Protocolo y metodología de validación 
       Item: 
        Title: 5.5. Descripción del Método de Exploración Clínica Volumen Viscosidad modificado
        Children: 
         Item: 
          Title: 5.5.1.	Modificación del Método de Exploración Clínica Volumen Viscosidad
         Item: 
          Title: 5.5.2.	Momento de realización del Método de Exploración Clínica Volumen Viscosidad modificado
       Item: 
        Title: 5.4. Criterios de exclusión
       Item: 
        Title: 5.3. Criterios de inclusión
        Children: 
         Item: 
          Title: 5.3.1.	Grupo A: Paciente crítico extubado
         Item: 
          Title: 5.3.2.	Grupo B: Paciente crítico portador de cánula de traqueostomía 
       Item: 
        Title: 5.2. Población de estudio
       Item: 
        Title: 5.1. Diseño del estudio
       Item: 
        Title: 6. RESULTADOS
       Item: 
        Title: 6.7. Validación del Método de Exploración Clínica Volumen Viscosidad modificado 
        Children: 
         Item: 
          Title: 6.7.1.	Grupo A: Paciente crítico extubado
          Children: 
           Item: 
            Title: 6.7.1.1.	Curva ROC
           Item: 
            Title: 6.7.1.2.	Concordancia según índice de Kappa
         Item: 
          Title: 6.7.2.	Grupo B: Paciente crítico portador de cánula de traqueostomía
          Children: 
           Item: 
            Title: 6.7.2.1.	Curva ROC
           Item: 
            Title: 6.7.2.2.	Concordancia según índice de Kappa
         Item: 
          Title: 6.7.3.	Comparativa de las curvas ROC
         Item: 
          Title: 6.7.4.	Comparativa de las eficiencias
         Item: 
          Title: 6.7.5.	Potencia real del estudio
          Children: 
           Item: 
            Title: 6.7.5.1.	Potencia real del Grupo A: Paciente crítico extubado
           Item: 
            Title: 6.7.5.2.	Potencia real del Grupo B: Paciente crítico portador de cánula de traqueostomía
       Item: 
        Title: 6.6. Análisis bivariante para la recuperación de la disfagia
       Item: 
        Title: 6.5. Análisis bivariante para la variable disfagia
        Children: 
         Item: 
          Title: 6.5.1.	Grupo A: Paciente crítico extubado
         Item: 
          Title: 6.5.2.	Grupo B: Paciente crítico portador de cánula de traqueostomía
       Item: 
        Title: 6.4. Incidencia de disfagia 
       Item: 
        Title: 6.3. Análisis bivariante de pacientes críticos extubados versus pacientes críticos portadores de cánula de traqueostomía 
       Item: 
        Title: 6.2. Análisis descriptivo de los grupos 
        Children: 
         Item: 
          Title: 6.2.1.	Grupo A: Paciente crítico extubado
         Item: 
          Title: 6.2.2.	Grupo B: Paciente crítico portador de cánula de traqueostomía
       Item: 
        Title: 6.1. Análisis descriptivo de la población 
       Item: 
        Title: 7. DISCUSIÓN
       Item: 
        Title: 7.8. APLICABILIDAD
       Item: 
        Title: 7.7. Limitaciones
       Item: 
        Title: 7.6. Fortalezas 
       Item: 
        Title: 7.5. Recuperación de la disfagia
       Item: 
        Title: 7.4. Pronóstico del paciente con disfagia
       Item: 
        Title: 7.3. Factores de riesgo para disfagia 
       Item: 
        Title: 7.2. Diferencias entre las poblaciones estudiadas
       Item: 
        Title: 7.1. Validación del MECVVm 
       Item: 
        Title: 8. CONCLUSIONES
       Item: 
        Title: 9. LÍNEAS DE FUTURO
       Item: 
        Title: 10. BIBLIOGRAFÍA
       Item: 
        Title: 11. ANEXOS
       Item: 
        Title: 11.8. Comparación entre MECVV y MECVVm
       Item: 
        Title: 11.7. Síndrome de Distrés Respiratorio AGUDO (SDRA). Definición de Berlín
       Item: 
        Title: 11.6. Índice de comorbilidad de Charlson
       Item: 
        Title: 11.5. Nutrition Risk in Critically ill (NUTRIC) Score
       Item: 
        Title: 11.4. Acute Physiology And Chronic Health Evaluation (APACHE) II
       Item: 
        Title: 11.3. Sequential Organ Failure Assessment (SOFA) 
       Item: 
        Title: 11.2. Publicación del artículo 
       Item: 
        Title: 11.1. Aprobación CEI Hospital Universitario Germans Trias i Pujol
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   Type: CRC32
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   Type: MD5
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