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Acceso Abierto
Relación entre el conteo plaquetario y linfocitario y la sobrevida en pacientes menores de 18 años con trasplante alogénico de células madre hematopoyéticas
dc.contributor.advisor | Aponte Barrios, Nelson Hernando | |
dc.creator | Chavarriaga Ruíz, Nataly | |
dc.creator | Estupiñan Calvache, Marcela | |
dc.creator | Vallejo Rosero, Cristian | |
dc.creator | Castañeda Figueroa, Ana Maria | |
dc.creator.degree | Especialista en Epidemiología (en Convenio con el CES) | spa |
dc.creator.degreetype | Full time | spa |
dc.date.accessioned | 2020-06-16T18:45:33Z | |
dc.date.available | 2020-06-16T18:45:33Z | |
dc.date.created | 2020-06-12 | |
dc.description | Introducción: El trasplante de células madre hematopoyéticas (SCHT) se utiliza para reestablecer la función hematopoyética en pacientes con alteración o daño en la médula ósea; en pediatría se realiza el 20% del total de estos procedimientos. La reconstitución inmunológica y el recuento plaquetario posterior al trasplante se relaciona con mejor o peor pronóstico, recaída de la enfermedad y la sobrevida. Objetivos: Evaluar la asociación entre el conteo plaquetario y linfocitario, la supervivencia general y libre de evento en una unidad de trasplantes pediátrica con trasplante alogénico por enfermedades hematooncológicas e inmunodeficiencia Metodología: Estudio analítico observacional de cohorte retrospectiva, se incluyeron 124 pacientes menores de 18 años a quien se les realizó trasplante alogénico de células madre hematopoyéticas entre 2010 a 2016 en el Hospital Pediátrico de la Misericordia, los pacientes que sobrevivieron sin recaída al día 100 se les cuantificó conteo de plaquetas y linfocitos y se siguieron hasta 3 años. Resultados: La probabilidad de supervivencia en pacientes con linfocitos <1000 al año fue de 75,36% (IC 95% 64,51-88,03%), a los dos años fue de 58,6% (IC 95% 46,45-74,08%) y a los tres años fue de 52,21% (IC 95% 39,9-68,2%) vs de 85,4% (IC 95% 77-94,7%) de 77% (IC 95% 67,1-88,4%) de 71,9% (IC 95% 61,4-84,2%) para el grupo con >1000 linfocitos respectivamente (Log-Rank=0,037). La media de supervivencia para los pacientes con plaquetas <100.000 fue de 35.2 meses (+/-3.17) y para quienes tuvieron plaquetas >100.000 fue de 39,3 meses (+/- 2.19) p=0.19. La trombocitopenia tiene se relacion con desarrollo de IECH aguda p=0,001. Discusión: El conteo absoluto de linfocitos al día 100 post trasplante es un factor independiente que afecta directamente la sobrevida de los pacientes. | spa |
dc.description.abstract | Introduction: Hematopoietic stem cell transplantation (SCHT) is used to reestablish hematopoietic function in patients with impaired or damaged bone marrow. In pediatrics 20% of these procedures are performed. Both immune reconstitution and post-transplant platelet count have been shown to be associated with better or worse prognosis, disease relapse, and overall survival. Objective: To assess the association between platelet and lymphocyte count, overall survival, and event-free survival in a pediatric transplant unit with allogeneic transplantation for haemato-oncological diseases and immunodeficiency. Materials and methods: Retrospective observational analytical cohort study, 124 patients under 18 years of age who underwent allogeneic hematopoietic stem cell transplantation between 2010 and 2016 at the Pediatric Hospital of La Misericordia were included; patients who survived without relapse on day 100 were quantified platelet and lymphocyte count and followed up to 3 years. Results: The probability of survival in patients with lymphocytes <1000 a year was 75.36% (95% CI 64.51-88.03%), after two years it was 58.6% (95% CI 46, 45-74.08%) and at three years it was 52.21% (95% CI 39.9-68.2%) vs 85.4% (95% CI 77-94.7%) 77% (95% CI 67.1-88.4%) of 71.9% (95% CI 61.4-84.2%) for the group with> 1000 lymphocytes respectively (Log-Rank = 0.037). The mean survival for patients with platelets <100,000 was 35.2 months (+/- 3.17) and for those with platelets> 100,000 it was 39.3 months (+/- 2.19) p = 0.19. Thrombocytopenia is related to development of acute IECH p = 0.001. Conclusion: The absolute lymphocyte count at day 100 post transplant is an independent factor that directly affects the survival of patients. | spa |
dc.description.embargo | 2020-06-16 13:50:01: Script de automatizacion de embargos. Correo recibido: Cristian Vallejo <cristian_gv@hotmail.com> Vie 12/06/2020 5:55 PM Cordial Saludo. Por medio de este medio solicito el embargo por un periodo de dos años del trabajo de grado “ Relación entre el conteo plaquetario y linfocitario y la sobreviva en pacientes menores de 18 años con trasplante alogénico de células madre hematopoyéticas” que se presentó para optar el titulo de especialista en epidemiología. La razón es que que al ser un trabajo original será mandado a una revistar para su publicación. Gracias. Quedo atento a la solicitud. - Respuesta: Repositorio Institucional EdocUR Mar 16/06/2020 1:48 PM Respetado Cristian Vallejo, reciba un cordial saludo, Hemos realizado la publicación de su documento "Relación entre el conteo plaquetario y linfocitario y la sobrevida en pacientes menores de 18 años con trasplante alogénico de células madre hematopoyéticas", el cual puede consultar en el siguiente enlace: https://repository.urosario.edu.co/handle/10336/25181 De acuerdo con su solicitud, el documento ha quedado embargado hasta el 2022-06-16 en concordancia con las Políticas de Acceso Abierto de la Universidad. Si usted desea dejarlo con acceso abierto antes de finalizar dicho periodo o si por el contrario desea extender el embargo al finalizar este tiempo, puede enviar un correo a esta misma dirección realizando la solicitud. Tenga en cuenta que los documentos en acceso abierto propician una mayor visibilidad de su producción académica. Quedamos atentos a cualquier inquietud o sugerencia | |
dc.format.mimetype | application/pdf | |
dc.identifier.doi | https://doi.org/10.48713/10336_25181 | |
dc.identifier.uri | https://repository.urosario.edu.co/handle/10336/25181 | |
dc.language.iso | spa | spa |
dc.publisher | Universidad del Rosario | spa |
dc.publisher.department | Facultad de medicina | spa |
dc.rights | Atribución-NoComercial-SinDerivadas 2.5 Colombia | spa |
dc.rights.accesRights | info:eu-repo/semantics/openAccess | |
dc.rights.acceso | Abierto (Texto Completo) | spa |
dc.rights.licencia | EL AUTOR, manifiesta que la obra objeto de la presente autorización es original y la realizó sin violar o usurpar derechos de autor de terceros, por lo tanto la obra es de exclusiva autoría y tiene la titularidad sobre la misma. PARGRAFO: En caso de presentarse cualquier reclamación o acción por parte de un tercero en cuanto a los derechos de autor sobre la obra en cuestión, EL AUTOR, asumirá toda la responsabilidad, y saldrá en defensa de los derechos aquí autorizados; para todos los efectos la universidad actúa como un tercero de buena fe. EL AUTOR, autoriza a LA UNIVERSIDAD DEL ROSARIO, para que en los términos establecidos en la Ley 23 de 1982, Ley 44 de 1993, Decisión andina 351 de 1993, Decreto 460 de 1995 y demás normas generales sobre la materia, utilice y use la obra objeto de la presente autorización. -------------------------------------- POLITICA DE TRATAMIENTO DE DATOS PERSONALES. Declaro que autorizo previa y de forma informada el tratamiento de mis datos personales por parte de LA UNIVERSIDAD DEL ROSARIO para fines académicos y en aplicación de convenios con terceros o servicios conexos con actividades propias de la academia, con estricto cumplimiento de los principios de ley. Para el correcto ejercicio de mi derecho de habeas data cuento con la cuenta de correo habeasdata@urosario.edu.co, donde previa identificación podré solicitar la consulta, corrección y supresión de mis datos. | spa |
dc.rights.uri | http://creativecommons.org/licenses/by-nc-nd/2.5/co/ | |
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dc.source.instname | instname:Universidad del Rosario | spa |
dc.source.reponame | reponame:Repositorio Institucional EdocUR | spa |
dc.subject | Trasplante de progenitores hematopoyéticos PH | spa |
dc.subject | Trasplante alogénico | spa |
dc.subject | Niños | spa |
dc.subject | Trombocitopenia | spa |
dc.subject | Pronóstico | spa |
dc.subject | Sobrevida | spa |
dc.subject | Enfermedad injerto contra huésped EICH | spa |
dc.subject.ddc | Enfermedades | spa |
dc.subject.keyword | Hematopoietic Stem Cell Transplantation | spa |
dc.subject.keyword | Transplantation | eng |
dc.subject.keyword | Thrombocytopenia | spa |
dc.subject.keyword | Prognosis | spa |
dc.subject.keyword | Survival Analysis | spa |
dc.subject.keyword | Graft vs Host Disease | spa |
dc.title | Relación entre el conteo plaquetario y linfocitario y la sobrevida en pacientes menores de 18 años con trasplante alogénico de células madre hematopoyéticas | spa |
dc.title.TranslatedTitle | Relationship between platelet and lymphocyte count and survival in patients under 18 years of age with allogeneic hematopoietic stem cell transplantation | eng |
dc.type | bachelorThesis | eng |
dc.type.document | Descriptivo observacional retrospectivo | spa |
dc.type.hasVersion | info:eu-repo/semantics/acceptedVersion | |
dc.type.spa | Trabajo de grado | spa |
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