medigraphic.com
ISSN 1561-3100 (Impreso)

2022, Número 2

<< Anterior Siguiente >>

Revista Cubana de Ortopedia y Traumatología 2022; 36 (2)


Fracturas del extremo superior del fémur por fragilidad. Principios del comanejo

Tabares NHI, Tabares SH, Materno PY, Morales SR

Idioma: Español
Referencias bibliográficas: 32
Paginas: 1-20
Archivo PDF: 543.83 Kb.


RESUMEN

Introducción: El rápido crecimiento de la población geriátrica va aparejado al aumento de fracturas por fragilidad. Ello crea la necesidad de un programa integral para el tratamiento del paciente anciano con fracturas por fragilidad y del extremo superior del fémur. Los modelos de comanejo ortogeriátrico son empleados en muchos países.
Objetivo: Presentar los distintos modelos de atención ortogeriátrica y analizar el modelo de comanejo de pacientes geriátricos con fracturas por fragilidad, principalmente la fractura del extremo superior del fémur.
Métodos: Se realizó una búsqueda en la base de datos PubMed de trabajos publicados entre los ańos 2010-2020 con los términos: “modelos de atención ortogeriátrica”, “comanejo de pacientes ortopédicos geriátricos”, “comanejo de fracturas por fragilidad” y “comanejo ortogeriátrico en fracturas del extremo superior de fémur”.
Conclusiones: El modelo de comanejo de las fracturas por fragilidad y de fémur proximal da como resultado una estadía hospitalaria más corta, tasas de reingreso y de complicaciones más bajas y una tasa de mortalidad menor a la esperada, por lo cual ofrece muchos beneficios para pacientes, médicos y sistema de salud.


REFERENCIAS (EN ESTE ARTÍCULO)

  1. Boschitsch EP, Durchschlag E, Dimai HP. Age-related prevalence of osteoporosis and fragility fractures: real-world data from an Austrian Menopause and Osteoporosis Clinic. Climacteric. 2017;20:157-63. DOI: https://doi.org/10.1080/13697137.2017.12824521.

  2. Borgström F, Karlsson L, Ortsäter G, Norton N, Halbout Ph, Cooper C, et al. Fragility fractures in Europe: burden, management and opportunities. Archives of Osteoporosis. 2020;15:59. DOI: https://doi.org/10.1007/s11657-020-0706-y2.

  3. Rogers M, Brown R, Stanger S. Frailty in orthopaedics: is age relevant? Injury. 2020;51:2402-6. DOI: https://doi.org/10.1016/j.injury.2020.07.0313.

  4. Salvador Marín J, Ferrández Martínez FJ, Fuster Such C, Seguí Ripoll JM, Orozco Beltrán D, Carratalá Munuera MC, et al. Factores de riesgo para el ingreso prolongado y mortalidad intrahospitalaria en la fractura del fémur proximal en pacientes mayores de 65 ańos. Rev Esp Cir Ortop Traumatol. 2021;65:322-30. DOI: https://doi.org/10.1016/j.recot.2020.11.0084.

  5. Bartra A, Caeiro JR, Mesa-Ramos M, Etxebarría-Foronda I, Montejo J, Carpintero P. en representación de los investigadores del estudio PROA Cost of osteoporotic hip fracture in Spain per Autonomous Region. Rev Esp Cir Ortop Traumatol. 2018;63:56-68. DOI: https://doi.org/10.1016/j.recot.2018.03.0055.

  6. Lott A, Haglin J, Belayneh R, Konda SR, Egol KA. Admitting Service Affects Cost and Length of Stay of Hip Fracture Patients. Geriatr Orthop Surg Rehabil. 2018;9:21. DOI: https://doi.org/10.1177/21514593188088456.

  7. Wang Y, Cui H, Zhang D, Zhang P. Hospitalisation cost analysis on hip fracture in China: a multicentre study among 73 tertiary hospitals. BMJ Open. 2018;8:e019147. DOI: https://doi.org/10.1136/bmjopen-2017-0191477.

  8. Declarador N, Ramason R, Tay L, Chan WLW, Kwek EBK. Beyond comanaged inpatient care to community integration: Factors leading to surgical delay in hip fracture and their associated outcomes. J Orthop Surg (Hong Kong). 2018;26:23. DOI: https://doi.org/10.1177/23094990187839098.

  9. Kammerlander C, Roth T, Friedman SM, Suhm N, Luger TJ, Kammerlander-Knauer U, Krappinger D, Blauth M. Ortho-geriatric service a literature review comparing different models. Osteoporos Int 2010;21(Suppl 4):S637-S646. DOI: https://doi.org/10.1007/s00198-010-1396-x9.

  10. Kates SL, Mendelson DA, Friedman SM. Co-managed care for fragility hip fractures (Rochester model). Osteoporos Int. 2010;21(Suppl 4):S621-S625. DOI https://doi.org/10.1007/s00198-010-1417-910.

  11. Middleton M. 'Orthogeriatrics and hip fracture care in the UK: factors driving change to more integrated models of care'. Geriatrics. 2018;3. DOI: https://doi.org/10.3390/geriatrics303005511.

  12. Wallace R, Angus LDG, Munnangi S, Shukry S, DiGiacomo JC, Ruotolo C. Improved outcomes following implementation of a multidisciplinary care pathway for elderly hip fractures. Aging Clin Exp Res. 2018;31:273-8. DOI: https://doi.org/10.1007/s40520-018-0952-712.

  13. Nakayama A, Major G, Holliday E, Attia J, Bogduk N. Evidence of effectiveness of a fracture liaison service to reduce the re-fracture rate. Osteoporos Int. 2016;27:873-9. DOI: https://doi.org/10.1007/s00198-015-3443-013.

  14. Schray D, Neuerburg C, Stein J, Gosch M, Schieker M, Bocker W. Value of a coordinated management of osteoporosis via fracture liaison service for the treatment of orthogeriatric patients. Eur J Trauma Emerg Surg. 2016;42:559-64. DOI: https://doi.org/10.1007/s00068-016-0710-514.

  15. Walters S, Khan T, Ong T, Sahota O. Fracture liaison services: improving outcomes for patients with osteoporosis. Clin Interv Aging. 2017;12:117-27. DOI: https://doi.org/10.2147/CIA.S8555115.

  16. Wu CH, Tu ST, Chang YF, Chan DC, Chien JT, Lin CH. Fracture liaison services improve outcomes of patients with osteoporosis-related fractures: a systematic literature review and meta-analysis. Bone. 2018;111:92-100. DOI: https://doi.org/10.1016/j.bone.2018.03.01816.

  17. Jonsson E, Borgström F, Ström O. PHS49-cost effectiveness evaluation of fracture liaison services for the management of osteoporosis in Sweden. Value Health. 2016 [acceso 07/06/2020];19:A612. Disponible en: https://www.valueinhealthjournal.com17.

  18. Javaid MK, Vasilakis N, Dickinson R, Wiles B, Shah A, Pinedo Villanueva R. Fracture Liaison Service Database Annual report, December 2018. London: In (FFFAP) RCoPFaFFAP (ed) Fracture Liaison Service Database Annual report; 2018. [acceso 07/06/2020]. Disponible en: https://www.rcplondon.ac.uk18.

  19. Friedman SM, Mendelson DA, Kates StL, McCann RM. Geriatric Co-Management of Proximal Femur Fractures: Total Quality Management and Protocol-Driven Care Result in Better utcomes for a Frail Patient Population. JAGS. 2008;56:1349-56. DOI: https://doi.org/10.1111/j.1532-5415.2008.01770.x19.

  20. Novoa-Parra CD, Hurtado-Cerezo J, Morales-Rodríguez J, Sanjuan-Cerveró R, Rodrigo-Pérez JL, Lizaur-Utrilla A. Factors predicting one-year mortality of patients over 80 years operated after femoral neck fracture. Rev Esp Cir Ortop Traumatol. 2019;63:202-8. DOI: https://doi.org/10.1016/j.recot.2018.10.00720.

  21. Nikkel LE, Kates SL, Schreck M, Maceroli M, Mahmood B, Elfar JC. Length of hospital stay after hip fracture and risk of early mortality after discharge in New York state: retrospective cohort study. BMJ. 2015;51:h6246. DOI: https://doi.org/10.1136/bmj.h624621.

  22. Choi SW, Leung FKL, Lau TW, Wong GTC. Impact of postoperative haemoglobin on length of stay post fractured hip repair in patients with standardized perioperative management. Hip Int. 2018;29:172-6. DOI: https://doi.org/10.1177/112070001877342822.

  23. Lizaur-Utrilla A, Martinez-Mendez D, Collados-Maestre I, Miralles-Muńoz FA, Marco-Gomez L, Lopez-Prats FA. Early surgery within 2 days for hip fracture is not reliable as healthcare quality indicator. Injury. 2016;47:1530-5. DOI: https://doi.org/10.1016/j.injury.2016.04.04023.

  24. Richards T, Glendenning A, Benson D, Alexander S, Thati S. The independent patient factors that affect length of stay following hip fractures. Ann R Coll Surg Engl. 2018;100:556-62. DOI: https://doi.org/10.1308/rcsann.2018.006824.

  25. Sanz-Reig J, Salvador Marín J, Ferrández Martínez J, Orozco Beltrán D, Martínez López JF, Quesada Rico JA. Prognostic factors and predictive model for in-hospital mortality following hip fractures in the elderly. Chin J Traumatol. 2018;21:163-9. DOI: https://doi.org/10.1016/j.cjtee.2017.10.00625.

  26. Sanz-Reig J, Salvador Marín J, Pérez Alba JM, Ferrández Martínez J, Orozco Beltrán D, Martínez López JF. Risk factors for in-hospital mortality following hip fracture. Rev Esp Cir Ortop Traumatol. 2017 61:209-15. DOI: https://doi.org/10.1016/j.recot.2017.03.00326.

  27. Endo A, Baer HJ, Nagao M, Weaver MJ. Prediction Model of In Hospital Mortality After Hip Fracture Surgery. J Orthop Trauma. 2018;32:34-8. DOI: https://doi.org/10.1097/BOT.000000000000102627.

  28. Ricci WM, Brandt A, McAndrew C, Gardner MJ. Factors affecting delay to surgery and length of stay for patients with hip fracture. J Orthop Trauma. 2015;29:e109-14. DOI: https://doi.org/10.1097/BOT.000000000000022128.

  29. Fisher JM. 'Why geriatric medicine? A survey of UK specialist trainees in geriatric medicine'. Age. 2017;46. DOI: https://doi.org/10.1093/ageing/afx00929.

  30. Lizaur-Utrilla A, Gonzalez-Navarro B, Vizcaya-Moreno MF, Lopez-Prats FA. Altered seric levels of albumin, sodium and parathyroid hormone may predict early mortality following hip fracture surgery in elderly. Int Orthop. 2019;43:2825-9. DOI: https://doi.org/10.1007/s00264-019-04368-030.

  31. Pisani P, Renna MD, Conversano F, Casciaro E, Di Paola M, Quarta E. Major osteoporotic fragility fractures: Risk factor updates and societal impact. World J Orthop. 2016;7:171-81. DOI: https://doi.org/10.5312/wjo.v7.i3.17131.

  32. Medin E, Goude F, Melberg HO, Tediosi F, Belicza E, Peltola M. EuroHOPE study group. European Regional Differences in All-Cause Mortality and Length of Stay for Patients with Hip Fracture. Health Econ. 2015;24:53-64. DOI: https://doi.org/10.1002/hec.327832.




2020     |     www.medigraphic.com