Izaguirre A, Delgado I, Mateo-Troncoso C, Sánchez-Nuncio HR, Sánchez-Márquez W, Luque-Ramos A

Idioma: Español
Referencias bibliográficas: 31
Paginas: 28-35
Archivo PDF: 216.13 Kb.

RESUMEN

Introducción: Las fracturas de cadera se consideran entre las lesiones incapacitantes más comunes en mayores de 60 años. Se asocian a un alto índice de mortalidad y es la causa más frecuente de internamiento que requiere tratamiento quirúrgico en unidades médicas dedicadas a la traumatología. Métodos: Esta revisión sistemática tiene como objetivo agrupar, clasificar y reportar el mejor nivel de evidencia en el manejo de terapia física y rehabilitación en los pacientes con fractura pertrocantérica y subtrocantérica de cadera después de la cirugía de osteosíntesis en desenlaces de actividades de la vida diaria, independencia y complicaciones. Resultados: Se identificaron 3,389 resúmenes y a través de otras fuentes 1,567 resúmenes, se eliminaron duplicados en la búsqueda y posterior a un cribado se obtuvieron 378 artículos para la eliminación adicional. De los 62 ensayos restantes se incluyeron 21 y 41 fueron excluidos. Conclusiones: Los resultados a largo plazo de la terapia física especializada parecen ser cruciales en los primeros meses y no tan importantes al cabo de cuatro meses. La literatura actual sostiene que las diferencias en las capacidades de la vida diaria e independencia de los pacientes que sobreviven, el tratamiento de una fractura de cadera tiende a ser similar independientemente del programa de rehabilitación que se tenga.

REFERENCIAS (EN ESTE ARTÍCULO)

1. Intervenciones de enfermería en la atención del adulto mayor con fractura de cadera. México: Instituto Mexicano del Seguro Social, 2013.

2. Guía de Práctica Clínica para la Valoración Geriátrica Integral en Unidades de Atención Médica. México: Instituto Mexicano del Seguro Social, 2011.

3. Campos F, Girbes I, Canto M, Gonzales E: Fractura de cadera. Un problema que previsiblemente aumentará en los próximos años. Enfermería Integral. 2005; 71: 17-20.

4. Kopp L, Edelmann K, Obruba P, Procházka B, Blstáková K, Dzupa V: Mortality risk factors in the elderly with proximal femoral fracture treated surgically. Acta Chir Orthop Traumatol Cech. 2009; 76(1): 41-6.

5. Wiss DA: Fracturas-Master en cirugía ortopédica. Editorial Marban. España: 2003.

6. Söderqvist A, Miedel R, Ponzer S, Tidermark J: The influence of cognitive function on outcome after a hip fracture. J Bone Joint Surg Am. 2006; 88A(10): 2115-23.

7. Salpakoski A, Törmäkangas T, Edgren J, Kallinen M, Sihvonen SE, Pesola M, et al: Effects of a multicomponent home-based physical rehabilitation program on mobility recovery after hip fracture: a randomized controlled trial. J Am Med Dir Assoc. 2014; 15(5): 361-8.

8. Taraldsen K, Sletvold O, Thingstad P, Saltvedt I, Granat MH, Lydersen S, et al: Physical behavior and function early after hip fracture surgery in patients receiving comprehensive geriatric care or orthopedic care- -a randomized controlled trial. J Gerontol A Biol Sci Med Sci. 2014; 69(3): 338-45.

9. Portegijs E, Rantakokko M, Edgren J, Salpakoski A, Heinonen A, Arkela M, et al: Effects of a rehabilitation program on perceived environmental barriers in older patients recovering from hip fracture: a randomized controlled trial. BioMed Res Int. 2013; Article ID 769645.

10. Van Ooijen MW, Roerdink M, Trekop M, Visschedijk J, Janssen TW, Beek PJ: Functional gait rehabilitation in elderly people following a fall-related hip fracture using a treadmill with visual context: design of a randomized controlled trial. BMC Geriatr. 2013; 13: 34.

11. Burns A, Banerjee S, Morris J, Woodward Y, Baldwin R, Proctor R, et al: Treatment and prevention of depression after surgery for hip fracture in older people: randomized, controlled trials. J Am Geriatr Soc. 2007; 55(1): 75-80. [MEDLINE: 17233688]

12. Hagsten B, Svensson O, Gardulf A: Early individualized postoperative occupational therapy training in 100 patients improves ADL after hip fracture: a randomized trial. Act Orthop Scan. 2004; 75(2): 177-83. [MEDLINE: 15180233]

13. Strömberg L1, Ohlén G, Nordin C, Lindgren U, Svensson O: Postoperative mental impairment in hip fracture patients. A randomized study of reorientation measures in 223 patients. Act Orthop Scan. 1999; 70(3): 250-5. [MEDLINE: 10429599]

14. Milte R, Miller MD, Crotty M, Mackintosh S, Thomas S, Cameron ID, et al: Cost-eff ectiveness of individualized nutrition and exercise therapy for rehabilitation following hip fracture. J Rehabil Med. 2016; 48(4): 378-85.

15. Lima CA, Sherrington C, Guaraldo A, Moraes SA, Varanda RD, Melo JA, et al: Eff ectiveness of a physical exercise intervention program in improving functional mobility in older adults after hip fracture in later stage rehabilitation: protocol of a randomized clinical trial (REATIVE Study). BMC Geriatr. 2016; 16(1): 198.

16. Edgren J, Salpakoski A, Sihvonen SE, Portegijs E, Kallinen M, Arkela M, et al: Eff ects of a home-based physical rehabilitation program on physical disability after hip fracture: a randomized controlled trial. J Am Med Dir Assoc. 2015; 16(4): 350.e1-7.

17. Hill KD, Hunter SW, Batchelor FA, Cavalheri V, Burton E: Individualized home-based exercise programs for older people to reduce falls and improve physical performance: a systematic review and meta-analysis. Maturitas. 2015; 82(1): 72-84.

18. Beaupre LA, Carson JL, Noveck H, Magaziner J: Recovery of walking ability and return to community living within 60 days of hip fracture does not diff er between male and female survivors. J Am Geriatr Soc. 2015; 63(8): 1640-4.

19. Lahtinen A, Leppilahti J, Harmainen S, Sipilä J, Antikainen R, Seppänen ML, et al: Geriatric and physically oriented rehabilitation improves the ability of independent living and physical rehabilitation reduces mortality: a randomised comparison of 538 patients. Clin Rehab. 2015; 29(9): 892-906. Epub 2014 Dec 1.

20. Latham NK, Harris BA, Bean JF, Heeren T, Goodyear C, Zawacki S, et al: Eff ect of a home-based exercise program on functional recovery following rehabilitation after hip fracture: a randomized clinical trial. JAMA. 2014; 311(7): 700-8.

21. Shyu YI, Liang J, Tseng MY, Li HJ, Wu CC, Cheng HS, et al: Comprehensive and subacute care interventions improve healthrelated quality of life for older patients after surgery for hip fracture: a randomised controlled trial. Int J Nurs Stud. 2013; 50(8): 1013-24.

22. Allegrante JP, Peterson MG, Cornell CN, MacKenzie CR, Robbins L, Horton R, et al: Methodological challenges of multiple-component intervention: lessons learned from a randomized controlled trial of functional recovery following hip fracture. HSS J. 2007; 3(1): 63-70.

23. Huang TT, Liang SH: A randomized clinical trial of the eff ectiveness of a discharge planning intervention in hospitalized elders with hip fracture due to falling. J Clin Nurs. 2005; 14(10): 1193-201. [MEDLINE: 16238765]

24. Krichbaum K. GAPN postacute care coordination improves hip fracture outcomes. Western J Nur Res. 2007; 29(5): 523-44. [MEDLINE: 17526868]

25. Resnick B, Orwig D, Yu-Yahiro J, Hawkes W, Shardell M, Hebel JR, et al: Testing the effectiveness of the exercise plus program in older women post-hip fracture. Ann Behav Med. 2007; 34(1): 67-76. [MEDLINE: 17688398]

26. Elinge E, Lofgren B, Gagerman E, Nyberg L: A group learning programme for old people with hip fracture: a randomized study. Scandinavian Journal of Occupational Therapy. 2003; 10(1): 27-33. [EMBASE: 2003142277]

27. Tinetti ME, Baker DI, Gottschalk M, Williams CS, Pollack D, Garrett P, et al: Home-based multicomponent rehabilitation program for persons after hip fracture: a randomized trial. Arch Phys Med Rehabil. 1999; 80(8): 916-22. [MEDLINE: 10453768]

28. Handoll HH, Cameron ID, Mak JC, Finnegan TP. Multidisciplinary rehabilitation for older people with hip fractures. Cochrane Database Syst Rev. 2009; (4): CD007125.

29. Skelly JM, Guyatt GH, Kalbfl eisch R, Singer J, Winter L. Management of urinary retention after surgical repair of hip fracture. CMAJ. 1992; 146(7): 1185-9. [MEDLINE: 1555145]

30. Avenell A, Handoll HH. Nutritional supplementation for hip fracture aftercare in older people. Cochrane Database Syst Rev. 2006; 18(4): CD001880.

31. Handoll HH, Sherrington C. Mobilisation strategies after hip fracture surgery in adults. Cochrane Database Syst Rev. 2007; (1): CD001704.