medigraphic.com
ISSN 1816-8450 (Print)

2013, Number 3

<< Back Next >>

Geroinfo 2013; 8 (3)

Comportamiento de la fractura de cadera en adultos mayores

Garcell CAA, Rodríguez PL

Language: Spanish
References: 30
Page:
PDF size: 66.23 Kb.


ABSTRACT

The study of the own affections of the senescent population, in moments that grows the preoccupation for the aging of the population, constitutes starting point to drive so much preventive as of quality of the medical attention. Objective: To describe with focussing epidemiological the conduct of the fracture of hip in old men during the year 2010 in The University General Hospital Enrique Cabrera. Method: Carried out a descriptive, retrospective and longitudinal study of the conduct of the fracture of hip in 135 in the elderly. They entered in the Service of Orthopaedics and to the ones that it is practiced surgical treatment. Results: The predominant of age group went those of 80 to 89 years, the female sex went those of major number of cases, stood out to him the Fall as the more frequent cause, in the preoperative complications predominated the decompensate of chronic illnesses not transmissible and the postoperative complication went the respiratory infection. The causes hopelessly more frequent went the pulmonary embolism and the respiratory infection. Conclusions: The fall is the more frequent cause of fracture of hip in old men. Decompensate of chronic illnesses not transferable was the preoperative predominant complication. The respiratory infection played a fundamental paper, so much in the postoperative complications, as in the mortal cause.


REFERENCES

  1. Orosz GM, Magzinger J, Hannan EL, et al. Association of timing of surgery for hip fracture and patient outcomes. JAMA 2007; 291: 1738-4.

  2. Cameron I, Crotty M, Currie C, et al. Geriatric rehabilitation following fractures in older people: a systematic review. Health Technol Assess 2008; 4: 1-111.

  3. Heyburn G, Beringer T, Elliot J, Marsh D. Orthogeriatric care in patients with fractures of the femur. Clin Orthop Relat Res 2009; 425: 35-43.

  4. Koval KJ, Chen AL, Aharonoff GB, Egol KA, Zuckerman JD. Clinical pathway for hip fractures in the elderly. Clin Orthop Relat Res 2004; 425: 78-81.

  5. Escarpanter Buliés JC. Patrón de conducta ante pacientes con fracturas de cadera cuya cirugía ha sido diferida. Rev Cubana Ortop Traumatol v.24 n.2 Ciudad de la Habana jul.-dic. 2010. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_issuetoc&pid=0864- 215X20100002&lng=es&nrm=iso.

  6. Vega García E, Menéndez Jiménez JE, Rodríguez Rivera L, Ojeda Hernández M, Leyva Salermo B, Cardoso Lunar N, et al. Atención al adulto mayor. En: Álvarez Sintes R, Hernández Cabrera G, Báster Moro JC, García Núñez RD Temas de Medicina General Integral. La Habana: ECIMED, 2008; t1:274-309.

  7. Bader DC, Mondy GR, Tamai SA, Black DM, Cauley JA, Ensrod KE, et al. Use of startins and fractures. Results of 4 prospective studies and cumulative meta-analysis of observational studies and controlled trials. Arch Intern Med. 2008; 164(2):46-49.

  8. Lorich DG, Geller DS, y Nielson JH. Osteoporotic pertrochanteric hip fractures. J. Bone Joint Surgery Am. 2009; 86:398.

  9. Pomares Delgado E, Echevarría Hernández A. T, Rodríguez Bonet T, González Martínez E, Leguén Pompa H. Momento ideal para el tratamiento quirúrgico de la fractura de cadera en el paciente geriátrico. Revista Cubana de Medicina Intensiva y Emergencias 2010; 9 (2). Disponible en: http://bvs.sld.cu/revistas/mie/vol9_2_10/miesu210.htm

  10. Herrera A, Martinez A, Fernandez F, Gil E, Moreno A, Epidemiology of osteoporosis hip fractures in Spain. Int Orthop. 2005; 18: 1-4.

  11. Hernández HL, Olmos JM. Alonso MA, Gonzalez Fernandez CR, Martinez J, Pajaron M, et al Trend in hip fracture epidemiology over a 14 year period in Spanish population. Osteoporosis Int. 2005; 8: 1-7.

  12. Alegre-López J, Cordero Guevara J, Alonso Valdivieso J, Fernandez-Melon J. Factors associated with mortality and functional disability after hip fracture: on inception cohort study. Osteoporos Int. 2005; 16: 729-3.

  13. Guzmán Pruneda. Fisiología del paciente de edad avanzada. Revista Mexicana de Anestesiología. 2007; Vol. 30. Supl. 1, Abril-Junio: 234-236.

  14. Bader DC, Mondy GR, Tamai SA, Black DM, Cauley JA, Ensrod KE, et al. Use of startins and fractures. Results of 4 prospective studies and cumulative meta-analysis of observational studies and controlled trials. Arch Intern Med. 2008; 164(2):46-51.

  15. Tinetti ME, Baker DI, McAvay G, Claus EB, Gattett P, Gottschalk M, et al. A Multifactorial intervention to reduce the risk of falling among elderly people living in the community. N Eng J Med 1994; 331(13): 821-27.

  16. Ribera Casado JM, Altimir Losada S, Cervera Alemany AM, Gil Gregorio P.Farreras P, Rozman C. Medicina Interna. 15.ª ed. Madrid: Elseviere España; 2004. p: 1301-34.

  17. Gómez Rodríguez Mª I, Plata Barajas Mª T, Bustamante López Mª Á, Ramos Ramos R, del Pino Casado B, Gil de Pareja Palmero Mª J. Prevalencia de caídas en ancianos del EAP Los Ángeles (Área 11. Madrid). Centro de Salud; 2002. Oct p. 478-486.

  18. Amigo Castañeda P, Rodríguez Díaz M, Caridad María Castañeda Gueimonde C. M. Comportamiento intrahospitalario entre las fracturas de cadera intracapsulares y las extracapsulares. Rev Cubana Ortop Traumatol 2012;26 (1) Disponible en: http://scielo.sld.cu/scielo.php?script=sci_issuetoc&pid=0864- 215X20120001&lng=es&nrm=iso

  19. Suárez Monzón H, Águila Tejeda G, Delgado Figueredo R, Suárez Collado P. Estrategia de tratamiento de las fracturas de la cadera, 2010 Rev Cubana Ortop Traumatol vol.26 no.1 Ciudad de la Habana ene.-jun. 2012

  20. Martínez López R, Moreno Navarro J, Goide Linares E, Fernández García D. Caracterización clínico epidemiológica de pacientes con fracturas de cadera. MEDISAN 2012;16(2):182 Disponible en: http://bvs.sld.cu/revistas/san/vol_16_2_12/san05212.pdf.

  21. Moreno Navarro JT, Fong Estrada A, Martínez López R, Díaz OL. Caracterización de adultos mayores hospitalizados con lesiones traumáticas Osteomioarticulares MEDISAN 2011; 15(7):909 Disponible en: http://bvs.sld.cu/revistas/san/vol15_7_11/sansu711.htm

  22. Junco DA, Murgadas R, Guardia A, Rodríguez P, Hernandez JC. Evaluación preoperatoria modificada del anciano con fractura de cadera. MEDISAN 2006; 10(2). Disponible en: http://bvs.sld.cu/revistas/san/vol10_2_06/san08206.htm

  23. Gdalevich M, Cohen D, Yosef D, et al. Morbidity and mortality after hip fracture: the impact of operative delay. Arch Orthop Trauma Surg. 2008; 124: 334.

  24. Guevara-Ortigoza MP. Manejo Anestésico del Paciente Geriátrico. Revista Mexicana de Anestesiología. 2007; vol. 30. Supl. 1 abril-junio. 5237-39.

  25. Guzmán Pruneda ME. Fisiopatología del paciente de edad avanzada. Rev Mex Anest. 30. Supl.1 abril-junio 2007, 5234-36.

  26. March LM, Cameron ID, Cumminf RG, Chamberlain AC, Schwarz JM, Brnabic AJ, et al. Mortality and morbidity after hip fracture: can evidence based clinical pathways make a difference? J Rheumatol. 2008; 27: 2227- 31.

  27. Geerts WH, Pinco GF, Heit JA, Bergquist D, Lassen MR, Colwel CW, et al. Prevention of venous thromboembolism. The seventh ACCP conference of antithromboemboli Se recomiendan estudios analíticos del costo-estadíacomplicaciones. Therapy. Chest. 2004; 126: 3 supp: 338-400.

  28. Pérez Reyes R, Pons G, Otero M. Evaluación del protocolo de fractura de cadera en la urgencia. Unidad de Cuidados Intermedios Quirúrgicos. Rev Cubana Med Militar 2004; 33(4) Disponible en: http://bvs.sld.cu/revistas/mil/vol33_4_04/mil05404.htm

  29. Vega AP, Maestre H, Robaina L. Sala de Geriatría para pacientes con afecciones traumatológicas ortopédicas. Rev Cubana Ortop Traumatol 2004; 18(1) Disponible en: http://bvs.sld.cu/revistas/ort/vol18_1_04/ort04104.htm

  30. Hannan EL, Magazinger J, Wang JJ, Eastwood EA, Silberzweig SB, Gilbert M et al. Mortality and locomotion 6 months after hospitalitation for hip fracture. JAMA 2009; 285: 2736-2742




2020     |     www.medigraphic.com