Espinosa-Mendoza RL, Soto-Padilla M, Gómez-García F

Language: Spanish
References: 11
Page: 21-27
PDF size: 141.61 Kb.

ABSTRACT

Background: The elderly represent a growing sector of the Mexican population and they are expected to outgrow the number of youths in the coming years. Musculoskeletal conditions are a major cause of disability among the elders; they affect up to 80%. In Mexico City 36% of the population uses private health care services. Objective: To contribute with epidemiologic data about the frequency of musculoskeletal conditions and their hospital-based treatment in patients ages 65 and over admitted to a private hospital in Mexico City. Material and methods: Male and female patients ages 65 and over, admitted for a musculoskeletal illness. Results: 390 patients were studied; 276 females and 114 males. The age group 65-69 years was predominant. The predominating musculoskeletal conditions included fractures, which represented 29.4%, and gonarthrosis, 23.30%. Patients were treated surgically accounted for 91.02%. Conclusion: Among the elderly, chronic conditions are more frequent than acute ones; however, fractures are the most frequent diagnosis. There are no studies in Mexico analyzing the frequency of both, traumatic or degenerative conditions, and their treatment in elderly patients admitted to a private hospital. These results will therefore provide epidemiologic information about our population.

REFERENCES

1. Instituto Nacional de Estadística y Geografía. Censos de Población y vivienda 1980-2010 [Consultado: febrero de 2012]. Disponible en: http://www.inegi.org.mx/est/contenidos/Proyectos/ccpv/default.aspx

2. Carmona L, Ballina J, Gabriel R, Laffon A; EPISER Study Group: The burden of musculoskeletal diseases in the general population of Spain: results from a national survey. Ann Rheum Dis. 2001; 60: 1040-5.

3. Bruckenthal P. Assessment of pain in the elderly adult. Clin Geriatr Med. 2008; 24: 213-36.

4. Morris JA Jr, MacKenzie EJ, Damiano AM, Bass SM: Mortality in trauma patients: the interaction between host factors and severity. J Trauma. 1990; 30: 1476-82.

5. Perdue PW, Watts DD, Kaufmann CR, Trask AL: Differences in mortality between elderly and younger adult trauma patients: geriatric status increases risk of delayed death. J Trauma. 1998; 45: 805-10.

6. National Center for Health Statistics. Trends in health and aging. US Department of Health and Human Services; 2006.

7. Molina CM, Bravo PA: Estudio epidemiológico. Pacientes internados en el servicio de ortopedia, pabellón 106, del Hospital General de México. De Septiembre de 1985 a Febrero de 1992. Rev Mex Ortop Traumat. 1998; 12(5): 416-20.

8. Rico C: Incidencia de padecimientos ortopédicos en pacientes adultos atendidos en un Hospital de asistencia privada. Acta Ortop Mex. 2007; 21(4): 177-81.

9. Woolf AD, Pfleger B, Bulletin B: Burden of major musculoskeletal conditions. Special Theme— Bone and Joint Decade 2000-2010. Bull World Health Organ. 2003; 81(9): 646-56. Epub 2003 Nov 14.

10. Peláez-Ballestas I, Sanin LH, Moreno-Montoya J, Alvarez-Nemegyei J, Burgos-Vargas R, Garza-Elizondo M, et al: Epidemiology of the rheumatic diseases in Mexico. A study of 5 regions based on the COPCORD methodology. J Rheumatol Suppl. 2011; 86: 3-8.

11. Cardiel MH, Rojas-Serrano J: Community based study to estimate prevalence, burden of illness and help seeking behavior in rheumatic diseases in Mexico City. A COPCORD study. Clin Exp Rheumatol. 2002; 20(5): 617-24.