2016, Number 1
Characterization of the hip fracture operated before twenty-four hours in Pinar del Río
Language: Spanish
References: 14
Page: 10-14
PDF size: 224.78 Kb.
ABSTRACT
Introduction: hip fracture is a common cause of hospitalization in emergency orthopedic services.Objective: to characterize the behavior of the operated hip fracture before the 24 hours during January 2012 to January 2014 period.
Methods: a descriptive, prospective, longitudinal study conducted at "Abel Santamaria Cuadrado" General Teaching Hospital. Target group: 652 patients attending Emergency Orthopedic Room. Sample: 634 operated patients chosen according to the inclusion and exclusion criteria. Descriptive statistics and chi squared test were used.
Results: 29.2% were between 80 and 85 years old; 65.8% women (Ç2 = 64.27; p = 1.08 E-15). Only 14.0% presented no comorbidities; 56.2% suffered from complications: anemia 51.1%, contusion 45.1% and 28.8% diabetes mellitus decompensation; 8.5% of them presented pulmonary embolism.
Conclusions: female patients between 80-85 years old predominated, with frequent comorbidities. More than half had some complication: anemia, contusion and diabetes mellitus decompensation were the most common clinical disorders, on the surgical region cellulitis and wound infection prevailed. Pulmonary embolism remains a high rate.
REFERENCES
Negrete Corona J, Alvarado Soriano JC, Reyes Santiago LA. Fractura de cadera como factor de riesgo en la mortalidad en pacientes mayores de 65 años: Estudio de casos y controles. Acta Ortop Mex [Internet]. 2014 [citado 5 oct 2015]; 28(6): 352-62. Disponible en: http://www.scielo.org.mx/scielo.php?script=sci_arttext&pid=S2306-41022014000600003&lang=pt .
González López AM, Vázquez Cruz E, Romero Medina JL, Gutiérrez Gabriel I, Montiel Jarquín AJ, et al. Síndromes geriátricos en pacientes con fractura de cadera no reciente en una unidad de primer nivel de atención médica. Acta Ortop Mex [Internet]. 2014 [citado 5 oct 2015]; 28(5): 287-90. Disponible en: http://www.scielo.org.mx/scielo.php?script=sci_arttext&pid=S2306-41022014000500004&lang=pt .
Martínez López R, Moreno Navarro J, Goide Linares E, Fernández García D. Caracterización clinicoepidemiológica de pacientes con fracturas de cadera. Medisan [Internet]. 2012 feb [citado 5 Oct 2015]; 16(2): 5. Disponible en: http://scieloprueba.sld.cu/scielo.php?script=sci_arttext&pid=S1029-30192012000200005&lng=es&nrm=iso .
Cummings-Vaughn LA, Gammack JK. Falls, osteoporosis, and hip fractures. Med Clin North Am. 2011 May;95(3):495-506. Disponible en: https://www.clinicalkey.es/#!/content/playContent /1-s2.0-S0025712511000174?returnurl=http:%2F%2Flinkinghub.elsevier.com%2Fretrieve%2Fpii%2FS0025712511000174%3Fshowall%3Dtrue&referrer=http:%2F%2Fwww.ncbi.nlm.nih.gov%2Fpubmed%2F21549874