2016, Number 2
<< Back Next >>
Revista Cubana de Anestesiología y Reanimación 2016; 15 (2)
Behavior of patients chosen for emergency surgery due to hip fracture
Fuentes DZ, Rodríguez SO, López LS
Language: Spanish
References: 20
Page: 115-123
PDF size: 99.53 Kb.
ABSTRACT
Introduction: caring for the elderly patient with hip fracture requires an analysis of
systematic sequences and adds value to each of the actions, with the aim at reducing
the variability of clinical practice and improving the quality of caring for these
patients.
Objective: To characterize patients canceled and intervened as an emergency due to
hip fracture.
Method: A quasiexperimental study was carried out with a single group in the
patients chosen for emergency surgery due to hip fracture, at "Manuel Ascunce
Domenech" University Hospital of Camagüey Province and in the period from January
1 to December 31, 2014. 204 patients were studied and divided into two groups: at
ages under 60 and 60 years or older.
Results: the female sex predominated as aged 60 years and older in 119 patients
intervened due to hip fracture, the probability of extracapsular fracture had an
odds
ratio of 17, extracapsular fracture was represented by 124, hospital stay ranged up to
six days for patients intervened and for those who were cancelled their operation, up
to 15 days. The mortality of canceled patients is in connection with severe sepsis.
Conclusion: Patients who were performed emergency surgery due to hip fracture
were classified as high surgical-anesthetic risk and admitted under the alive condition.
REFERENCES
Rashq S, Dick BD. Post-surgical pain syndromes: a review for the non-pain specialist. Can J Anaesth. 2014;61(2):123-30.
Ravindran D. Chronic postsurgical pain: prevention and management. J Pain Palliat Care Pharmacother. 2014;28(1):51-3.
Dávila Cabo de Villa E. Evaluación preoperatoria del paciente quirúrgico. En: Dávila Cabo de Villa E, Gómez Brito C, Álvarez Bárzaga M, Sainz Cabrera H, Navarrete Zuazo VM, Rodríguez Varela M, et al. Anestesiología Clínica. La Habana: Editorial Ciencias Médicas; 2013.p.61-74.
Uchida K. Reducing postoperative morbidity and mortality with preoperative risk evaluation and with refined perioperative medical care. Masui. 2012;61(5):514-25.
Chen YW, Tzeng JI, Lin MF, Hung CH, Hsieh PL, Wang JJ. High-frequency transcutaneous electrical nerve stimulation attenuates postsurgical pain and inhibits excess substance P in rat dorsal root ganglion. Reg Anesth Pain Med. 2014;39(4):322-8.
Stenquist DS, Elman SA, Davis AM, Bogart LM, Brownlee SA, Sanchez ES, et al. Physical activity and experience of total knee replacement in patients one to four years postsurgery in the dominican republic: a qualitative study. Arthritis Care Res. 2015;67(1):65-73.
McDonald S, Page MJ, Beringer K, Wasiak J, Sprowson A. Preoperative education for hip or knee replacement.Cochrane Database Syst Rev. 2014;23:5 Internet[Citado el 13 de mayo de 2014]: Consultado: enero 26, 2016. Disponible en: http://www.ncbi.nlm.nih.gov/pmc/articles/24820247
Ministerio de Salud Pública. Prioridades y objetivos de trabajo. La Habana: MINSAP; 2014. pp. 21.
Riddle DL, Jiranek WA, Hayes CW. Use of a validated algorithm to judge the appropriateness of total knee arthroplasty in the United States: a multicenter longitudinal cohort study. Arthritis Rheumatol.2013;66(8):2134-43.
Alvin MD, Miller JA, Sundar S, Lockwood M, Lubelski D, Nowacki AS, et al. The impact of preoperative depression on quality of life outcomes after posterior cervical fusion. Spine J. 2015;15(1):79-85.
Castañeda PA, Rodríguez M, Castañeda CM, Comportamiento intrahospitalario entre las fracturas de cadera intracapsulares y las extracapsulares. Rev Cubana Ortop Traumatol. 2012;26(1):16-27.
Riddle DL, Perera RA, Jiranek WA, Dumenci L. Using surgical appropriateness criteria to examine outcomes of total knee arthroplasty in a United States sample. Arthritis Care Res. 2015;67(3):349-57.
Chen YW, Tzeng JI, Lin MF, Hung CH, Wang JJ. Transcutaneous electrical nerve stimulation attenuates postsurgical allodynia and suppresses spinal substance P and proinflammatory cytokine release in rats. Phys Ther. 2015;95(1):76-85.
Han AS, Nairn L, Harmer AR, Crosbie J, March L, Parker D et al. Early rehabilitation after total knee replacement surgery: a multicenter, noninferiority, randomized clinical trial comparing a home exercise program with usual outpatient care. Arthritis Care Reset. 2015;67(2):196-202.
Petersen KK, Arendt-Nielsen L, Simonsen O,Wilder-Smith O, Laursen MB.Presurgical assessment of temporal summation of pain predicts the development of chronic postoperative pain 12 months after total knee replacement. Pain. 2015;156(1):55-61.
Pagé MG, Katz J, Romero Escobar EM, Lutzky-Cohen N, Curtis K, Fuss S, et al. Distinguishing problematic from nonproblematic postsurgical pain: a pain trajectory analysis after total knee arthroplasty. Pain. 2015;156(3):460-8.
Ministerio de Salud Pública. Dirección Nacional de Registros Médicos y Estadísticas de Salud. 10 primeras causas de muerte por grupos de edad y sexo en el adulto mayor [Internet]. La Habana: MINSAP; 2014. En línea. [Citado el 13 de mayo de 2014]. Consultado: febrero 2, 2016.Disponible en: http://www.sld.cu/servicios/estadísticas/
Clarke H, Katz J, Flor H, Rietschel M, Diehl SR, Seltzer Z. Genetics of chronic post-surgical pain: a crucial step toward personal pain medicine. Can J Anaesth. 2015 62(3):294-303.
Bainbridge D, Martin J,Arango M, Cheng D. Perioperative and anaesthetic-related mortality in developed and developing countries: a systematic review and meta-analysis. Lancet. 2012;380:9847 Arial, Helvetica, sans-serif" size="2"> 20. Solek-Pastuszka J, Zagrodnik-Ulan E, Bohatyrewicz R, Celewicz Z.Remifentanil for labour pain relief. Anaesthesiol Intensive Ther. 2015;47(1):82-6.
Zetterman CV,Sweitzer BJ,Webb B,Barak-Bernhagen MA, Boedeker BH. Validation of a virtual preoperative evaluation clinic: a pilot study. Stud Health Technol Inform . 2011;163: Internet. [Citado el 13 de mayo de 2014.] Consultado: enero 6, 2016. Disponible en: http://booksonline.iospress.nl/Extern/EnterMedLine.aspx?ISSN=0926-9630&Volume=163&SPage=737