Morbimortalidad postquirúrgica de pacientes con fractura de cadera mayores de 65 años de edad en el Hospital Dr. Teodoro Maldonado Carbo entre mayo 2009 hasta abril 2014
Fecha
2015
Autores
Título de la revista
ISSN de la revista
Título del volumen
Editor
Universidad de Guayaquil. Facultad de Ciencias Médicas. Carrera de Medicina
Resumen
El adulto mayor presenta una gran incidencia de fracturas de cadera, las que se relacionan con factores como la edad, sexo, comorbilidades, etc. El objetivo de este trabajo es determinar la morbimortalidad postquirúrgica de pacientes con fractura de cadera mayores de 65 años que ingresaron desde mayo 2009 a abril 2014 en el Hospital Regional Dr. Teodoro Maldonado Carbo de Guayaquil, mediante la revisión de datos facilitados por el Departamento de Informática, basándose en los tipos de fractura de tercio proximal de fémur (imágenes y protocolos), la edad, el retraso quirúrgico y complicaciones posteriores.
De acuerdo a los resultados, el 50% de los pacientes presentó complicaciones postquirúrgicas y el 9,3% fallece dentro de los 12 meses posteriores. La fractura de cadera en pacientes mayores es frecuente y el gran impacto en los programas sanitarios, sociales y económicos conlleva a mejorar la funcionalidad del paciente por medio de la cirugía como tratamiento inmediato para reducir la mortalidad, complicaciones y retornar al paciente a su estado de deambulación.
The senior has a high incidence of hip fractures, which are related to factors such as age, sex, comorbidities, etc. The aim of this study was to determine the postoperative morbidity and mortality in patients with hip fracture over 65 years who were admitted from May 2009 to April 2014 in the Regional Hospital Dr. Teodoro Maldonado Carbo Guayaquil by reviewing data provided by the Department of Information based on the types of fractures of the proximal third of the femur (images and protocols), age, surgical complications and subsequent delay. According to the results 50% of patients had postoperative complications and 9.3% die within 12 months. Hip fracture in elderly patients is frequent and significant impact on the health, social and economic programs leading to improve the functionality of the patient through surgery and immediate treatment to reduce mortality, complications and return the patient to a state of ambulation.
The senior has a high incidence of hip fractures, which are related to factors such as age, sex, comorbidities, etc. The aim of this study was to determine the postoperative morbidity and mortality in patients with hip fracture over 65 years who were admitted from May 2009 to April 2014 in the Regional Hospital Dr. Teodoro Maldonado Carbo Guayaquil by reviewing data provided by the Department of Information based on the types of fractures of the proximal third of the femur (images and protocols), age, surgical complications and subsequent delay. According to the results 50% of patients had postoperative complications and 9.3% die within 12 months. Hip fracture in elderly patients is frequent and significant impact on the health, social and economic programs leading to improve the functionality of the patient through surgery and immediate treatment to reduce mortality, complications and return the patient to a state of ambulation.
Descripción
PDF
Palabras clave
Indicadores de morbimortalidad, Período postoperatorio, Fracturas de cadera, Anciano, Hospital de Especialidades Dr. Teodoro Maldonado Carbo, Cantón Guayaquil, Ecuador