Factores de riesgo y complicaciones de fractura de cadera en pacientes de 60 a 80 años trabajo a realizarse en el Hospital León Becerra Camacho de Milagro en el período 2017 a 2019
Fecha
2020
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Carrera de Medicina
Resumen
La fractura de cadera es una entidad prevalentemente en el grupo susceptible determinado por las personas de edad avanzada, y es una de la causa más frecuente de los muchos ingresos en el sector hospitalario de personas adultas mayores a partir de los 60 años con edad promedia Objetivo: Identificar los factores de riesgo y complicaciones de fractura de cadera en pacientes de 60 a 80 años, atendidos en área de traumatología del Hospital León Becerra Camacho de Milagro en el periodo 2017 - 2019. Metodología: Estudio de investigación es de tipo retrospectivo, descriptivos, método analítico, enfoque cualitativo de corte transversal y diseño no experimental. Resultados: Se obtuvo un 27.5% de los pacientes con diabetes mellitus tipo 2, osteoporosis 17% así como 11% para hipertensión arterial en edades de 71 a 80 años, caídas del adulto mayor con un 50% que se asocia a la aparición de fracturas transtrocantérica 22.5% y transcervicales 9%, las complicaciones pre operatorias estiman tromboembolismo 4%, shock hipovolémico 9.9% y mediana proporción la hipoglicemia con el 9.9%. Conclusión: Los mecanismos de acción de las fracturas de cadera relacionados directamente como factores de riesgo, se proyectaron más para los traumatismos fracturas derivadas de las caídas desde su propio cuerpo principalmente, en ambos rangos de edades 60 a 70 y 71 a 80 años. En cuanto a las complicaciones preoperatorias destacaron el shock hipovolémico, hipoglicemia, y tromboembolismo.
Hip fracture is an entity prevalent in the susceptible group determined by the elderly, and it is one of the most frequent cause of the many admissions in the hospital sector of older adults from 60 years of age with average age Objective: Identify the risk factors and complications of hip fracture in patients aged 60 to 80 years, treated in the trauma area of the León Becerra Camacho de Milagro Hospital in the period 2017 - 2019. Methodology: Research study is retrospective, descriptive cross-sectional and non-experimental design. Results: 27.5% of patients with type 2 diabetes mellitus, 17% osteoporosis as well as 11% for arterial hypertension in ages 71 to 80 years, falls in the elderly with 50% associated with the appearance of fractures transtrochanteric 22,5% and transcervical 9%, pre-operative complications estimate thromboembolism 4%, hypovolemic shock 9.9% and a median proportion of hypoglycemia with 9.9%. Conclusion: The mechanisms of action of hip fractures related directly as risk factors, were projected more for trauma fractures derived from falls from the own body mainly, in both age ranges 60 to 70 and 71 to 80 years. Regarding preoperative complications, hypovolemic shock, hypoglycemia, and thromboembolism stood out.
Hip fracture is an entity prevalent in the susceptible group determined by the elderly, and it is one of the most frequent cause of the many admissions in the hospital sector of older adults from 60 years of age with average age Objective: Identify the risk factors and complications of hip fracture in patients aged 60 to 80 years, treated in the trauma area of the León Becerra Camacho de Milagro Hospital in the period 2017 - 2019. Methodology: Research study is retrospective, descriptive cross-sectional and non-experimental design. Results: 27.5% of patients with type 2 diabetes mellitus, 17% osteoporosis as well as 11% for arterial hypertension in ages 71 to 80 years, falls in the elderly with 50% associated with the appearance of fractures transtrochanteric 22,5% and transcervical 9%, pre-operative complications estimate thromboembolism 4%, hypovolemic shock 9.9% and a median proportion of hypoglycemia with 9.9%. Conclusion: The mechanisms of action of hip fractures related directly as risk factors, were projected more for trauma fractures derived from falls from the own body mainly, in both age ranges 60 to 70 and 71 to 80 years. Regarding preoperative complications, hypovolemic shock, hypoglycemia, and thromboembolism stood out.
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Factores de riesgo, Diabetes mellitus, Adulto, Hospital General Dr. León Becerra Camacho de Milagro, Cantón Milagro, Ecuador, Fracturas de cadera, Anciano