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Mortalidad posterior a fracturas intertrocantéricas antes y después de las 48 horas. Efecto del retraso en el tratamiento quirúrgico.
Mortality after intertrocanteric hip fractures before and after 48 hours. Effect of delay time surgery
| dc.contributor | Morales, Oscar | |
| dc.creator | Parra Hernandez, Juan David | |
| dc.creator | Morales, Oscar | |
| dc.creator | Mateus, Ruben | |
| dc.date | 2016-02-01T22:53:09Z | |
| dc.date | 2019-12-30T19:06:03Z | |
| dc.date | 2016-02-01T22:53:09Z | |
| dc.date | 2019-12-30T19:06:03Z | |
| dc.date | 2016-01-25 | |
| dc.date.accessioned | 2026-03-25T19:34:50Z | |
| dc.date.available | 2026-03-25T19:34:50Z | |
| dc.identifier | https://hdl.handle.net/10654/7275 | |
| dc.identifier.uri | http://test.repositoriodigital.com:8080/handle/123456789/202216 | |
| dc.description | Introducción: La evidencia sugiere que mortalidad en el manejo de las fracturas intertrocantéricas de la cadera aumenta cuando hay demora en el manejo quirúrgico, por lo que en la actualidad hay un consenso en realizar la intervención quirúrgica de manera temprana. El objetivo del presente estudio es establecer el posible impacto en la morbi-mortalidad reduciendo del tiempo para ser llevados los pacientes a cirugía a menos de 48 horas. Materiales y Métodos: Estudio retrospectivo revisando las historias clínicas y encuesta telefónica de los pacientes operados por fractura intertrocantéricas entre 2007 y 2013. Se realizó análisis de supervivencia con método de Kaplan Meier y las variables numericas se realizo prueba T student y chi cuadrado a las variables nominales. Resultados: De los 140 pacientes que cumplieron los criterios de inclusión y exclusión, 34 pacientes fueron operados en las primeras 48 horas y 106 pacientes después de las primeras 48 horas, el promedio de horas entre el ingreso del paciente a la realización de la cirugía fue de 120 horas. La mortalidad a los 6 meses en el grupo de cirugia temprana (menor de 48 horas) fue 2.9 % y en el grupo de cirugia tardía (mayor de 48 horas) fue de 15,1% (p = 0.02). La estancia hospitalaria disminuyó 5 días en promedio en los pacientes operados antes de 48 horas (p = 0.008). Conclusiones: Hay menor mortalidad medida a los 6 meses y disminución en la estancia hospitalaria posoperatoria en los pacientes operados tempranamente; no se obtuvo diferencias en la mortalidad a un año en los grupos comparados. | |
| dc.description | Introduction: Evidence suggests that mortality in the management of intertrochanteric hip fractures increases when there is delay in surgical management, so that today there is a consensus perform surgery early. The aim of this study is to establish the possible impact on morbidity and mortality reducing the time to be taken to surgery patients within 48 hours. Materials and Methods: A retrospective study reviewed the medical records and telephone survey of intertrochanteric fracture patients operated on between 2007 and 2013. Survival analysis with Kaplan Meier method and numerical variables was performed T student test and chi square test was performed to variables nominal. Results: Of the 140 patients who met the criteria for inclusion and exclusion, 34 patients were operated on within 48 hours and 106 patients after the first 48 hours, the average number of hours between the patient's admission to the completion of surgery was 120 hours. The mortality at 6 months in the early surgery group (less than 48 hours) was 2.9% and in the late surgery group (over 48 hours) was 15.1% (p = 0.02). The hospital stay decreased 5 days on average in patients operated within 48 hours (p = 0.008). Conclusions: There are far lower mortality at 6 months and decreased postoperative hospital stay in patients undergoing early; no difference in mortality at one year compared groups was obtained | |
| dc.format | ||
| dc.format | application/pdf | |
| dc.language | spa | |
| dc.publisher | Universidad Militar Nueva Granada | |
| dc.publisher | Ortopedia y Traumatología | |
| dc.publisher | Facultad de Medicina | |
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| dc.rights | info:eu-repo/semantics/openAccess | |
| dc.subject | INFECCIONES DE HERIDAS | |
| dc.subject | COMPLICACIONES POSTOPERATORIAS | |
| dc.subject | PROTESIS DE CADERA | |
| dc.subject | Mortality | |
| dc.subject | Hip fractures | |
| dc.subject | Delay surgical time | |
| dc.subject | Hospital stay | |
| dc.subject | Mortalidad | |
| dc.subject | Morbilidad | |
| dc.subject | Fracturas intertrocantéricas | |
| dc.subject | Retraso quirúrgico | |
| dc.subject | Estancia hospitalaria | |
| dc.title | Mortalidad posterior a fracturas intertrocantéricas antes y después de las 48 horas. Efecto del retraso en el tratamiento quirúrgico. | |
| dc.title | Mortality after intertrocanteric hip fractures before and after 48 hours. Effect of delay time surgery | |
| dc.type | info:eu-repo/semantics/bachelorThesis | |
| dc.type | Trabajo de grado | |
| dc.coverage | Medicina |
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