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dc.contributor.advisorHiguera Cobos, Juan Diego
dc.contributor.advisorOchoa Vera, Miguel Enrique
dc.contributor.authorCastañeda Camacho, Héctor Andrés
dc.date.accessioned2020-06-26T19:59:53Z
dc.date.available2020-06-26T19:59:53Z
dc.date.issued2016
dc.identifier.urihttp://hdl.handle.net/20.500.12749/1730
dc.description.abstractLa fractura de cadera es una de las patologías traumáticas más comunes en el adulto mayor y trae consigo una alta carga de morbimortalidad que impacta de manera predominante la calidad de vida e independencia para las actividades diarias, por tal motivo en el adulto mayor medir su estado funcional y capacidad cognitiva entre otros factores, constituyen puntos importantes de intervención tanto para la prevención de caídas y fracturas como para la recuperación y rehabilitación pos trauma. La fractura de cadera es una patología traumática común en la población geriátrica a nivel global, en Colombia se desconoce la verdadera incidencia de esta patología, pero a nivel mundial es una de las patologías consideradas como pandemia en el adulto mayor y es una condición de especial atención en las áreas de ortopedia y traumatología, para el año 2050 se estima que habrá 6.300.000 pacientes con fractura de cadera , hecho explicado por el aumento en la expectativa de vida (1) ; a medida que la población se acerque a los 80 años la incidencia de fractura aumentara de manera importante llegando al punto que 1 de cada 1000 personas en países desarrollados tengan una fractura proximal del fémur (2). Por lo cual uno de los puntos de atención del clínica se debe centrar en le evaluación integral de estos pacientes , pues la fractura de cadera constituye un amplio motivo de consulta en el área de urgencias y consulta externa para el médico internista , ya que esta población cursa con una o más comorbilidades al momento del diagnóstico y requieren de una valoración completa de todas las patologías(3), bien sea de forma preoperatoria o como seguimiento luego del trauma. Muchos son los factores de riesgo y predictores que dictaminan morbimortalidad en estos pacientes algunos de ellos susceptibles de intervención y prevención (4) , entre ellos la funcionalidad que desde años atrás y junto a su vinculación a la fuerza de prensión se ha constituido como herramienta importante para detectar pacientes susceptibles de mayores complicaciones y peores desenlaces tanto en postoperatorio de fractura de cadera como en otros contextos como los cardiovasculares como lo evidenció el estudio pure (5)(6)(7). La fuerza de prensión además se correlaciona de manera acertada con estados de sarcopenia (presencia de baja masa muscular esquelética), condición que favorece el riesgo de fractura y mortalidad secundaria a la misma (8).Por lo anterior el presente estudio pretende medir la fuerza de prehensión preoperatoria en paciente adultos mayores que consultan al servicio de urgencias por fractura de cadera y con ello establecer la asociación entre la fuerza de prehensión (que abarca funcionalidad, sarcopenia, estado nutricional) y desenlaces durante el postoperatorio y estancia hospitalaria. Se espera que los pacientes con baja fuerza prensión para su edad tengan más días de hospitalización, desarrollen infecciones o descompensación de alguna patología de base, mayor requerimiento de analgésicos entre otras variables. Así el handgrip alertara al clínico sobre el paciente que está en mayor riesgo de complicaciones.spa
dc.format.mimetypeapplication/pdf
dc.language.isospa
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/2.5/co/*
dc.titleEvaluación de la fuerza de agarre prequirúrgica y desenlaces postoperatorios en adultos mayores de 65 años llevados a cirugía de urgencia por fractura de cadera: estudio hip strenght Ispa
dc.title.translatedEvaluation of preoperative grip strength and postoperative outcomes in adults over 65 years of age who underwent emergency surgery for hip fracture: hip strenght study Ieng
dc.degree.nameEspecialista en Medicina Interna
dc.coverageBucaramanga (Santander, Colombia)
dc.publisher.grantorUniversidad Autónoma de Bucaramanga UNAB
dc.rights.localAbierto (Texto Completo)spa
dc.publisher.facultyFacultad Ciencias de la Salud
dc.publisher.programEspecialización en Medicina Interna
dc.description.degreelevelEspecialización
dc.type.driverinfo:eu-repo/semantics/masterThesis
dc.type.localTesisspa
dc.type.coarhttp://purl.org/coar/resource_type/c_bdcc
dc.subject.keywordsHip injuries
dc.subject.keywordsSurgery
dc.subject.keywordsMedical care
dc.subject.keywordsMortality
dc.subject.keywordsMedicine
dc.subject.keywordsInternal medicine
dc.subject.keywordsInvestigations
dc.subject.keywordsComplications
dc.subject.keywordsPatients
dc.subject.keywordsPrevention and control
dc.subject.keywordsQuality of life
dc.subject.keywordsElderly
dc.subject.keywordsTraumatic pathologies
dc.subject.keywordsHip fracture
dc.subject.keywordsRisk factors and predictors
dc.identifier.instnameinstname:Universidad Autónoma de Bucaramanga - UNAB
dc.identifier.reponamereponame:Repositorio Institucional UNAB
dc.type.hasversioninfo:eu-repo/semantics/acceptedVersion
dc.rights.accessrightsinfo:eu-repo/semantics/openAccess
dc.rights.accessrightshttp://purl.org/coar/access_right/c_abf2
dc.relation.referencesCastañeda Camacho, Héctor Andrés (2016). Evaluación de la fuerza de agarre prequirúrgica y desenlaces postoperatorios en adultos mayores de 65 años llevados a cirugía de urgencia por fractura de cadera: estudio hip strenght I. Bucaramanga (Santander, Colombia) : Universidad Autónoma de Bucaramanga UNAB
dc.relation.references1. Ríos AU, Alejandro D, Herrera C, Nicolás A, Ortega G, Enrique E, et al. Morbilidad y mortalidad en pacientes mayores de 60 años con fractura de cadera en el Hospital Universitario San Vicente Fundación , de Medellín , Colombia. 25(4):305–13.
dc.relation.references2. Rondanelli AM. Fracturas de cadera en ancianos. 2004;20–8.
dc.relation.references3. Gil R, Aljibe A, Moreno I, Moral P, Rubio C, Duarte E, et al. Revista Clínica Española. Rev Clin Esp [Internet]. 2013;213(4):2565. Available from: http://www.revclinesp.es/
dc.relation.references4. González-Montalvo JI, Alarcón T, Hormigo Sánchez AI. ??Por Qu?? Fallecen Los Pacientes Con Fractura De Cadera? Med Clin (Barc). 2011;137(8):355–60.
dc.relation.references5. Bohannon RW. Hand-Grip Dynamometry Predicts Future Outcomes in Aging Adults. 31.
dc.relation.references6. Beloosesky Y, Weiss A, Manasian M, Salai M. Handgrip strength of the elderly after hip fracture repair correlates with functional outcome. 2010;32(5):367–73.
dc.relation.references7. Leong DP, Teo KK, Rangarajan S, Lopez-Jaramillo P, Avezum A, Orlandini A, et al. Prognostic value of grip strength: Findings from the Prospective Urban Rural Epidemiology (PURE) study. Lancet [Internet]. Elsevier Ltd; 2015;386(9990):266–73. Available from: http://dx.doi.org/10.1016/S0140-6736(14)62000-6
dc.relation.references8. Dawson-Hughes, B. HB-F. Considerations concerning the definition of sarcopenia. Osteoporos Int [Internet]. Osteoporosis International; 2016; Available from: http://dx.doi.org/10.1007/s00198-016-3674-8
dc.relation.references9. MUNOZ G, Sebastián, LAVANDEROS F, Jorge, VILCHES A L et al. Fractura de cadera. Cuad cir (Valdivia),. 2008;vol.22, no:p.73-81.
dc.relation.references10. Sylwia M, Brodowski J, Karakiewicz B. Fall Risk Factors in Community-Dwelling Elderly Depending on Their Physical Function , Cognitive Status and Symptoms of Depression. 2015;3406–16.
dc.relation.references11. Fuller GF, House W, Clinic M. Falls in the Elderly. 2016;1–9.
dc.relation.references12. Kanis JA, Odén A, McCloskey E V., Johansson H, Wahl DA, Cooper C. A systematic review of hip fracture incidence and probability of fracture worldwide. Osteoporos Int. 2012;23(9):2239–56.
dc.relation.references13. Dhanwal DK, Dennison EM, Harvey NC, Cooper C. Epidemiology of hip fracture: Worldwide geographic variation. Indian J Orthop [Internet]. 2011;45(1):15–22.
dc.relation.references14. Baker PN, Salar O, Ollivere BJ, Forward DP, Weerasuriya N, Moppett IK, et al. Evolution of the hip fracture population: time to consider the future? A retrospective observational analysis. BMJ Open [Internet]. 2014;4(4):e004405.
dc.relation.references15. G J, G ÉA, T A, M JF, P C, J MJ. Costos de fracturas en mujeres con osteoporosis en Colombia Costs of fractures in women with osteoporosis in Colombia. 2013;
dc.relation.references16. With MA. The Socioeconomic Burden of Fractures: Today and in the 21st Century. 1997;
dc.relation.references17. Haentjens P, Lamraski G, Boonen S. Costs and consequences of hip fracture occurrence in old age : An economic perspective. 2005;27:1129–41.
dc.relation.references18. Gu Q, Koenig L, Iii RCM. Surgery for Hip Fracture Yields Societal Benefits That Exceed the Direct Medical Costs. 2014;3536–46.
dc.relation.references19. Cornwall R, Gilbert MS, Koval KJ, Strauss E, Siu AL. of Hip Fractures : 2006;(425):64–71.
dc.relation.references20. Ribeiro B, Lagos T, Pappalardo C, Caruso D, Starosilz G. Escala de Fragilidad de Edmonton ¿ útil como predictor de morbimortalidad ?
dc.relation.references21. El EN, Mayor A. FISIOLOGíA DEL SíNDROME DE FRAGILIDAD EN EL ADULTO MAYOR. :31–5.
dc.relation.references22. Kua J, Ramason R, Rajamoney G, Sian M. Which frailty measure is a good predictor of early post-operative complications in elderly hip fracture patients ? Arch Orthop Trauma Surg [Internet]. Springer Berlin Heidelberg; 2016; Available from: "http://dx.doi.org/10.1007/s00402-016-2435-7
dc.relation.references23. Lin H, Watts JN, Peel NM, Hubbard RE. Frailty and post-operative outcomes in older surgical patients : a systematic review. BMC Geriatr [Internet]. BMC Geriatrics; 2016; Available from: http://dx.doi.org/10.1186/s12877-016-0329-8
dc.relation.references24. Movement H. The predictors of falls in adult and senior women from cities of Lower Silesia , Poland. 2014;15(2):86–92.
dc.relation.references25. Original C. ARTÍCULO ORIGINAL Correlación del estado funcional y nutricional en ancianos con fractura de cadera en un hospital de alta complejidad. :136–44.
dc.relation.references26. Lavedán Santamaría A, Jürschik Giménez P, Botigué Satorra T, Nuin Orrio C, Viladrosa Montoy M. Prevalencia y factores asociados a caídas en adultos mayores que viven en la comunidad. Atención Primaria [Internet]. SEGO; 2015;47(6):367–75. Available from: http://dx.doi.org/10.1016/j.aprim.2014.07.012
dc.relation.references27. Webb AR, Ch B, Newman LA, Sc B, Taylor M, Sc B, et al. Grip Dynamometry as a Predictor of Postoperative Complications Reappraisal Using Age Standardized Grip Strengths. :30–3.
dc.relation.references28. Stalenhoef PA, Diederiks JPM, Knottnerus JA, Kester ADM, Crebolder HFJM. A risk model for the prediction of recurrent falls in community-dwelling elderly: A prospective cohort study. J Clin Epidemiol. 2002;55(11):1088–94.
dc.relation.references29. Sugiura Y, Tanimoto Y, Watanabe M, Tsuda Y, Kimura M, Kusabiraki T, et al. Handgrip strength as a predictor of higher-level competence decline among community-dwelling Japanese elderly in an urban area during a 4-year follow-up. Arch Gerontol Geriatr [Internet]. Elsevier Ireland Ltd; 2013;57(3):319–24. Available from: http://dx.doi.org/10.1016/j.archger.2013.06.006
dc.relation.references30. Snih S Al, Markides KS, Ottenbacher KJ, Raji MA. Hand grip strength and incident ADL disability in elderly Mexican Americans over a seven-year period. 2004;16(6):481–6.
dc.relation.references31. Sato T, Aoyama T, Hayashi T, Segami K. Impact of preoperative hand grip strength on morbidity following gastric cancer surgery. Gastric Cancer [Internet]. Springer Japan; 2015;3–9. Available from: "http://dx.doi.org/10.1007/s10120-015-0554-4
dc.relation.references32. Chen C, Huang Y, Hung T. Hand-grip strength is a simple and effective outcome predictor in esophageal cancer following esophagectomy with reconstruction : a prospective study. J Cardiothorac Surg [Internet]. BioMed Central Ltd; 2011;6(1):98. Available from: http://www.cardiothoracicsurgery.org/content/6/1/98
dc.relation.references33. Silveira TMG, Sousa JB de, Stringhini MLF, Freitas ATV de S, Melo PG. Nutritional assessment and hand grip strength of candidates for surgery of the gastrointestinal tract. Arq Bras Cir Dig. 2014;27(2):104–8.
dc.relation.references34. Whyman M, Bassey EJ. Delayed recovery of hand grip strength predicts postoperative morbidity following major vascular surgery. 1989;76:704–5.
dc.relation.references35. Beresford-cleary AJSKN. Preoperative grip strength measurement and duration of hospital stay in patients undergoing total hip and knee arthroplasty. 2013;553–6.
dc.relation.references36. Davies CW, Jones DM, Shearer JR. Hand grip--a simple test for morbidity after fracture of the neck of femur. J R Soc Med. 1984;77(10):833–6.
dc.relation.references37. Betiolli E, Lourenço TM. Handgrip strength and physical activity in frail elderly *. 2016;50(1):86–92.
dc.relation.references38. Internacional P, Mu JJ. COLOMBIANOS. 2012;15(4):8–16.
dc.relation.references39. Carmen Lucía Curcio B. José Fernando Gómez. FUERZA DE AGARRE DE LOS ADULTOS MAYORES DE LOS CENTROS DIA DEL MUNICIPIO DE MANIZALES. Rev Asoc Colomb Gerontol Geriatr. 2005;Vol. 19 No:849–58.
dc.relation.references40. Rijk JM, Roos PRKM, Deckx L, Akker M Van Den, Buntinx F. Prognostic value of handgrip strength in people aged 60 years and older : A systematic review and meta-analysis. 2016;5–20.
dc.relation.references41. Dodd AC, Bulka C, Jahangir A, Mir HR, Obremskey WT, Sethi MK. Predictors of 30-day mortality following hip/pelvis fractures. Orthop Traumatol Surg Res [Internet]. Elsevier Masson SAS; 2016;3–6. Available from: http://dx.doi.org/10.1016/j.otsr.2016.05.016
dc.relation.references42. Carpintero P, Caeiro JR, Carpintero R, Morales A, Silva S, Mesa M. Complications of hip fractures: A review. World J Orthop [Internet]. 2014;5(4):402–11.
dc.relation.references43. Monte-Secades R, Peña-Zemsch M, Rabuñal-Rey R, Bal-Alvaredo M, Pazos-Ferro A, Mateos-Colino A. Factores de riesgo para la presentaci??n de complicaciones m??dicas en enfermos con fractura de cadera. Rev Calid Asist. 2011;26(2):76–82.
dc.relation.references44. Khan SK, Kalra S, Khanna A, Thiruvengada MM, Parker MJ. Timing of surgery for hip fractures: A systematic review of 52 published studies involving 291,413 patients. Injury. 2009;40(7):692–7.
dc.relation.references45. Khan MA, Hossain FS, Ahmed I. Predictors of early mortality after hip fracture surgery. 2013;2119–24.
dc.relation.references46. Kesmezacar H, Ayhan E, Unlu MC, Seker A, Karaca S. Predictors of Mortality in Elderly Patients With an Intertrochanteric. 2010;68(1):153–8.
dc.relation.references47. Article F. Timing of Hip Fracture Surgery and 30-Day Outcomes. xx(X):1–8.
dc.relation.references48. Rostagno C. Bedside Echocardiography In Patients With Hip Fracture. J Cardiol Ther [Internet]. 2015;2(5):410–3. Available from: http://www.ghrnet.org/index.php/jct/article/ view/1397
dc.relation.references49. Jettoo P, Kakwani R, Junejo S, Talkhani I, Dixon P. Pre-operative echocardiogram in hip fracture patients with cardiac murmur--an audit. J Orthop Surg [Internet]. BioMed Central Ltd; 2011;6(1):49. Available from: http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=medl&NEWS=N&AN=21943077\nhttp://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=21943077\nhttp://primo-direct-apac.hosted.exlibrisgroup.com/openurl/61ADELAIDEU/SUA_SERVICES_PAG
dc.relation.references50. Meissner W, Coluzzi F, Fletcher D, Huygen F, Morlion B, Neugebauer E, et al. Current Medical Research and Opinion Improving the management of post-operative acute pain: priorities for change Commentary Improving the management of post-operative acute pain: priorities for change. Curr Med Res Opin [Internet]. 2015;31(11):2131–43. Available from: http://www.tandfonline.com/action/journalInformation?journalCode=icmo20\nhttp://dx.doi.org/10.1185/03007995.2015.1092122
dc.relation.references51. Radinovic K, Milan Z, Markovic-denic L, Dubljanin-raspopovic E, Jovanovic B, Bumbasirevic V. Predictors of severe pain in the immediate postoperative period in elderly patients following hip fracture surgery. Injury [Internet]. Elsevier Ltd; 2014; Available from: http://dx.doi.org/10.1016/j.injury.2014.05.024
dc.relation.references52. Karademir G, Bilgin Y, Erşen A, Polat G, Büget MI, Balcı HI. SC. Int J Surg [Internet]. Elsevier Ltd; 2015; Available from: http://dx.doi.org/10.1016/j.ijsu.2015.11.009
dc.relation.references53. Ercin E, Bilgili MG, Sari C, Basaran SH. Risk factors for mortality in geriatric hip fractures : a compressional study of different surgical procedures in 785 consecutive patients. Eur J Orthop Surg Traumatol [Internet]. Springer Paris; 2016;2–7. Available from: "http://dx.doi.org/10.1007/s00590-016-1843-2
dc.relation.references54. D DNGM, Rafacho BPM, Sc M, D LMGM, D PSAM, Ph D, et al. Handgrip strength predicts pressure ulcers in patients with hip fractures. Nutrition [Internet]. Elsevier Inc.; 2012;28(9):874–8. Available from: http://dx.doi.org/10.1016/j.nut.2011.11.010
dc.relation.references55. Savino E, Martini E, Lauretani F, Pioli G, Zagatti M. Handgrip Strength Predicts Persistent Walking Recovery After Hip Fracture Surgery. Am J Med . Elsevier Inc; 2013;126(12):1068–1075.e1. 56. Hunt DR, Rowlands BJ, Johnston D, Rowlands BJ. Journal of Parenteral and Enteral Nutrition. 1985;
dc.relation.references57. Farrow LS, Smith TO, Ashcroft GP, Myint PK. A systematic review of Tranexamic acid in hip fracture surgery. Br J Clin Pharmacol 2016;1–28.
dc.relation.references58. Trampisch US, Franke J, Jedamzik N, Hinrichs T, Platen P. Optimal jamar dynamometer handle position to assess maximal isometric hand grip strength in epidemiological studies. J Hand Surg Am [Internet]. Elsevier Inc.; 2012;37(11):2368–73. Available from: http://dx.doi.org/10.1016/j.jhsa.2012.08.014
dc.relation.references59. Massy-westropp NM, Gill TK, Taylor AW, Bohannon RW, Hill CL. Hand Grip Strength : age and gender stratified normative data in a population-based study. BMC Res Notes [Internet]. BioMed Central Ltd; 2011;4(1):127. Available from: http://www.biomedcentral.com/1756-0500/4/127
dc.relation.references60. Roberts HC, Denison HJ, Martin HJ, Patel HP, Syddall H, Cooper C, et al. A review of the measurement of grip strength in clinical and epidemiological studies: Towards a standardised approach. Age Ageing. 2011;40(4):423–9.
dc.relation.references61. G OLH. Elaboración de estándares de la fuerza de agarre en individuos sanos entre 20 y 70 años residentes en la localidad de Usaquén, Bogotá. Rev Colomb Rehabil. 2007;Volumen 6:5–19.
dc.relation.references62. Parkway S, Box NPO. JAMAR H YDROLIC H AND D YNAMOMETER 3700 Sagamore Parkway North. 2004;1–8.
dc.relation.references63. S EM, F SR, B PM. Fuerza de prensión manual según edad, género y condición funcional en adultos mayores Chilenos entre 60 y 91 años. 2016;598–603.
dc.relation.references64. Jessica Kathe Mahn Arteaga CPRD. “ Evaluación de la fuerza de puño en sujetos adultos sanos mayores de 20 años de la Región Metropolitana .” Univ chile, Fac Med Esc Kinesiol. 2005;Tesis de l:1–52.
dc.relation.references65. Ramírez PC, Angarita A. Fuerza de agarre en trabajadores sanos de Manizales Grip force in healthy workers from Manizales. Rev Colomb Rehabil. 2009;8(1):109–18.
dc.relation.references66. Gómez-Londoño C, González-Correa CH. Fuerza De Presión Manual Y Correlación Con Indicadores Antropométricos Y Condición Física En Estudiantes Universitarios\rManual Pressure Force and Correlation With Anthropometric and Physical Condition in College Students. Biosalud [Internet]. 2012;(26):11–9. Available from: http://www.scielo.org.co/scielo.php?script=sci_arttext&pid=S1657-95502012000200002&lang=pt
dc.relation.references67. Mathiowetz V, Weber K, Volland G, Kashman N. Reliability and validity of grip and pinch strength evaluations. J Hand Surg Am [Internet]. American Society for Surgery of the Hand; 1984;9(2):222–6. Available from: http://dx.doi.org/10.1016/S0363-5023(84)80146-X
dc.relation.references68. Bohannon RW, Peolsson A, Massy-westropp N, Desrosiers J, Bear-lehman J. Reference values for adult grip strength measured with a Jamar dynamometer : a descriptive meta-analysis. 2006;92:11–5.
dc.relation.references69. Kamimura T, Ikuta Y. Evaluation of grip strength with a sustained maximal isometric contraction for 6 and 10 seconds. J Rehabil Med. 2001;33(5):225–9.
dc.relation.references70. Massy-Westropp N, Rankin W, Ahern M, Krishnan J, Hearn TC. Measuring grip strength in normal adults: Reference ranges and a comparison of electronic and hydraulic instruments. J Hand Surg Am. 2004;29(3):514–9.
dc.relation.references71. Dhanwal DK, Dharmshaktu P, Gautam VK, Gupta N, Saxena A. Hand grip strength and its correlation with vitamin D in Indian patients with hip fracture. Arch Osteoporos. 2013;8(1–2).
dc.relation.references72. Hillman TE, Nunes QM, Hornby ST, Stanga Z, Neal KR, Rowlands BJ, et al. A practical posture for hand grip dynamometry in the clinical setting. Clin Nutr. 2005;24(2):224–8.
dc.relation.references73. Castiglioni C, Toma E De, Gardin L, Giordano S, Tappero R. Handgrip Strength is an Independent Predictor of Functional Outcome in Hip-Fracture Women A Prospective Study With 6-Month Follow-Up. 2015;94(6):1–6.
dc.contributor.cvlachttps://scienti.minciencias.gov.co/cvlac/visualizador/generarCurriculoCv.do?cod_rh=0000898465
dc.contributor.cvlachttps://scienti.minciencias.gov.co/cvlac/visualizador/generarCurriculoCv.do?cod_rh=0001692834
dc.contributor.orcidhttps://orcid.org/0000-0003-2622-9412
dc.contributor.orcidhttps://orcid.org/0000-0002-4552-3388
dc.contributor.orcidhttps://orcid.org/0000-0002-2756-9876
dc.contributor.scopushttps://www.scopus.com/authid/detail.uri?authorId=36987156500
dc.contributor.researchgatehttps://www.researchgate.net/profile/Miguel_Ochoa7
dc.subject.lembLesiones de la caderaspa
dc.subject.lembCirugíaspa
dc.subject.lembAtención médicaspa
dc.subject.lembMortalidadspa
dc.subject.lembMedicinaspa
dc.subject.lembMedicina internaspa
dc.subject.lembInvestigacionesspa
dc.subject.lembComplicacionesspa
dc.subject.lembPacientesspa
dc.subject.lembPrevención y controlspa
dc.description.abstractenglishHip fracture is one of the most common traumatic pathologies in the elderly and brings with it a high burden of morbidity and mortality that predominantly impacts the quality of life and independence for daily activities, for this reason in the elderly to measure their status Functional and cognitive capacity, among other factors, constitute important points of intervention both for the prevention of falls and fractures and for recovery and rehabilitation after trauma. Hip fracture is a common traumatic pathology in the geriatric population globally, in Colombia the true incidence of this pathology is unknown, but worldwide it is one of the pathologies considered as a pandemic in the elderly and is a special condition care in the areas of orthopedics and traumatology, by the year 2050 it is estimated that there will be 6,300,000 patients with hip fracture, a fact explained by the increase in life expectancy (1); As the population approaches 80 years of age, the incidence of fracture will increase significantly, reaching the point that 1 in every 1000 people in developed countries has a proximal femur fracture (2). For this reason, one of the points of attention of the clinic should focus on the comprehensive evaluation of these patients, since hip fracture constitutes a wide reason for consultation in the emergency area and external consultation for the internist, since this population it presents with one or more comorbidities at the time of diagnosis and requires a complete assessment of all pathologies (3), either preoperatively or as a follow-up after trauma.There are many risk factors and predictors that determine morbidity and mortality in these patients, some of them susceptible to intervention and prevention (4), among them the functionality that for years and together with its link to grip strength has become an important tool to detect patients susceptible to greater complications and worse outcomes both in the postoperative period of hip fracture and in other contexts such as cardiovascular, as evidenced by the pure study (5) (6) (7). The grip strength is also correctly correlated with sarcopenia states (presence of low skeletal muscle mass), a condition that favors the risk of fracture and mortality secondary to it (8). Therefore, this study aims to measure the preoperative grip strength in elderly patients who visit the emergency department for hip fracture and thereby establish the association between the grip strength (which includes functionality, sarcopenia, nutritional status) and outcomes. during the postoperative period and hospital stay. Patients with low grip strength for their age are expected to have more days of hospitalization, develop infections or decompensation of some underlying pathology, greater requirement of analgesics among other variables. Thus the handgrip will alert the clinician about the patient who is at higher risk of complications.eng
dc.subject.proposalCalidad de vida
dc.subject.proposalAdulto mayor
dc.subject.proposalPatologías traumáticas
dc.subject.proposalFractura de cadera
dc.subject.proposalFactores de riesgo y predictores
dc.rights.creativecommonsAtribución-NoComercial-SinDerivadas 2.5 Colombia*


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