RIESGOS DE FRACTURA DE CADERA EN ADULTOS MAYORES EVALUADOS CON EL INDICE DE CHARLSON
Date
Journal Title
Journal ISSN
Volume Title
Publisher
Rev Cient Cienc Méd
Abstract
La Organización Mundial de la Salud (2019), menciona que la población ahora tiene una esperanza de vida de 73,3 años, en la mayoría acompañado también con incremento de comorbilidades y esto varía de acuerdo al lugar donde habita el individuo y con ella las fracturas de cadera. Objetivo: caracterizar riesgos para fracturas de cadera en adultos mayores y evaluar la utilidad del Índice de Charlson para predecir mortalidad en este grupo. Métodos: es un estudio de casos y controles retrospectivo. La muestra fue de 148 pacientes. Se comparó entre pacientes con fractura de cadera y un grupo control sin esta condición. Dentro de las variables el Cálculo del Índice de Charlson y análisis de otros factores de riesgo (edad, comorbilidades, causa de la fractura). Resultados: mostraron que el riesgo incrementa con la edad avanzada, mayor comorbilidad (diabetes, Parkinson, demencia), puntaje de Charlson significativamente más alto en el grupo con fractura. Siendo la causa desencadenante más frecuente las caídas. Conclusión: los riesgos a destacar la edad avanzada y múltiples enfermedades crónicas. La utilidad del Índice de Charlson como una herramienta útil para identificar pacientes con mayor riesgo de mortalidad. Se debe tener que realizar, prevención de caídas, intervención quirúrgica temprana y mejora del pronóstico. Las limitaciones del estudio se centran en su carácter observacional, lo que impide establecer relaciones causales definitivas entre las variables analizadas.
The World Health Organization (2019) mentions that the population now has a life expectancy of 73.3 years, in most cases also accompanied by an increase in comorbidities and this varies according to the place where the individual lives and with it the hip fractures. Objective: to characterize risks for hip fractures in older adults and evaluate the usefulness of the Charlson Index to predict mortality in this group. Methods: it is a retrospective case-control study.The sample was 148 patients. It was compared between patients with hip fracture and a control group without this condition. Among the variables the calculation of the Charlson Index and analysis of other risk factors (age, comorbidities, cause of the fracture) were used. Results: they showed that the risk increases with advanced age, greater comorbidity (diabetes, Parkinson's, dementia), Charlson score significantly higher in the group with fracture. The most frequent triggering cause being falls. Conclusion: The risks to be highlighted are advanced age and multiple chronic diseases. The utility of the Charlson Index as a useful tool to identify patients with a higher risk of mortality. Prevention of falls, early surgical intervention and improvement of the prognosis should be carried out. The limitations of the study are centered on its observational nature, which prevents establishing definitive causal relationships between the variables analyzed.
The World Health Organization (2019) mentions that the population now has a life expectancy of 73.3 years, in most cases also accompanied by an increase in comorbidities and this varies according to the place where the individual lives and with it the hip fractures. Objective: to characterize risks for hip fractures in older adults and evaluate the usefulness of the Charlson Index to predict mortality in this group. Methods: it is a retrospective case-control study.The sample was 148 patients. It was compared between patients with hip fracture and a control group without this condition. Among the variables the calculation of the Charlson Index and analysis of other risk factors (age, comorbidities, cause of the fracture) were used. Results: they showed that the risk increases with advanced age, greater comorbidity (diabetes, Parkinson's, dementia), Charlson score significantly higher in the group with fracture. The most frequent triggering cause being falls. Conclusion: The risks to be highlighted are advanced age and multiple chronic diseases. The utility of the Charlson Index as a useful tool to identify patients with a higher risk of mortality. Prevention of falls, early surgical intervention and improvement of the prognosis should be carried out. The limitations of the study are centered on its observational nature, which prevents establishing definitive causal relationships between the variables analyzed.
Description
Vol. 27, No. 1