{"id":110443,"date":"2018-03-11T10:36:30","date_gmt":"2018-03-11T10:36:30","guid":{"rendered":""},"modified":"2018-03-11T10:36:30","modified_gmt":"2018-03-11T10:36:30","slug":"factores-determinantes-de-las-fracturas-de-cadera-por-trauma-ma%c2%adnimo-en-personas-mayores-de-65-anos-del-area-de-salud-de-plasencia-aspectos-epidemiologicos-socioeconomicos-de-estilo-de-vida-y","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/extremadura\/factores-determinantes-de-las-fracturas-de-cadera-por-trauma-ma%c2%adnimo-en-personas-mayores-de-65-anos-del-area-de-salud-de-plasencia-aspectos-epidemiologicos-socioeconomicos-de-estilo-de-vida-y\/","title":{"rendered":"Factores determinantes de las fracturas de cadera por trauma m\u00ednimo en personas mayores de 65 a\u00f1os del \u00e1rea de salud de plasencia. aspectos epidemiol\u00f3gicos, socioecon\u00f3micos, de estilo de vida, y an\u00e1lisis de su tendencia evolutiva."},"content":{"rendered":"<h2>Tesis doctoral de <strong> M\u00aa Angeles G\u00f3mez Gonz\u00e1lez <\/strong><\/h2>\n<p>El objetivo de este estudio es conocer los factores determinantes de las fracturas de cadera por trauma m\u00ednimo en los pacientes de 65 o m\u00e1s a\u00f1os, del \u00e1rea de salud de plasencia, en sus aspectos epidemiol\u00f3gicos, socioecon\u00f3micos y de estilo de vida, analizando su tendencia evolutiva y los costes econ\u00f3micos asociados a esta patolog\u00eda.   para ello, hemos revisado la historia cl\u00ednica de los 233 pacientes ingresados por esta causa en el hospital virgen del puerto, durante los a\u00f1os 2007 y 2008, realizando una encuesta estructurada a 225 de ellos.   la incidencia global ha sido de 484\/100.000 habitantes al a\u00f1o, increment\u00e1ndose en un 3.87% de un a\u00f1o a otro del estudio. La edad media, de 82.89\u00c2\u00b17.21 a\u00f1os, y los grupos m\u00e1s afectados son el de mujeres y el de mayores de 81 a\u00f1os, aumentando la incidencia proporcionalmente con la edad. El mayor n\u00famero de fracturas ha tenido lugar en el mes de octubre y el tipo de fractura predominante ha sido la pertrocant\u00e9rea, si bien los hombres han padecido m\u00e1s fracturas subcapitales y \u00e9stas han ocurrido a una edad m\u00e1s temprana.       la estancia media ha sido de 7.20\u00c2\u00b12.48 d\u00edas y la mortalidad intrahospitalaria y anual del 4.29% y 20.62% respectivamente, relacion\u00e1ndose claramente con la edad del paciente y con los problemas de salud de etiolog\u00eda renal y demencias. Los anticoagulantes y corticoides, as\u00ed como la menopausia precoz y la movilidad limitada, tambi\u00e9n se han relacionado con un mayor n\u00famero de fracturas espont\u00e1neas y por tanto con la disminuci\u00f3n de la masa \u00f3sea.  el mayor n\u00famero de fracturas ocurrieron de d\u00eda y en el domicilio, siendo el motivo principal la ca\u00edda, si bien la causa inmediata m\u00e1s identificada de \u00e9sta, fue el giro o cambio de posici\u00f3n. La mayor\u00eda proceden del \u00e1rea rural en estado de viudedad, con bajo nivel econ\u00f3mico y cultural, escasa dieta en l\u00e1cteos, apenas hacen ejercicio, desconocen la enfermedad y no toman medicaci\u00f3n espec\u00edfica.  el coste socioecon\u00f3mico y personal de esta patolog\u00eda es muy elevado, ya que a la alta mortalidad y al empeoramiento de la salud, debe a\u00f1adirse un coste medio total estimado por gastos de hospitalizaci\u00f3n y material quir\u00fargico, de 1.578.498 \u00e2,\u00ac, a los que habr\u00eda que sumar los costes indirectos, mucho m\u00e1s dif\u00edciles de cuantificar, derivados de la atenci\u00f3n a medio y largo plazo.   a la vista de estos resultados, se hace necesario implantar un protocolo de prevenci\u00f3n que permita detectar pacientes de riesgo, promoviendo programas de educaci\u00f3n en h\u00e1bitos y estilos de vida saludables, en prevenci\u00f3n de ca\u00eddas, y en instauraci\u00f3n de tratamientos farmacol\u00f3gicos.  summary  the aim of this research is to discover the most decisive factors involved in low-trauma hip fracture, in patients 65 years or older served by the health care district of plasencia, taking into account epidemiological and socio-cultural factors as well as life style. We will be analyizing both developmental tendencies and the economic cost associated with this pathology.   to this end, we have revised 233 clinical backgrounds of patients with this type of fracture in virgen del puerto hospital during 2007 and 2008, 225 of whom were asked to complete a structured inquiry. the global incidence of hip fractures was 484\/ 100.000 inhabitants \/year, with a 3.87% increase between the first and second year. The average age was 82.89\u00c2\u00b17.21, and the groups most affected were women and people over 81, with incidents increasing in proportion to age. Most fractures occurred in the month of october, and intertrochanteric fractures were the predominant type. Moreover, subcapital hip fracture was suffered more frequently by younger men. the time spent in hospital by patients having low-trauma hip fracture was 7.20\u00c2\u00b12.48 days; the average rate of in-hospital mortality was 4.29% and the annual average was 20.62%.  Both data are clearly related to age, renal problems and dementia. Furthermore, the use of anticoagulants or corticoids as well as limited mobility or early menopause in women are clearly related to the decrease in bone mass and, consequently, to spontaneous fractures. most fractures occurred at home during the day, primarily due to a fall while turning or changing position. Most patients were widowed and from a rural area, economically and culturally disadvantaged. In addition, most of them had a lactic-poor diet, and neither exercised regularly nor had any knowledge about osteoporosis so that they do not take any specific treatment. the personal and socioeconomic cost of this pathology is very high since it results in worsened health as well as high mortality. Regarding the material costs, 1.578.498 \u00e2,\u00ac is the estimated expense for the average hospital stay and surgical materials. To this number, indirect costs coming from long and middle term attention should be added. given these results, a prevention protocol is needed which would find at-risk patients and promote programs to educate them in good habits and a healthy life-style, the prevention of falls and to introduce pharmacological treatments.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Factores determinantes de las fracturas de cadera por trauma m\u00ednimo en personas mayores de 65 a\u00f1os del \u00e1rea de salud de plasencia. aspectos epidemiol\u00f3gicos, socioecon\u00f3micos, de estilo de vida, y an\u00e1lisis de su tendencia evolutiva.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Factores determinantes de las fracturas de cadera por trauma m\u00ednimo en personas mayores de 65 a\u00f1os del \u00e1rea de salud de plasencia. aspectos epidemiol\u00f3gicos, socioecon\u00f3micos, de estilo de vida, y an\u00e1lisis de su tendencia evolutiva. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 M\u00aa Angeles G\u00f3mez Gonz\u00e1lez <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Extremadura<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 20\/07\/2011<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h3>Direcci\u00f3n y tribunal<\/h3>\n<ul>\n<li><strong>Director de la tesis<\/strong>\n<ul>\n<li>Juan  Diego Pedrera Zamorano<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Juan  vicente Beneit montesinos <\/li>\n<li>purificaci\u00f3n Rey s\u00e1nchez (vocal)<\/li>\n<li>enrique Maci\u00e1 botejara (vocal)<\/li>\n<li>maximo Antonio Gonzalez jurado (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de M\u00aa Angeles G\u00f3mez Gonz\u00e1lez El objetivo de este estudio es conocer los factores determinantes de las fracturas 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