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03721nas a22002897a 4500 |
| 003 - CONTROL NUMBER IDENTIFIER |
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OSt |
| 005 - DATE AND TIME OF LATEST TRANSACTION |
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20210326124105.0 |
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ta |
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171219t2008 sp ||||| |||| 00| 0 spa | |
| 022 ## - INTERNATIONAL STANDARD SERIAL NUMBER |
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| International Standard Serial Number |
1888-6116 |
| 040 ## - CATALOGING SOURCE |
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| Transcribing agency |
Salus Infirmorum |
| 245 00 - TITLE STATEMENT |
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| Title |
Evolución prospectiva de un programa de intervención geriátrica interdisciplinaria y secuencial en la recuperación funcional del anciano con fractura de cadera = |
| Remainder of title |
A multidisciplinary and sequential program in elderly patient with hip fracture: a prospective evolution / |
| Statement of responsibility, etc. |
Ortiz Alonso FJ, Vidán Astíz M, Marañón Fernández E, Álvarez Nebreda L, García Alambra MA, Alonso Armesto M, Toledano Iglesias M, Serra Rexach JA |
| 500 ## - GENERAL NOTE |
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| General note |
Este artículo se encuentra disponible en su edición impresa. |
| 504 ## - BIBLIOGRAPHY, ETC. NOTE |
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| Bibliography, etc. note |
Bibliografía: p. 20-21 |
| 520 3# - SUMMARY, ETC. |
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| Summary, etc. |
Objetivos: el tratamiento del anciano con fractura de cadera es muy variable, así como los resultados funcionales y la mortalidad. Hemos diseñado un programa de intervención para aumentar la proporción de pacientes que recuperan el estado funcional, disminuir la mortalidad y la utilización de recursos sanitarios a medio y largo plazo.<br/>Material y métodos: Estudio «quasi-experimental» con grupo control histórico (GC) sobre los beneficios de un modelo de tratamiento combinado (GI) (ortopédico y geriátrico) y secuencial (fases aguda, rehabilitadora y de mantenimiento), del anciano con fractura de cadera.<br/>Resultados: En relación con el GC, el GI aumenta la proporción de pacientes que recuperan la capacidad de caminar a los 3 (47% - 30%) y 6 (62% - 44%) meses de la fractura. Mayor mortalidad hospitalaria en el GI que en el GC (5,1% - 0,6%), sin diferencias a 3, 6 ni 12 meses. Menor estancia hospitalaria en GI (10,1 - 17,6 días, p<0,001) y con un mayor porcentaje de pacientes derivados a centro de rehabilitación (67% - 21%, p<0,001).<br/>Conclusión: El tratamiento combinado y secuencial del anciano con fractura de cadera, aumenta la proporción de pacientes que recuperan el estado funcional previo a la fractura a medio plazo |
| 520 8# - SUMMARY, ETC. |
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| Summary, etc. |
Aim: Treatment, functional recovery and mortality of elderly patients with hip fracture are very variable. We have designed an intervention program to improve the number of patients who recover their previous functional status and to reduce mortality and resources use in medium and long term follow up.<br/>Patients and Methodology: a «quasi- experimental» study with historical control group and intervention group to demonstrate benefits of a combined (orthopedics and geriatrics) and consecutive (acute, rehabilitation and supportive periods), in elderly patients with hip fracture.<br/>Results: Being treated in the IG increases likelihood of recovering walking ability at 3 months (47 vs 30%) and at 6 months (62 vs 44%), according to that treated in the CG. There is a higher in hospital mortality rate in the IG (5,1 vs 0,6%) compared with the patients in the CG; without differences at 3, 6 and 12 months follow up. Patients in the IG stay less at hospital (10,1 vs 17,6 days, p <0,001) and are more likely to be transferred to a rehabilitation facility (67 vs 21%, p <0,001).<br/>Conclusions: Combined and consecutive treatment in elderly patients with hip fracture increase the percentage of patients who recover functional status in a medium follow up. |
| 653 14 - INDEX TERM--UNCONTROLLED |
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| Uncontrolled term |
anciano |
| 653 14 - INDEX TERM--UNCONTROLLED |
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| Uncontrolled term |
fractura de cadera |
| 653 14 - INDEX TERM--UNCONTROLLED |
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| Uncontrolled term |
mortalidad |
| 653 14 - INDEX TERM--UNCONTROLLED |
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| Uncontrolled term |
elderly |
| 653 14 - INDEX TERM--UNCONTROLLED |
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| Uncontrolled term |
hip fracture |
| 653 14 - INDEX TERM--UNCONTROLLED |
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| Uncontrolled term |
mortality |
| 773 ## - HOST ITEM ENTRY |
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| Related parts |
-- 2008, v. 19, 1, p. 13-21 |
| Title |
Trauma |
| 856 ## - ELECTRONIC LOCATION AND ACCESS |
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| Uniform Resource Identifier |
<a href="http://www.mapfre.com/fundacion/html/revistas/trauma/v19n1/pdf/02_02.pdf">http://www.mapfre.com/fundacion/html/revistas/trauma/v19n1/pdf/02_02.pdf</a> |
| Link text |
Acceso al documento |
| 942 ## - ADDED ENTRY ELEMENTS (KOHA) |
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| Source of classification or shelving scheme |
Universal Decimal Classification |
| Koha item type |
Artículo de revista |
