dc.contributor.advisorLlinás Volpe, Adolfo 
dc.creatorCamargo Sánchez, Laura 
dc.creatorCárdenas Mateus, Laura 
dc.creatorEscobar Monroy, Rebeca 
dc.date.accessioned2016-03-07T21:43:44Z
dc.date.available2016-03-07T21:43:44Z
dc.date.created2015-10-13
dc.identifier.urihttp://repository.urosario.edu.co/handle/10336/11814
dc.descriptionIntroducción Los Grupos Relacionados de Diagnóstico (GRD) se han usado para determinar la calidad de la atención en varios sistemas de salud. Esto ha llevado a que se obtengan resultados en el mejoramiento continuo de la atención y del cuidado. El objetivo de este estudio es determinar desenlaces clínicos de los pacientes a quienes se les había realizado reemplazo de articulares según la complejidad clínica definida mediante GRD. Métodos Se realizó un estudio longitudinal descriptivo en el cual se incluyeron todos los pacientes que tuvieron cirugía de reemplazo total de hombro, cadera y rodilla entre 2012 y 2014. Se realizó la estratificación de los pacientes de acuerdo a tres niveles de complejidad dados por el sistema de GRD y se determinaron las proporciones de pacientes para las variables de estancia hospitalaria, enfermedad trombo-embólica, cardiovascular e infección del sitio operatorio. Resultados Se realizaron en total 886 reemplazos articulares de los cuales 40 (4.5%) presentaron complicaciones. Los eventos más frecuentes fueron las complicaciones coronarias, con una presencia de 2.4%. El GRD1, sin complicaciones ni comorbilidades, fue el que presentó mayor número de eventos. La estancia hospitalaria fue de 3.8 a 9.3 días para todos los reemplazos. Conclusiones Contrario a lo planteado en la hipótesis de estudio, se encontró que el primer GRD presentó el mayor número de complicaciones, lo que puede estar relacionado con el tamaño del grupo. Es necesario realizar nuevas investigaciones que soporten el uso de los GRD como herramienta para evaluar desenlaces clínicos.
dc.description.abstractIntroduction Related Groups of Diagnosis (RGD) have been used to determine the attention quality in different health systems, which have contributed to the improvement of patients’ care and attention. The aim of this study is to determine clinical outcomes of patients who have had joint replacement according to the clinical complexity defined by RGD. Methods The method used for this study was a longitudinal descriptive, which included all patients who had shoulder, hip and knee surgery replacement between 2012 and 2014. The stratification of patients was made according to three levels of complexity given by the RGD system. In addition, the study determined the proportions of patients for hospitalization variables, like thromboembolic disease, cardiovascular, and surgical site infection. Results Forty (4.5%) of the total 886 articulation replacements presented complications. The most common events were coronary complications, with a presence of 2.4%. RGD1, without complications or comorbidities, presented the most events. The hospital stay was 3.8 to 9.3 days for all replacements. Conclusions Contrary to what was stated in the study hypothesis, we found that the first RGD had the highest number of complications, which can be related to the size of the group. Further research is necessary to support the use of RGD as a tool for assessing outcomes.
dc.format.mimetypeapplication/pdf
dc.language.isospa
dc.sourceinstname:Universidad del Rosario
dc.sourcereponame:Repositorio Institucional EdocUR
dc.subjectArtroplastia de reemplazo; Indicadores de calidad de la atención de salud; Mejoramiento de la calidad.
dc.subject.ddc614.4
dc.subject.lembEpidemiología
dc.titleDesenlaces clínicos del cuidado perioperatorio de reemplazos articulares según grupos relacionados de diagnóstico en un hospital de cuarto nivel
dc.typebachelorThesis
dc.publisherUniversidad del Rosario
dc.creator.degreeEspecialista en Epidemiología (en Convenio con el CES)
dc.publisher.departmentFacultad de medicina
dc.subject.keywordArthroplasty Replacement; Quality Indicators; Health Care; Quality Improvement.
dc.rights.accesRightsinfo:eu-repo/semantics/openAccess
dc.subject.decsEpidemiología
dc.subject.decsArtroplastia
dc.subject.decsAtención médica
dc.type.spaTrabajo de grado
dc.rights.accesoAbierto (Texto completo)
dc.type.hasVersioninfo:eu-repo/semantics/acceptedVersion
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