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Impact on hip fracture mortality after the establishment of an orthogeriatric care program in a colombian hospital

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dc.contributor.advisorOlarte, Carlos Mario
dc.creatorDiaz, Mario Enrique
dc.creatorSuarez, Sebastian
dc.creatorPesantez, Rodrigo
dc.creatorOlarte, Carlos Mario
dc.creatorSanchez, Daniela
dc.creatorTristancho, Lady
dc.creatorVenegas, Maria Victoria
dc.creator.degreeEspecialista en Ortopedia y Traumatología FSFB
dc.date.accessioned2016-12-01T15:01:15Z
dc.date.available2016-12-01T15:01:15Z
dc.date.created2016-03-31
dc.date.issued2016
dc.descriptionEl objetivo del estudio es evaluar la mortalidad a un año en pacientes con fractura de cadera, mayores de 65 años tratados en un programa establecido de orto-geriatría. 298 se trataron de acuerdo al protocolo de orto-geriatría, se calculo la mortalidad a un año, se establecieron los predictores de mortalidad orto-geriátrico. La sobrevida anual se incremento de 80% a 89% (p = .039) durante los cuatro años de seguimiento del programa y disminuyo el riesgo de mortalidad anual postoperatorio (Hazard Ratio = 0.54, p = .049). La enfermedad cardiaca y la edad maor a 85 años fueron predictores positivos para mortalidad.spa
dc.description.abstractObjective: The aim of this study is to evaluate mortality and survival rates of patients aged 65 years or older who sustained a hip fracture and were treated at a hospital in Bogotá, Colombia, after the establishment of an Orthogeriatric Program. Method: In total, 298 patients were treated according to the program’s protocol. The primary outcome was 1-year mortality. Mortality predictors were estimated using Cox proportional hazards model, and survival was measured with Kaplan–Meier analysis. Results: The annual survival rate increased from 80% to 89% (p = .039) 4 years after its implementation. There was a significant decrease in mortality risk (Hazard Ratio = 0.54, p = .049). Arrhythmia, valvular heart disease, history of myocardial infarction, and age greater than 85 years were predictors of mortality. Discussion: This is the first study in Latin America to show decreased mortality rates 1 year after the implementation of an Orthogeriatric Program. Our rates were lower than developed countries, suggesting the existence of additional factors that influence long-term outcomes.eng
dc.format.mimetypeapplication/pdf
dc.identifier.doihttps://doi.org/10.48713/10336_12654
dc.identifier.urihttp://repository.urosario.edu.co/handle/10336/12654
dc.language.isoeng
dc.publisherUniversidad del Rosariospa
dc.publisher.departmentFacultad de Medicinaspa
dc.publisher.programEspecialización en Ortopedia y Traumatología FSFBspa
dc.rights.accesRightsinfo:eu-repo/semantics/openAccess
dc.rights.accesoAbierto (Texto completo)spa
dc.rights.ccAtribución-NoComercial-SinDerivadas 2.5 Colombiaspa
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dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/2.5/co/
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dc.source.instnameinstname:Universidad del Rosariospa
dc.source.reponamereponame:Repositorio Institucional EdocURspa
dc.subjectfractura de caderaspa
dc.subjecttrauma ortopédicospa
dc.subjectgeriatríaspa
dc.subjectprograma orto-geriátricospa
dc.subjectSurameicaspa
dc.subject.ddcVarias ramas de la medicina, Cirugía
dc.subject.decsOrtopediaspa
dc.subject.decsTraumatologíaspa
dc.subject.decsFracturas de caderaspa
dc.subject.decsGeriatríaspa
dc.subject.keywordip fractureseng
dc.subject.keywordorthopedic traumaeng
dc.subject.keywordgeriatricseng
dc.subject.keywordorthogeriatric care programeng
dc.subject.keywordLatin Americaeng
dc.subject.lembOrtopediaspa
dc.titleImpact on hip fracture mortality after the establishment of an orthogeriatric care program in a colombian hospitaleng
dc.title.TranslatedTitleImpacto en la tasa de mortalidad posterior a implementar de un programa orto-geriátrico en un hospital en Colombiaspa
dc.typemasterThesiseng
dc.type.hasVersioninfo:eu-repo/semantics/acceptedVersion
dc.type.spaTrabajo de gradospa
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