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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.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.
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.
dc.sourceinstname:Universidad del Rosario
dc.sourcereponame:Repositorio Institucional EdocUR
dc.subjectfractura de cadera
dc.subjecttrauma ortopédico
dc.subjectprograma orto-geriátrico
dc.subject.ddcVarias ramas de la medicina, Cirugía  
dc.titleImpact on hip fracture mortality after the establishment of an orthogeriatric care program in a colombian hospital
dc.publisherUniversidad del Rosario
dc.creator.degreeEspecialista en Ortopedia y Traumatología FSFB
dc.publisher.programEspecialización en Ortopedia y Traumatología FSFB
dc.publisher.departmentFacultad de Medicina
dc.title.alternativeImpacto en la tasa de mortalidad posterior a implementar de un programa orto-geriátrico en un hospital en Colombia
dc.subject.keywordip fractures
dc.subject.keywordorthopedic trauma
dc.subject.keywordorthogeriatric care program
dc.subject.keywordLatin America
dc.subject.decsFracturas de cadera
dc.type.spaTrabajo de grado
dc.rights.accesoAbierto (Texto completo)
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dc.rights.ccAtribución-NoComercial-SinDerivadas 2.5 Colombia
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