One-year mortality after hip fracture surgery: urban-rural differences in the Colombian Andes.

To determine urban-rural differences influencing mortality in patients with hip fracture in Colombian Andes Mountains over a 1-year period. PURPOSE: To identify the urban-rural differences of sociodemographic variables, fracture-related characteristics, and preoperative and postoperative clinical factors associated with 1-year mortality in patients over 60 years old who underwent hip fracture surgery in the Andes Mountains. METHODS: A total of 126 patients with a fragility hip fracture during 2019-2020 were admitted to a tertiary care hospital. They were evaluated preoperatively and followed up until discharge. Those who survived were contacted by telephone at 1, 3, and 12 months. Univariate, bivariate, and Kaplan-Meier analyses with survival curves were performed. Relative risk was calculated with a 95% confidence interval. RESULTS: A total of 32.5% of the patients died within 1 year after surgery, with a significant difference between those who resided in rural areas (43.1%) and those who resided in urban areas (23.5%) (RR 1.70; 95% CI, 1.03 to 2.80, p = 0.036). In the multivariate analysis, anemia (hemoglobin level ≤ 9.0 g/dL during hospitalization) (RR 6.61; 95% CI, 1.49-29.37, p = 0.003), a blood transfusion requirement (RR 1.47; 95% CI, 1.07 to 2.01, p = 0.015), the type of fracture (subtrochanteric fracture (RR = 4.9, 95% CI = 1.418-16.943, p = 0.005)), and postoperative acute decompensation of chronic disease (RR 1.60; 95% CI, 1.01 to 2.53, p = 0.043) were found to be independent predictive factors of 1-year mortality after surgery. CONCLUSIONS: There was a difference in 1-year mortality between patients from rural and urban areas. More studies must be conducted to determine whether rurality behaves as an independent risk factor or is related to other variables, such as the burden of comorbidities and in-hospital complications.

Hallazgos en la citologia vaginal y colposcopia y su asociacion con infeccion por VPH y otros factores de riesgo para Cancer de cervix en mujeres atendidas en entidadesde Manizales (Colombia), 2000-2007 / Findings on the pap smear and colposcopy in relation to the HPV in women attending in Manizales (Colombia), 2000 to 2007

Objetivo: Describir los hallazgos microscopicos e histopatologicos de la citologia vaginal y de la colposcopia en mujeres asistentes a la clinica la ASSBASALUD ESE y a la LIGA CONTRA EL CANCER, seccional Caldas en la ciudad de Manizales (Colombia), y la relacion existente entre los factores de riesgo para el cancer de cervix e infeccion por VPH. Materiales y metodos: Estudio de corte transversal basado en analizar aproximadamente1500 historias clinicas de mujeres sexualmente activas, revisadas en ASSBASALUD ESE y la LIGA CONTRA EL CANCER (Manizales, Colombia, Suramerica), evaluando las caracteristicas socio-demograficas de las pacientes, sus antecedentes ginecobstetricos y los hallazgos histologicos y de colposcopia. Resultados: Edad promedio de inicio de relaciones sexuales de 17.9 anos, Del 19.3 que reportó antecedentes de enfermedades de transmision sexual, 73.3 fue por VPH, solo un 4.3 uso anticonceptivo de barrera, 42.1 de las citologias se reportaron como normales y 70.5 de las colposcopias negativas. Hubo 36.5 casos de LEIBG y 25.5 de reportes de VPH por colposcopia. La incidencia de cancer de cuello uterino fue de 2.3 por colposcopia y se hallo 8.8 de LEIAG. Conclusion: El VPH constituye la enfermedad de transmision sexual mas comun. Se encontraron bajos niveles de infeccion por VPH en las mujeres universitarias. Poco uso del metodo de barrera como la colposcopia eleva la cifra de diagnostico de infeccion por el VPH, y otros...