Estacionalidad en incidencia y mortalidad en las fracturas de cadera / Seasonality in incidence and mortality of hip fracture

Objetivo: Determinar si existe relación estacional en la incidencia y en la mortalidad intrahospitalaria de los pacientes con fractura de cadera. Pacientes y métodos: Estudio descriptivo longitudinal de casos que incluye 1.104 pacientes mayores de 64años ingresados por fractura de la extremidad proximal del fémur en el Hospital Clínico Universitario Virgen de la Victoria de Málaga durante un periodo de 30meses. Se registraron las características epidemiológicas de los pacientes y se relacionó la incidencia mensual de fracturas con el mes del año en que ocurre, y con las condiciones meteorológicas: temperatura y pluviometría. Resultados: La población estudiada la componen un total de 1.104 pacientes, con mayor proporción de mujeres (75,1%). La edad media fue de 82,3años. Se ha hallado una tendencia al aumento de la incidencia de estas fracturas. La tasa anual de mortalidad durante la estancia hospitalaria fue del 2,97%, siendo mayor entre hombres y en el grupo de edad de más de 84años. Se ha encontrado una estacionalidad en cuanto a la aparición de fracturas por encima de la media en el mes de octubre y por debajo de esta en el mes de febrero. Por su parte, la mortalidad es inferior a la media en el mes de marzo y superior en el mes de agosto. En ambas se ha encontrado una correlación baja con temperatura y pluviometría. Conclusiones: La distribución estacional de las fracturas de cadera presenta aumento sobre la media en octubre y disminución en febrero La mortalidad se eleva sobre la media en agosto y disminuye en marzo

Objectives: To determine whether there is a seasonal relationship in the incidence and in-hospital mortality of patients with hip fracture. Patients and methods: Longitudinal descriptive study of cases that included 1104 patients older than 64years admitted for fracture of the proximal extremity of the femur in the Hospital HCU Virgen de la Victoria during a period of 30months The epidemiological characteristics of the patients were recorded and the monthly incidence of fractures was related with the month of the year in which it occurred, as well as with the meteorological conditions, temperature and rainfall. Results: The study population comprised a total of 1104 patients, with a greater proportion of women (75.1%). The average age was 82.3years. A tendency towards an increased incidence of these fractures was found. The in-hospital annual mortality rate was 2.97%, higher for men and in the age group over 84years. Seasonality was found in terms of the incidence of fractures above the average in the month of October and below this in the month of February. On the other hand, mortality was lower than the average in the month of March and higher in August. In both, a low correlation with temperature and rainfall was found. Conclusions: The seasonal distribution of hip fractures presented an increase over the average in the month of October and a decrease in February. Mortality increased over the average in the month of August and decreased in March

Seasonality in incidence and mortality of hip fracture. / Estacionalidad en incidencia y mortalidad en las fracturas de cadera.

OBJECTIVES: To determine whether there is a seasonal relationship in the incidence and in-hospital mortality of patients with hip fracture. PATIENTS AND METHODS: Longitudinal descriptive study of cases that included 1104 patients older than 64years admitted for fracture of the proximal extremity of the femur in the Hospital HCU Virgen de la Victoria during a period of 30months The epidemiological characteristics of the patients were recorded and the monthly incidence of fractures was related with the month of the year in which it occurred, as well as with the meteorological conditions, temperature and rainfall. RESULTS: The study population comprised a total of 1104 patients, with a greater proportion of women (75.1%). The average age was 82.3years. A tendency towards an increased incidence of these fractures was found. The in-hospital annual mortality rate was 2.97%, higher for men and in the age group over 84years. Seasonality was found in terms of the incidence of fractures above the average in the month of October and below this in the month of February. On the other hand, mortality was lower than the average in the month of March and higher in August. In both, a low correlation with temperature and rainfall was found. CONCLUSIONS: The seasonal distribution of hip fractures presented an increase over the average in the month of October and a decrease in February. Mortality increased over the average in the month of August and decreased in March.

Calidad de vida percibida en el programa municipal comunitario de promoción de la salud «Gente saludable». Ciudad Lineal-Madrid / Perceived quality of life in the 'healthy people' municipal community health promotion program in Ciudad Lineal-Madrid

Introducción. La medida de la calidad de vida en relación con la salud (CVRS) es una forma integral de estimar tanto la salud individual como la comunitaria. El objetivo del trabajo es valorar los cambios en salud y en CVRS de las intervenciones de la estrategia «gente saludable» y de los «programas de promoción de la salud del Ayuntamiento de Madrid-Madrid Salud», en el Centro municipal de salud de Ciudad Lineal durante el año 2014 (promoción de ejercicio, alimentación saludable, deshabituación tabáquica, psicohigiene, entrenamiento de memoria y educación para la salud en mayores), con intervenciones grupales. Material y métodos. Ensayo comunitario (estudio antes-después) administrando un cuestionario de CVRS, láminas COOP/WONCA a 200 participantes. Resultados. Para la población estudiada (n=87), primer y segundo cuestionario realizado, la diferencia en la evaluación muestra cambios positivos antes-después con el sumatorio COOP/WONCA: en el global de las intervenciones, de 23,16 a 21,94 antes-después, con significación estadística, p≤0,002. En los grupos de psicología, cambio de 28,14 a 23,57 con p≤0,05 y en alimentación de 22,81 a 20,85, con p≤0,03. En los grupos de educación para la salud pasa de 21 a 20,81 puntos y en memoria de 23,31 a 22,45 puntos (ambos sin significación). Conclusiones. La mejora significativa de las puntuaciones refleja un cambio positivo en la salud autopercibida de esta comunidad intervenida, y un correcto funcionamiento de programas. Las esferas relacionadas directamente con la salud y las intervenciones en psicología y alimentación-ejercicio son las que presentan mayor cambio significativo (AU)

Introduction. The measurement of the health-related quality of life (HRQoL) is a comprehensive way to estimate the health of both the individual and the community. The aim of this study was to assess changes in health and HRQoL using the intervention strategies «healthy people» and «health promotion programs» of the City Council of Madrid-Madrid Health. The study was conducted in the Municipal Health Centre of Ciudad Lineal, in 2014, and included promotion of exercise, healthy eating, smoking cessation, psycho-hygiene, memory training, and health education for the elderly, with group interventions. Material and methods. A before and after community trial, with the administration of questionnaire with COOP/WONCA HRQoL charts to 200 participants. Results. The study population (n=87), included those who completed the first and second questionnaire. Positive changes were seen in the overall before and after COOP/WONCA scores, with a mean change from 23.16 to 21.94, with statistical significance, p≤0.002. In the psychology groups, it changed from 28.14 to 23.57 with a p≤0.05, and healthy eating from 22.81 to 20.85, with p≤0.03. In the health education groups it changed from 21 to 20.81 points, and in memory training from 23.31 to 22.45 points (both without significance). Conclusions. The significant improvement in scores reflects a positive change in self-perceived health of this community after the intervention and proper operation of programs. The areas directly related to health and interventions in psychology and nutrition-exercise, are those with the most significant changes (AU)

[Perceived quality of life in the "healthy people" municipal community health promotion program in Ciudad Lineal-Madrid]. / Calidad de vida percibida en el programa municipal comunitario de promoción de la salud «Gente saludable¼. Ciudad Lineal-Madrid.

INTRODUCTION: The measurement of the health-related quality of life (HRQoL) is a comprehensive way to estimate the health of both the individual and the community. The aim of this study was to assess changes in health and HRQoL using the intervention strategies «healthy people¼ and «health promotion programs¼ of the City Council of Madrid-Madrid Health. The study was conducted in the Municipal Health Centre of Ciudad Lineal, in 2014, and included promotion of exercise, healthy eating, smoking cessation, psycho-hygiene, memory training, and health education for the elderly, with group interventions. MATERIAL AND METHODS: A before and after community trial, with the administration of questionnaire with COOP/WONCA HRQoL charts to 200 participants. RESULTS: The study population (n=87), included those who completed the first and second questionnaire. Positive changes were seen in the overall before and after COOP/WONCA scores, with a mean change from 23.16 to 21.94, with statistical significance, p≤0.002. In the psychology groups, it changed from 28.14 to 23.57 with a p≤0.05, and healthy eating from 22.81 to 20.85, with p≤0.03. In the health education groups it changed from 21 to 20.81 points, and in memory training from 23.31 to 22.45 points (both without significance). CONCLUSIONS: The significant improvement in scores reflects a positive change in self-perceived health of this community after the intervention and proper operation of programs. The areas directly related to health and interventions in psychology and nutrition-exercise, are those with the most significant changes.