Síndromes geriátricos en pacientes con fractura de cadera no reciente en una unidad de primer nivel de atención médica / Geriatric syndromes in patients with a non-recent hip fracture seen at a primary health care unit

Objetivo: Identificar la frecuencia de síndromes geriátricos en pacientes que sufrieron fractura de cadera no reciente en una unidad de primer nivel de atención médica en el estado de Puebla, México. Material y métodos: Estudio transversal realizado en 376 pacientes que sufrieron fractura de cadera no reciente, a los que se les evaluó la presencia de síndromes geriátricos. Incluimos variables demográficas, incontinencia urinaria, polifarmacia, trastornos del sueño, estado nutricional, así como depresión y autonomía. La depresión y autonomía fueron evaluadas por las escalas de Yesavage y Katz. Utilizamos estadística descriptiva. Resultados: Fueron un total de 376 pacientes, 219 (58%) femeninos, 157 (42%) masculinos; edad promedio 72.57, (65-95, ± 7.08) años, 98.7% presentó al menos un síndrome geriátrico. La depresión se detectó en 303 (80.9%), la polifarmacia se observó en 282 (75%), en cuanto a los trastornos del sueño se encontraron en 262 (69.7%), las caídas se encontraron en 63 (16.8%), la incontinencia urinaria en 19 (5.1%), en cuanto a la obesidad en 15 (4%) y pérdida de la autonomía en 3 (0.8%). Conclusión: 98.7% padecen por lo menos un síndrome geriátrico, el género femenino es el más afectado, el síndrome más frecuente es depresión, seguida de polifarmacia, trastorno del sueño, caídas, incontinencia urinaria, obesidad y pérdida de la autonomía.

Objective: To identify the frequency of geriatric syndromes in patients with a non-recent hip fracture seen at a primary health care unit in the state of Puebla, Mexico. Material and methods: Cross-sectional study conducted in 376 patients with a non-recent hip fracture screened for geriatric syndromes. We included demographic variables, urinary incontinence, polypharmacy, sleep disorder, nutritional status, depression and autonomy. The two latter were assessed using the Yesavage geriatric depression scale and the Katz index. We used descriptive statistics. Results: The total number of patients was 376; 219 (58%) were females and 157 (42%) were males; mean age was 72.57 years (65-95 ± 7.08), and 98.7% had at least one geriatric syndrome. Depression was detected in 303 (80.9%), 282 (75%) were on polypharmacy, 262 (69.7%) had sleep disorders, 63 (16.8%) had experienced falls, 19 (5.1%) had urinary incontinence, 15 (4%) were obese, and 3 (0.8%) had loss of autonomy. Conclusion: 98.7% of the patients had at least one geriatric syndrome; females were the most affected sex; depression was the most frequent syndrome, followed by polypharmacy, sleep disorders, falls, urinary incontinence, obesity and loss of autonomy.

[Geriatric syndromes in patients with a non-recent hip fracture seen at a primary health care unit]. / Síndromes geriátricos en pacientes con fractura de cadera no reciente en una unidad de primer nivel de atención médica.

OBJECTIVE: To identify the frequency of geriatric syndromes in patients with a non- recent hip fracture seen at a primary health care unit in the state of Puebla, Mexico. MATERIAL AND METHODS: Cross-sectional study conducted in 376 patients with a non-recent hip fracture screened for geriatric syndromes. We included demographic variables, urinary incontinence, polypharmacy, sleep disorder, nutritional status, depression and autonomy. The two latter were assessed using the Yesavage geriatric depression scale and the Katz index. We used descriptive statistics. RESULTS: The total number of patients was 376; 219 (58%) were females and 157 (42%) were males; mean age was 72.57 years (65-95 +/- 7.08), and 98.7% had at least one geriatric syndrome. Depression was detected in 303 (80.9%), 282 (75%) were on polypharmacy, 262 (69.7%) had sleep disorders, 63 (16.8%) had experienced falls, 19 (5.1%) had urinary incontinence, 15 (4%) were obese, and 3 (0.8%) had loss of autonomy. CONCLUSION: 98.7% of the patients had at least one geriatric syndrome; females were the most affected sex; depression was the most frequent syndrome, followed by polypharmacy, sleep disorders, falls, urinary incontinence, obesity and loss of autonomy.

[Quality of life in patients with functional knee impairment at a primary health care unit]. / Calidad de vida en pacientes con limitación funcional de la rodilla por gonartrosis. En una unidad de primer nivel de atención médica.

OBJECTIVE: To assess the quality of life of patients with functional knee impairment at a primary health care unit. MATERIAL AND METHODS: Descriptive study of 317 primary health care patients with functional impairment due to gonarthrosis. The WOMAC and SF-36 questionnaires were used to assess functional impairment and quality of life, respectively. We used chi2 and Kendall's Tau-b to prove the hypothesis. RESULTS: 317 patients, 137 (43%) males, 180 (57%) females, mean age 72.46, standard deviation +/- 6.76 with a range of 65-95. Mild functional impairment occurred in 222 (70%) patients; 52.37% of patients had a fair quality of life. When the association between functional impairment and quality of life was studied, chi2 was 106.78, with p = 0.00, the application of Kendall's Tau-b to show a relation was -0.502 with a significant p = 0.00, thus showing the relation between both variables. Both variables were dichotomized and the degree of dependence of quality of life from functional impairment was assessed; 120 (37.85%) patients had poor quality of life and mild functional impairment with chi2 = 75.50, p = 0.00, Kendall's Tau-b = -0.428, p = 0.00. CONCLUSION: The quality of life of patients with gonarthrosis ranges from fair to poor and is directly dependent on the degree of functional impairment.