Detección de problemas en pacientes geriátricos con fractura de cadera. Importancia de la colaboración entre traumatólogo y geriatra / Detection of health conditions in elderly patients with a hip fracture. Importance of collaboration between orthopedic and geriatric specialists
Rev. ortop. traumatol. (Madr., Ed. impr.)
; 51(3): 144-151, mayo- jun. 2007. tab
Article
de Es
| IBECS
| ID: ibc-65539
Bibliothèque responsable:
ES15.1
Localisation: ES15.1 - BNCS
ABSTRACT
Purpose. To assess the benefits of a Geriatric Consultant Team (GCT) to detect health conditions in elderly patients hospitalized for a hip fracture. Materials and methods. This was a prospective controlled study that compared two groups: patients under the care of a GCT and those not under the care of a GCT. Results. A total of 449 patients were studied; mean age 83 years; 80% women. The GCT detected more incidents in clinical records (5.4 compared to 3.3), and more previous geriatric syndromes (2 compared to 0.4). During hospitalization the GCT detected a higher rate of complications (2.1 compared to 0.4) and more geriatric syndromes (3.6 compared to 0.5). Significant differences were seen in the following conditions: anemia, malnutrition, constipation, delirium, osteoporosis, bedsores, dementia, sensory deficits and incontinence. Some of the data collected suggested that there might have been non-detected health conditions in the control group. Conclusions. The GCT reviewed patients daily, which resulted in a more complete assessment and a reduction in the probability of under-diagnosing significant clinical conditions. More effective patient care is achieved when Geriatric and Orthopedic Specialists work together (AU)
Recherche sur Google
Collection:
06-national
/
ES
Base de données:
IBECS
Sujet principal:
Évaluation gériatrique
/
Fractures de la hanche
Type d'étude:
Diagnostic_studies
/
Observational_studies
/
Risk_factors_studies
Limites:
Aged
/
Female
/
Humans
/
Male
Langue:
Es
Journal:
Rev. ortop. traumatol. (Madr., Ed. impr.)
Année:
2007
Type de document:
Article