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Dinapenia como factor predictor de mortalidad a un año en una cohorte de adultos mayores con fractura de cadera por fragilidad intervenidos en un centro de tercer nivel de la ciudad de Manizales, Caldas

dc.contributor.advisorGonzález Gómez, Fernando Iván
dc.contributor.advisorGómez Montes, José Fernando
dc.contributor.advisorBOTERO BAENA, SANDRA MILENA
dc.contributor.authorToro López, Luis Ángel
dc.date.accessioned2022-01-14T18:20:52Z
dc.date.available2022-01-14T18:20:52Z
dc.date.issued2022-01-14
dc.identifier.urihttps://repositorio.ucaldas.edu.co/handle/ucaldas/17349
dc.descriptionIlustracionesspa
dc.description.abstractspa:Determinar la asociación entre dinapenia y mortalidad a un año en una cohorte de adultos mayores con fractura de cadera por fragilidad intervenidos quirúrgicamente en un centro hospitalario de tercer nivel de la ciudad de Manizales, Caldas. Metodología: Estudio observacional, prospectivo, longitudinal, en el que se evaluaron en el preoperatorio adultos mayores de 60 años con fractura de cadera por fragilidad entre mayo de 2019 y mayo de 2020. Se tomaron datos de fuerza de agarre por dinamometría a su ingreso, así como variables sociodemográficas, clínicas y funcionales, de laboratorio y de la intervención quirúrgica. Fueron seguidos durante la estancia hospitalaria hasta 1 año para determinar su estado vital, así como otros desenlaces durante el postoperatorio. Resultados: Fueron incluidos en el análisis 126 pacientes (mediana de 81 años de edad, mujeres 77%). La prevalencia de dinapenia en la cohorte fue de 71,4%. La mortalidad a 1 año en los dinapénicos fue de 42,2% y en los no dinapénicos de 8,3%, con una diferencia estadísticamente significativa (p = 0,000). El análisis multivariado de la asociación entre dinapenia y mortalidad, arrojó un OR ajustado a las covariables de 4,96 (IC 95% 1,359 - 18,084, p = 0,015); también se demostró asociación entre marcha previa dependiente con el desenlace mortalidad, con un OR ajustado de 4,83 (IC 95% 1,848 - 12,610, p = 0,001). Conclusión: En este estudio de adultos mayores con fractura de cadera por fragilidad, la dinapenia valorada preoperatoriamente fue un marcador predictor independiente de la mortalidad a 1 año.spa
dc.description.abstracteng:To determine the association between dynapenia and one-year mortality in a cohort of older adults with fragility hip fractures who underwent surgery in a tertiary care hospital in the city of Manizales, Caldas. Methodology: Observational, prospective, longitudinal study, in which adults over 60 years of age with a fragility hip fracture were evaluated preoperatively between May 2019 and May 2020. Grip strength data were taken by dynamometry upon admission, as well as sociodemographic, clinical and functional, laboratory and surgical intervention variables. They were followed up during their hospital stay for up to 1 year to determine their vital status, as well as other outcomes during the postoperative period. Results: 126 patients (median age 81 years, women 77%) were included in the analysis. The prevalence of dynapenia in the cohort was 71.4%. Mortality at 1 year in dynapenic patients was 42.2% and in non-dynapenic patients 8.3%, with a statistically significant difference (p = 0.000). The multivariate analysis of the association between dynapenia and mortality yielded an OR adjusted for covariates of 4.96 (95% CI 1.359 - 18.084, p = 0.015); An association was also shown between previous dependent gait and the mortality outcome, with an adjusted OR of 4.83 (95% CI 1.848 - 12.610, p = 0.001). Conclusion: In this study of older adults with fragility hip fracture, dynapenia assessed preoperatively was an independent predictor of 1-year mortality.eng
dc.description.tableofcontents1. Resumen / 2. Introducción / 2.1. Justificación / 2.2. Objetivo general / 2.3. Objetivos específicos / 2.4. Metodología / 3. Resultados / 4. Discusión / 5. Conclusiones y recomendaciones / 6. Bibliografía / 7. Anexosspa
dc.format.mimetypeapplication/pdfspa
dc.language.isoengspa
dc.language.isospaspa
dc.titleDinapenia como factor predictor de mortalidad a un año en una cohorte de adultos mayores con fractura de cadera por fragilidad intervenidos en un centro de tercer nivel de la ciudad de Manizales, Caldasspa
dc.typeTrabajo de grado - Especializaciónspa
dc.contributor.researchgroupGrupo de Investigación en Gerontología y Geriatría (Categoría A1)spa
dc.description.degreelevelEspecializaciónspa
dc.identifier.instnameUniversidad de Caldasspa
dc.identifier.reponameRepositorio Institucional Universidad de Caldasspa
dc.identifier.repourlhttps://repositorio.ucaldas.edu.co/spa
dc.publisher.facultyFacultad de Ciencias para la Saludspa
dc.publisher.placeManizalesspa
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dc.rights.accessrightsinfo:eu-repo/semantics/openAccessspa
dc.rights.accessrightsinfo:eu-repo/semantics/openAccessspa
dc.rights.accessrightsinfo:eu-repo/semantics/openAccessspa
dc.rights.accessrightsinfo:eu-repo/semantics/openAccessspa
dc.subject.proposalDinapeniaspa
dc.subject.proposalFuerza de agarrespa
dc.subject.proposalFractura de caderaspa
dc.subject.proposalAdulto mayorspa
dc.subject.proposalEnvejecimientospa
dc.subject.proposalMortalidadspa
dc.subject.unescoCiencias medicas
dc.subject.unescoMedicina clínica
dc.type.coarhttp://purl.org/coar/resource_type/c_bdccspa
dc.type.contentTextspa
dc.type.driverinfo:eu-repo/semantics/masterThesisspa
dc.type.versioninfo:eu-repo/semantics/publishedVersionspa
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dc.description.degreenameEspecialista Medicina Interna - Geriatríaspa
dc.publisher.programEspecialización Medicina Interna - Geriatríaspa
dc.description.researchgroupMareo, inestabilidad, vértigo, caídas y fracturasspa
dc.rights.coarhttp://purl.org/coar/access_right/c_abf2spa


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