Factores de riesgo y recuperación posquirúrgica de las fracturas de cadera en adultos mayores.
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| Title: | Factores de riesgo y recuperación posquirúrgica de las fracturas de cadera en adultos mayores. |
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| Alternate Title: | Risk factors and post-surgical recovery from hip fractures in older adults. Fatores de risco e recuperação pós-operatória de fraturas de quadril em idosos. |
| Authors: | ZORRILLA ARIZA, JOSÉ MIGUEL1 jomizo2000@javerianacali.edu.co, RODRÍGUEZ, GABRIELA VILLALOBOS1 e5gvillalo@javerianacali.edu.co, YERENA ÁLVAREZ, GABRIEL ALEJANDRO1 gabrielyerena@javerianacali.edu.co, COBO, ESTEFANÍA MONTOYA2 Estefania.montoya@javerianacali.edu.co |
| Source: | Archivos de Medicina (1657-320X). jul-dic2025, Vol. 25 Issue 2, p1-11. 11p. |
| Subjects: | HIP fractures, DISEASE risk factors, OLDER people, ENHANCED recovery after surgery protocol, SURGICAL complications, REHABILITATION, COMORBIDITY, POSTOPERATIVE care |
| Abstract (English): | Introduction: Hip fractures in older adults pose a significant public health challenge due to their high prevalence, associated morbidity and mortality, and complications in postoperative recovery. Objective: To determine the effect of the simultaneous presence of multiple risk factors on hip fracture recovery in older adults. Methodology: Advanced literature searches were conducted in PubMed and Scopus for the period 2014-2024. Search equations were designed using the keywords Hip fracture, Aged, Comorbidities, and After care, combined with the Boolean operator AND. A total of 246 articles were obtained, of which 196 were discarded because they did not contribute to the study objective; 50 documents were ultimately included. Results: The coexistence of multiple adverse factors can worsen perioperative complications, prolong hospital stays, reduce functionality, and increase mortality. Extrinsic factors, such as environmental conditions and barriers to accessing treatment, were found to be as critical as intrinsic clinical factors in patient recovery. Conclusions: These findings emphasize the need for an integrated clinical approach that combines personalized interventions, complication prevention, and effective rehabilitation strategies to optimize patients' quality of life and reduce the global burden of the disease. [ABSTRACT FROM AUTHOR] |
| Abstract (Spanish): | Introducción: las fracturas de cadera en adultos mayores representan un importante desafío de salud pública debido a su alta prevalencia, morbimortalidad asociada y las complicaciones en la recuperación posquirúrgica. Objetivo: determinar el efecto de la presentación simultánea de múltiples factores de riesgo sobre la recuperación de la fractura de cadera en el adulto mayor. Metodología: se realizaron búsquedas avanzadas de la literatura en Pubmed y Scopus entre los años 2014 - 2024; se diseñaron ecuaciones de búsqueda con las palabras clave Hip fracture, Aged, comorbidities, after care y el operador booleano AND. Se obtuvo un total de 246 artículos, de los cuales se descartaron 196 por no contribuir al objetivo de estudio; finalmente fueron incluidos 50 documentos. Resultados: la coexistencia de múltiples factores adversos puede agravar las complicaciones perioperatorias, prolongar la estancia hospitalaria, reducir la funcionalidad y aumentar la mortalidad. Asimismo, se evidenció que los factores extrínsecos, como las condiciones del entorno y las barreras en el acceso a tratamientos, son tan determinantes como los factores clínicos intrínsecos en la recuperación del paciente. Conclusiones: estos hallazgos subrayan la necesidad de un enfoque integral en el manejo clínico, combinando intervenciones personalizadas, prevención de complicaciones y estrategias de rehabilitación adecuadas, lo que permitiría optimizar la calidad de vida de los pacientes y reducir la carga global de la enfermedad. [ABSTRACT FROM AUTHOR] |
| Abstract (Portuguese): | Introdução: Fraturas de quadril em idosos representam um desafio significativo para a saúde pública devido à sua alta prevalência, morbidade e mortalidade associadas e complicações na recuperação pós-operatória. Objetivo: Determinar o efeito da presença simultânea de múltiplos fatores de risco na recuperação de fraturas de quadril em idosos. Metodologia: Buscas bibliográficas avançadas foram realizadas no PubMede no Scopus entre 2014 e 2024; equações de busca foram elaboradas com as palavras-chave "Fratura de quadril", "Idoso", "comorbidades", "tratamento posterior"e o operador booleano "AND". Foram obtidos 246 artigos, dos quais 196 foram descartados por não contribuírem para o objetivo do estudo; 50 documentos foram incluídos. Resultados: A coexistência de múltiplos fatores adversos pode agravar complicações perioperatórias, prolongar a internação hospitalar, reduzir a funcionalidade e aumentar a mortalidade. Além disso, demonstrou-se que fatores extrínsecos, como condições ambientais e barreiras ao acesso ao tratamento, são tão cruciais quanto fatores clínicos intrínsecos na recuperação do paciente. Conclusões: Esses achados reforçam a necessidade de uma abordagem abrangente para o manejo clínico, combinando intervenções personalizadas, prevenção de complicações e estratégias de reabilitação adequadas, o que otimizaria a qualidade de vida dos pacientes e reduziria a carga geral da doença. [ABSTRACT FROM AUTHOR] |
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| Database: | MedicLatina |
| Abstract: | Introduction: Hip fractures in older adults pose a significant public health challenge due to their high prevalence, associated morbidity and mortality, and complications in postoperative recovery. Objective: To determine the effect of the simultaneous presence of multiple risk factors on hip fracture recovery in older adults. Methodology: Advanced literature searches were conducted in PubMed and Scopus for the period 2014-2024. Search equations were designed using the keywords Hip fracture, Aged, Comorbidities, and After care, combined with the Boolean operator AND. A total of 246 articles were obtained, of which 196 were discarded because they did not contribute to the study objective; 50 documents were ultimately included. Results: The coexistence of multiple adverse factors can worsen perioperative complications, prolong hospital stays, reduce functionality, and increase mortality. Extrinsic factors, such as environmental conditions and barriers to accessing treatment, were found to be as critical as intrinsic clinical factors in patient recovery. Conclusions: These findings emphasize the need for an integrated clinical approach that combines personalized interventions, complication prevention, and effective rehabilitation strategies to optimize patients' quality of life and reduce the global burden of the disease. [ABSTRACT FROM AUTHOR] |
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| ISSN: | 1657320X |
| DOI: | 10.30554/archmed.25.2.5318.2025 |
