ABSTRACT
Introducción. La pandemia por COVID-19 forzó a cambiar la educación médica a una modalidad virtual. Esta puede influenciar sobre la calidad de la enseñanza y la percepción que tienen los alumnos sobre los adultos mayores. Objetivo. Evaluar la percepción del auto reporte de cumplimiento de las competencias sobre geriatría (ACCG) y ageísmo, en estudiantes de medicina de universidades de Lima que llevaron el curso de geriatría en modalidad presencial y virtual. Métodos. Estudio transversal en estudiantes de 3 universidades de Lima, Perú que llevaron el curso de geriatría de forma presencial o virtual. El auto reporte de cumplimiento de competencias en geriatría fue medido mediante un puntaje y el ageísmo fue medido con la escala UCLA-GAS. Se realizó el análisis bivariado entre ACCG y el resto de las variables, finalmente se construyó un modelo de regresión lineal. Resultados. Se encontraron las medias del puntaje para ACCG fue de 0,72 (DE = 0,22) para la modalidad presencial y 0,75 (DE = 0,23) para la enseñanza virtual. No encontramos asociación estadística entre las variables de estudio (p = 0,39). La regresión lineal de auto reporte de cumplimiento de competencias en geriatría y ageísmo, fue ajustado por año de la carrera en que cursó geriatría y existencia de otro curso que aborde temas de geriatría, y se encontró que a mayor ACCG, mayor ageísmo. Conclusiones. Hasta el momento, no se puede afirmar que la educación virtual sea inferior a la presencial en lo que respecta generar al cumplimiento auto reportado de competencias en geriatría.
Introduction. The current COVID-19 pandemic has forced medical education to change to a virtual modality. This can influence the quality of teaching and the perception that students have about older adults. Objective. Our objective is to evaluate the perception of the self-report fulfillment of geriatric competencies (SRFGC) in medical students from universities in Lima-Peru, comparing face-to-face and virtual techniques. Methods. A cross-sectional study was designed including students from 3 universities in Lima, Peru who have taken the geriatrics course in person or virtually, measuring the main variables such as ACCG according to the recommendations of the pogoe web portal and ageing the UCLA-GAS scale. Averages and standard deviations were calculated for numerical variables and frequency for categorical variables. Bivariate analysis was also performed between ACCG and the rest of the variables measured. Results. Means 0.72 (SD=0.22) were found for the face-to-face modality and 0.75 (SD=0.23) for virtual teaching. We found no statistical association between the study variables (p value = 0.39), so there is no difference between the SRFGC between the virtual and face-to-face modalities. Through a linear regression model of SRFGC and ageism adjusted to statistically significant variables of the study, it was found that the greater the SRFGC, the greater the ageism. Conclusions. So far, it cannot be said that virtual education is inferior to face-to-face education with regard to the SRFGC.
ABSTRACT
Abstract Objective: The purpose of this study was to compare the operative mortality rate and outcomes of endovascular aneurysm repair (EVAR) between young and geriatric people in a single center. Methods: Eighty-five patients with abdominal aortic aneurysms who underwent EVAR between January 2012 and September 2016 were included. Outcomes were compared between two groups: the young (aged < 65 years) and the geriatric (aged ≥ 65 years). The primary study outcome was technical success; the secondary endpoints were mortality and secondary interventions. The mean follow-up time was 36 months (3-60 months). Results: The study included 72 males and 13 females with a mean age of 71.08±8.6 years (range 49-85 years). Of the 85 patients analyzed, 18 (21.2%) were under 65 years old and 67 patients (78.8%) were over 65 years old. There was no statistically significant correlation between chronic disease and age. We found no statistically significant difference between aneurysm diameter, neck angle, neck length, or right and left iliac angles. The secondary intervention rate was 7% (six patients). The conversion to open surgery was necessary for only one patient and only three deaths were reported (3.5%). There was no statistically significant difference in the mortality and reintervention rates between the age groups. The three deaths occurred only in the geriatric group and two died secondary to rupture. Kidney failure was observed in three patients in the geriatric group (4.5%). Conclusion: Our single-center experience shows that EVAR can be used safely in both young and geriatric patients.