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Prevalencia de factores de riesgo en pacientes mayores de 50 años con fracturas clásicas de fragilidad atendidos en un hospital de tercer nivel de complejidad en Boyacá / Prevalence of risk factors in patients older than 50 years with classic fragility fractures treated in a third level complexity hospital in Boyacá (Colombia)
Sankó Posada, Andrey Alexandrovich; González Castañeda, Adriana Patricia; Vargas Rodríguez, Ledmar Jovanny; Gordillo Nava, Gladys Cecilia.
  • Sankó Posada, Andrey Alexandrovich; Hospital Universitario San Rafael. Pontificia Universidad Javeriana. Tunja. CO
  • González Castañeda, Adriana Patricia; Hospital Universitario San Rafael. Tunja. CO
  • Vargas Rodríguez, Ledmar Jovanny; Hospital Universitario San Rafael. Universidad de Boyacá. Tunja. CO
  • Gordillo Nava, Gladys Cecilia; Hospital Universitario San Rafael. Tunja. CO
Rev. colomb. reumatol ; 28(2): 104-110, abr.-jun. 2021. tab, graf
Article in Spanish | LILACS-Express | LILACS | ID: biblio-1357255
RESUMEN
RESUMEN

Introducción:

Las fracturas por fragilidad son una complicación frecuente de la osteoporosis y generan alto impacto en la calidad de vida del adulto mayor. Las fracturas de cuello femoral, radio distal, húmero proximal y vértebras toracolumbares, en el contexto de un traumatismo menor, se consideran fracturas por fragilidad.

Objetivo:

Identificar la prevalencia de factores de riesgo en personas mayores de 50 arios con fracturas por fragilidad atendidas en un hospital del departamento de Boyacá.

Metodología:

Estudio observacional, descriptivo y de corte transversal. Se incluyeron 242 pacientes que presentaron fracturas por fragilidad con diagnóstico confirmado por estudio imagenológico.

Resultados:

El 62,8% de la población fue femenina. La edad condiciona un aumento del número de fracturas de fémur. El 10,7% de la población tenía un antecedente de fractura, con un aumento de la prevalencia a mayor edad. La fractura de radio distal fue la más frecuente en el 36,8% de la población. Cerca del 40% de los pacientes eran hipertensos y el 7,9% tenía diabetes, en tanto que el 9,7% eran consumidores crónicos de inhibidores de la bomba de protones. El 2,4% consumía glucocorticoides previamente al evento.

Conclusiones:

El comportamiento poblacional de las fracturas por fragilidad en nuestra ins titución es similar al de otros lugares, tanto a escala nacional como internacional. Por tanto, es importante empezar a crear conciencia sobre la prevención secundaria de la osteoporo sis, con el fin de disminuir las complicaciones, mejorar los desenlaces y disminuir los gastos que consigo trae.
ABSTRACT
ABSTRACT

Introduction:

Fragility fractures are a frequent complication of osteoporosis and lead to increased morbidity and mortality, as well as decreasing quality of life of the elderly popu lation, and represents high costs for health care systems. After minor trauma, fractures of the femoral neck, distal radius, proximal humerus, and thoraco-lumbar vertebrae are associated with osteoporosis, and are considered fragility fractures.

Objective:

To identify the prevalence of risk factors in people over 50 years of age with fragility fractures treated at a third level hospital in the department of Boyacá, Colombia.

Methodology:

Observational, descriptive, retrospective cross-sectional study. An evaluation was made on 242 patients between 50 and 100 years of age with any of the previously mentioned 4 fragility fractures. Fracture diagnosis had to be confirmed by plain radiography or computed tomography.

Results:

The majority (62.8%) of the study population was female. Age was associated with an increase in the number of femur fractures. A history of previous fractures was observed in 10.7% of the cases, with prevalence increasing with age. Distal radius fracture was the most frequent in 36.8% of the population. About 40% of the patients had hypertension and 7.9% were diabetic. Chronic use of proton pump inhibitors was observed in 9.7%, and 2.4% consumed glucocorticoids prior to the event.

Conclusions:

The behaviour of fragility fractures of the population in our institution is simi lar to that of other places, both nationally and internationally. It is therefore important to start raising awareness about secondary prevention of osteoporosis, in order to reduce complications, improve outcomes, and reduce associated costs.


Full text: Available Index: LILACS (Americas) Type of study: Etiology study / Observational study / Prevalence study / Prognostic study / Risk factors / Screening study Country/Region as subject: South America / Colombia Language: Spanish Journal: Rev. colomb. reumatol Journal subject: Rheumatology Year: 2021 Type: Article Affiliation country: Colombia Institution/Affiliation country: Hospital Universitario San Rafael/CO

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Full text: Available Index: LILACS (Americas) Type of study: Etiology study / Observational study / Prevalence study / Prognostic study / Risk factors / Screening study Country/Region as subject: South America / Colombia Language: Spanish Journal: Rev. colomb. reumatol Journal subject: Rheumatology Year: 2021 Type: Article Affiliation country: Colombia Institution/Affiliation country: Hospital Universitario San Rafael/CO