ABSTRACT
OBJECTIVE: To identify the frequency of geriatric syndromes in patients with a non- recent hip fracture seen at a primary health care unit in the state of Puebla, Mexico. MATERIAL AND METHODS: Cross-sectional study conducted in 376 patients with a non-recent hip fracture screened for geriatric syndromes. We included demographic variables, urinary incontinence, polypharmacy, sleep disorder, nutritional status, depression and autonomy. The two latter were assessed using the Yesavage geriatric depression scale and the Katz index. We used descriptive statistics. RESULTS: The total number of patients was 376; 219 (58%) were females and 157 (42%) were males; mean age was 72.57 years (65-95 +/- 7.08), and 98.7% had at least one geriatric syndrome. Depression was detected in 303 (80.9%), 282 (75%) were on polypharmacy, 262 (69.7%) had sleep disorders, 63 (16.8%) had experienced falls, 19 (5.1%) had urinary incontinence, 15 (4%) were obese, and 3 (0.8%) had loss of autonomy. CONCLUSION: 98.7% of the patients had at least one geriatric syndrome; females were the most affected sex; depression was the most frequent syndrome, followed by polypharmacy, sleep disorders, falls, urinary incontinence, obesity and loss of autonomy.
Subject(s)
Hip Fractures/complications , Aged , Aged, 80 and over , Cross-Sectional Studies , Female , Humans , Male , Primary Health Care , Syndrome , Time FactorsABSTRACT
OBJECTIVE: To assess the quality of life of patients with functional knee impairment at a primary health care unit. MATERIAL AND METHODS: Descriptive study of 317 primary health care patients with functional impairment due to gonarthrosis. The WOMAC and SF-36 questionnaires were used to assess functional impairment and quality of life, respectively. We used chi2 and Kendall's Tau-b to prove the hypothesis. RESULTS: 317 patients, 137 (43%) males, 180 (57%) females, mean age 72.46, standard deviation +/- 6.76 with a range of 65-95. Mild functional impairment occurred in 222 (70%) patients; 52.37% of patients had a fair quality of life. When the association between functional impairment and quality of life was studied, chi2 was 106.78, with p = 0.00, the application of Kendall's Tau-b to show a relation was -0.502 with a significant p = 0.00, thus showing the relation between both variables. Both variables were dichotomized and the degree of dependence of quality of life from functional impairment was assessed; 120 (37.85%) patients had poor quality of life and mild functional impairment with chi2 = 75.50, p = 0.00, Kendall's Tau-b = -0.428, p = 0.00. CONCLUSION: The quality of life of patients with gonarthrosis ranges from fair to poor and is directly dependent on the degree of functional impairment.
Subject(s)
Joint Diseases , Knee Joint , Quality of Life , Aged , Aged, 80 and over , Cross-Sectional Studies , Female , Humans , Joint Diseases/physiopathology , Male , Primary Health Care , Prospective StudiesSubject(s)
Drainage/methods , Urinary Bladder/surgery , Adult , Aged , Evaluation Studies as Topic , Female , Genital Diseases, Female/complications , Genital Diseases, Female/surgery , Humans , Middle Aged , Postoperative Complications/epidemiology , Postoperative Complications/prevention & control , Punctures/methods , Urinary Catheterization/methods , Urinary Tract Infections/epidemiology , Urinary Tract Infections/prevention & controlABSTRACT
Con objeto de determinar las ventajas y las desventajas de la aplicacion de anillos de silastico como tecnica de esterilizacion femenina bajo control laparoscopico, se analizaron comparativamente y a futuro los eventos ocurridos en un total de 1,302 intervenciones quirurgicos: 544 casos de electrofulguracion tubaria y 758 casos de aplicacion de anillos de silastico. La tasa de complicaciones globales con ambos procedimientos fue muy similar, predominando los problemas de hemorragia tubarica a consecuencia de la tecnica oclusiva. La aplicacion de anillos de silastico presenta una mayor frecuencia de dolor abdominal en las partes inmediata y mediata del periodo postoperatorio. Durante los primeros seis meses siguientes a la operacion, se encontro en el grupo de electrofulguracion una mayor frecuencia de trastornos menstruales en comparacion con lo encontrado en el grupo de anillos de silastico. Se presentaron tres casos de embarazos por falla del metodo en el grupo de anillos de silastico, lo que contrasta con la ausencia de embarazos en el grupo de electrofulguracion