Detalhes bibliográficos
| Ano de defesa: |
2016 |
| Autor(a) principal: |
Farias, Fatima Izabel Dornelles
 |
| Orientador(a): |
Terra, Newton Luiz
|
| Banca de defesa: |
Não Informado pela instituição |
| Tipo de documento: |
Tese
|
| Tipo de acesso: |
Acesso aberto |
| Idioma: |
por |
| Instituição de defesa: |
Pontifícia Universidade Católica do Rio Grande do Sul
|
| Programa de Pós-Graduação: |
Programa de Pós-Graduação em Gerontologia Biomédica
|
| Departamento: |
Instituto de Geriatria e Gerontologia
|
| País: |
Brasil
|
| Palavras-chave em Português: |
|
| Área do conhecimento CNPq: |
|
| Link de acesso: |
http://tede2.pucrs.br/tede2/handle/tede/7095
|
Resumo: |
Introduction: Studies indicate that the population of elderly, of all places, the fracture occurring in the hip are the ones that have a higher impact on morbidity, higher rate of mortality, and high cost defendant for surgical treatment. The life expectancy of these patients can reduce by 15% in the first year and may reach 50% in the second year. Attention programs for the elderly with this profile of fragility can improve the clinically relevant results and reduce the high costs demanded by the treatments. Objective: Develop a program of attention to the elderly with hip fracture due to a fall, to be applied on a public network. Methods: a prospective cohort study on the implementation of the program and for the control group, retrospective of quantitative character. Results: were included in the study 182 elderly above 60 years diagnosed whit hip fracture. The sample was divided into two groups, the usual treatment (n=91) and treatment within the program (n=91). The treatment of choice is surgical. The average age was of 79,4 years, with prevalence of the female gender (74,2%). The most frequent morbidity was hypertension (72,5%). After the implementation of the program there was a reduction of the average time elapsed between the fracture and the beginning of the surgery (9 to 3 days), the average stay (from 16 to 7 days), the rate of infection of urinary tract (14,3% to 0,0%) and death rate (of 12,1% to 2,2%). There was no difference in the rate of readmissions within 30 days after discharge. Conclusion: The program of attention to the elderly with hip fracture applied in network modified the expected results, because reduced mortality, the average hospital stay, complications after surgery and the costs of the treatments during your stay. |
