Factores relacionados a la demora del tratamiento quirúrgico de fractura de cadera en adultos mayores de 50 años

Factors related to the delay in surgical treatment of hip fracture in adults older than 50 years old

Resumen

Introduction: Hip fracture rates increase with age, due to loss of bone density. According to international guidelines it is recommended that the surgical treatment for this pathology is of choice and should be established during the first 48 hours. Objective: To identify and describe the factors related to the delay of surgical treatment of hip fracture in patients over 50 years of the Regional Hospital of Lambayeque during March - September 2019. Material and methods: Quantitative, descriptive, prospective, observational study, with a census-type sample of 52 patients, diagnosed with hip fracture and submitted to surgical treatment, data collection carried out through a clinical history review and personal interview, a data collection sheet was prepared. data that evaluated delay time; clinical features; and administrative factors. Results: The median delay time was 127 hours, the median age was 81 years, the most frequent characteristics were female sex (67.3 %), intertrochanteric fracture (59.6 %), internal fixation surgery (72 %), urinary tract infection (23.1 %) as complication and arterial hypertension (50 %) as comorbidity. Significant difference was found with urinary tract infection, non-specific disorientation, bed availability, type of surgery and times until the application of surgical risk. Conclusions: The delay time of the surgical treatment of the Hospital Regional Lambayeque is 127 hours, the related characteristics were urinary tract infection, non-specific disorientation, bed availability, type of surgery and the time until the application of surgical risk.