Implementación de un sistema electrónico para la identificación de la frecuencia de cambios de posición durante sueño en sujetos sanos

Hospitalization is an operational structure of great utility for the treatment of pathologies, since it provides an efficient monitoring and control system to the patient, but there are different adverse effects on older people during a long stay in a medical institution. Since some effects produced...

Full description

Autores:
Bernal Hernandez, Javier Fernando
Tipo de recurso:
Trabajo de grado de pregrado
Fecha de publicación:
2019
Institución:
Escuela Colombiana de Ingeniería Julio Garavito
Repositorio:
Repositorio Institucional ECI
Idioma:
spa
OAI Identifier:
oai:repositorio.escuelaing.edu.co:001/1271
Acceso en línea:
https://repositorio.escuelaing.edu.co/handle/001/1271
Palabra clave:
Ulceras por presión
Sensores inerciales
Hospitalización
Internet de las cosas
Pressure ulcers
Inertial sensors
Hospitalization
Internet of things
Rights
openAccess
License
Derechos Reservados - Escuela Colombiana de Ingeniería Julio Garavito
Description
Summary:Hospitalization is an operational structure of great utility for the treatment of pathologies, since it provides an efficient monitoring and control system to the patient, but there are different adverse effects on older people during a long stay in a medical institution. Since some effects produced by age such as the reduction of bone density, fragile skin, reduction of muscle strength, among others, produce multiple medical complications that seriously affect the patient. Events that occur with high repeatability are concentrated in falls, malnutrition, dependence, functional incontinence, and pressure ulcers. Accordingly, it is determined that one of the most common difficulties during hospitalization is related to pressure ulcers, these are produced during hospital care and result in the increase of care personnel leading to high costs in the administration of adult care in the ICU, as these make up the highest prevalence of pressure ulcers in Spain, reaching 18% in adult ICU and 9.71% in pediatric ICU. Pressure ulcers are defined as lesions located in the skin under a bony prominence, as a result of high pressure combined with prolonged time in the same position, leading to ischemia and necrosis of the affected area. These events are a major health problem worldwide, mainly in the hospitalization environment of patients in critical condition. Its emergence deteriorates the quality of life of patients, and their families, increasing the social cost, and increasing the consumption of health resources. Although they are considered preventable, pressure ulcers affect between 30% and 50% of the patients evaluated with high risk and constitute between 10% and 50% of the total hospital adverse events. This group of patients are usually older adults, unable to mobilize, and hospitalized in critical care areas because of the severity of their health condition. In Colombia, the overall rate of related adverse events is between 2.7 and 8.5 per 1000 discharges. Immobility and physical inactivity are considered among the most likely risk factors for the development of pressure ulcers in motionless patients. There are instruments for risk assessment for pressure ulcers which are based on the activity levels of individuals, and the more immobile and dependent an individual is the greater the risk of acquiring a pressure ulcer.