Incidencia de delirium post-operatorio en mayores a 65 años llevados a cirugía ortopédica en el Hospital Universitario de la Samaritana.
62 páginas
- Autores:
-
Ortiz Restrepo, Juliana
González Serrano, Gina Katherine
- Tipo de recurso:
- Fecha de publicación:
- 2013
- Institución:
- Universidad de la Sabana
- Repositorio:
- Repositorio Universidad de la Sabana
- Idioma:
- spa
- OAI Identifier:
- oai:intellectum.unisabana.edu.co:10818/8192
- Acceso en línea:
- http://hdl.handle.net/10818/8192
- Palabra clave:
- Delirio -- Investigaciones
Procedimientos quirúrgicos operativos -- Investigaciones
Cirugía ortopédica -- Investigaciones
Edad adulta -- Investigaciones
- Rights
- License
- Attribution-NonCommercial-NoDerivatives 4.0 International
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Incidencia de delirium post-operatorio en mayores a 65 años llevados a cirugía ortopédica en el Hospital Universitario de la Samaritana. |
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Incidencia de delirium post-operatorio en mayores a 65 años llevados a cirugía ortopédica en el Hospital Universitario de la Samaritana. |
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Incidencia de delirium post-operatorio en mayores a 65 años llevados a cirugía ortopédica en el Hospital Universitario de la Samaritana. Delirio -- Investigaciones Procedimientos quirúrgicos operativos -- Investigaciones Cirugía ortopédica -- Investigaciones Edad adulta -- Investigaciones |
| title_short |
Incidencia de delirium post-operatorio en mayores a 65 años llevados a cirugía ortopédica en el Hospital Universitario de la Samaritana. |
| title_full |
Incidencia de delirium post-operatorio en mayores a 65 años llevados a cirugía ortopédica en el Hospital Universitario de la Samaritana. |
| title_fullStr |
Incidencia de delirium post-operatorio en mayores a 65 años llevados a cirugía ortopédica en el Hospital Universitario de la Samaritana. |
| title_full_unstemmed |
Incidencia de delirium post-operatorio en mayores a 65 años llevados a cirugía ortopédica en el Hospital Universitario de la Samaritana. |
| title_sort |
Incidencia de delirium post-operatorio en mayores a 65 años llevados a cirugía ortopédica en el Hospital Universitario de la Samaritana. |
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Ortiz Restrepo, Juliana González Serrano, Gina Katherine |
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Pérez Cely, Jairo Antonio Javier Rincón, Carlos |
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Ortiz Restrepo, Juliana González Serrano, Gina Katherine |
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Delirio -- Investigaciones Procedimientos quirúrgicos operativos -- Investigaciones Cirugía ortopédica -- Investigaciones Edad adulta -- Investigaciones |
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Delirio -- Investigaciones Procedimientos quirúrgicos operativos -- Investigaciones Cirugía ortopédica -- Investigaciones Edad adulta -- Investigaciones |
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62 páginas |
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2013 |
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2013-07-31T15:48:51Z |
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2013-07-31 |
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bachelorThesis |
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Tesis de especialización |
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Universidad de la Sabana |
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Pérez Cely, Jairo AntonioJavier Rincón, CarlosOrtiz Restrepo, JulianaGonzález Serrano, Gina Katherine2013-07-31T15:48:51Z2013-07-31T15:48:51Z2013-07-31http://hdl.handle.net/10818/8192254650TE0594262 páginasEl objetivo del presente estudio es determinar la incidencia de delirium POP a las 72 horas en pacientes mayores de 65 años llevados a cirugía ortopédica en el Hospital Universitario de la Samaritana. Metodologia: Se trata de un estudio prospectivo observacional de incidencia realizado en pacientes mayores > 65 años llevados a cirugía ortopédica en hospital universitario de la samaritana, con hospitalización en el post-operatorio en piso o unidad de cuidado intensivo entre Septiembre a Diciembre del 2012. Con una muestra de 132 casos, a los cuales se les aplico la escala de CAM-ICU a las 24, 48 y 72 horas posoperatorias. Resultados: Se encontró una incidencia de delirium postoperatorio del 37% con un intervalo de confianza entre el 29 y 46%. Se recolectaron un 58,3% del género femenino y el 41,6% del género masculino; con un promedio de edad de 74,5 años. Dentro de las variables se determinaron como factores de riesgo estadisticamente significtivos, el inicio de mas de 3 medicamentos intrahospitalarios (RR 1,77 IC 1,01-3,11), la presencia de alteraciones electrolíticas (RR 2,46 IC 1,77-3,54), el ayuno mayor a 8 horas (RR 2,55 IC 1,01-6,41), la deshidratacion (RR 1,77 IC 1,15-2,72), la hipotension (RR 2,10 IC 1,41-3,2), el uso de benzodiacepina (RR 3,05 IC 2,12-4,40) y el dolor postoperatorio a las 24 y 72 horas. Conclusiones: Se concluye que la incidencia de delirium posoperatorio de esta poblacion es concordante con lo encontrado en la literatura mundial; encontrando una relacion estadisticamente significativa con factores de riesgo que pueden ser modificables. Adicionalmente se encontro una fuerte relacion entre el uso de benzodiacepinas y el mayor riesgo de presentar delirium posopertario.spaUniversidad de la SabanaAttribution-NonCommercial-NoDerivatives 4.0 Internationalhttp://creativecommons.org/licenses/by-nc-nd/4.0/http://purl.org/coar/access_right/c_abf2instname:Universidad de La Sabanareponame:Intellectum Repositorio Universidad de La SabanaDelirio -- InvestigacionesProcedimientos quirúrgicos operativos -- InvestigacionesCirugía ortopédica -- InvestigacionesEdad adulta -- InvestigacionesIncidencia de delirium post-operatorio en mayores a 65 años llevados a cirugía ortopédica en el Hospital Universitario de la Samaritana.bachelorThesisTesis de especializaciónpublishedVersionhttp://purl.org/coar/version/c_970fb48d4fbd8a85http://purl.org/coar/resource_type/c_7a1fAnsaloni L, Catena F, Chattat R, Fortuna D, Franceschi C, Mascitti P, Melotti RM. Unit of General, Emergency and Transplant Surgery, St Orsola-Malpighi University Hospital, Italy. Risk factors and incidence of postoperative delirium in elderly patients afterelective and emergency surgery. Br J Surg. 2010 Feb;97(2):273-80.. Burkhart CS, Dell-Kuster S, Gamberini M, Moeckli A, Grapow M, Filipovic M,Seeberger MD, Monsch AU, Strebel SP, Steiner LA. Department of Anesthesia and Intensive Care Medicine, University Hospital Basel, Basel, Switzerland. Modifiable and nonmodifiable risk factors for postoperative delirium aftercardiac surgery with cardiopulmonary bypass. J Cardiothorac Vasc Anesth. 2010 Aug;24(4):555-9. Epub 2010 Mar 15Bradley G. Hammill, M.S, Lesley H. Curtis, Ph.D, Elliott Bennett-Guerrero, M.D, Christopher M. O'Connor, M.D, James G. Jollis, M.D, Kevin A. Schulman, M.D, Adrian F. Hernandez, M.D. Impact of Heart Failure on Patients Undergoing Major Noncardiac Surgery. Anesthesiology. 2008. Volumen 108, Issue 4.Camilla L. Wong, Jayna Holroyd-Leduc, David L. 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