Epidemiological comparison between proximal femur fractures in a secondary and a tertiary hospital

Detalhes bibliográficos
Autor(a) principal: Mizael, Weby Delsin
Data de Publicação: 2021
Outros Autores: Vilela, Leandro Campos, Buainain, Ronaldo Parissi, Nonose, Nilson
Tipo de documento: Artigo
Idioma: por
Título da fonte: Scientia Medica (Porto Alegre. Online)
Texto Completo: https://revistaseletronicas.pucrs.br/scientiamedica/article/view/39421
Resumo: Aim: to compare the occurrence of femur fractures treated in a secondary and in a tertiary hospitals.Method: the sample of this study consisted of all patients who had fractures of the proximal femur treated at two hospital services, from 2015 to 2017, and the medical records were evaluated.Results: a greater number of surgeries has been performed at the tertiary hospital, although the secondary hospital patients had the highest number of complications, resulted probably by longer waiting times for the procedure, including surgeries that needed to be scheduled. It is also likely that this fact implied in a longer hospital stay and the need for referral to the Intensive Unit Care in the immediate postoperative period, also observed in secondary hospitals.Conclusion: these results call attention to the need to reformulate the protocols for the care of patients with proximal fracture of the femur, to solve the problems presented here.
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spelling Epidemiological comparison between proximal femur fractures in a secondary and a tertiary hospitalComparação epidemiológica entre as fraturas de fêmur proximal atendidas em um hospital secundário e um terciárioorthopedicstraumatologyepidemiologyfemurfracturesortopediatraumatologiaepidemiologiafêmurfraturasAim: to compare the occurrence of femur fractures treated in a secondary and in a tertiary hospitals.Method: the sample of this study consisted of all patients who had fractures of the proximal femur treated at two hospital services, from 2015 to 2017, and the medical records were evaluated.Results: a greater number of surgeries has been performed at the tertiary hospital, although the secondary hospital patients had the highest number of complications, resulted probably by longer waiting times for the procedure, including surgeries that needed to be scheduled. It is also likely that this fact implied in a longer hospital stay and the need for referral to the Intensive Unit Care in the immediate postoperative period, also observed in secondary hospitals.Conclusion: these results call attention to the need to reformulate the protocols for the care of patients with proximal fracture of the femur, to solve the problems presented here.Objetivo: comparar a ocorrência de fraturas de fêmur proximal atendidas em um hospital secundário e em um terciário.Método: a amostra deste estudo foi composta por todos os pacientes que apresentaram fratura de fêmur proximal atendidos em dois serviços hospitalares, no período de 2015 a 2017, sendo realizada a avaliação dos prontuários.Resultados: embora um maior número de cirurgias tenha sido realizado no hospital terciário, os pacientes atendidos no hospital secundário apresentaram maior número de complicações, provavelmente em decorrência de mais tempo de espera pelo procedimento, incluindo as cirurgias que precisaram ser remarcadas. É provável, também, que esse fato tenha implicado em maior tempo de internação e necessidade de encaminhamento para UTI no período pós-operatório imediato, fenômenos também observados no hospital secundário.Conclusão: estes resultados chamam atenção para a necessidade de reformulação dos protocolos de atendimento a pacientes com fratura proximal de fêmur, visando sanar os problemas aqui apresentados.Editora da PUCRS - ediPUCRS2021-09-17info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://revistaseletronicas.pucrs.br/scientiamedica/article/view/3942110.15448/1980-6108.2021.1.39421Scientia Medica; Vol. 31 No. 1 (2021): Single Volume; e39421Scientia Medica; v. 31 n. 1 (2021): Volume Único; e394211980-61081806-556210.15448/1980-6108.2021.1reponame:Scientia Medica (Porto Alegre. Online)instname:Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS)instacron:PUC_RSporhttps://revistaseletronicas.pucrs.br/scientiamedica/article/view/39421/27084Copyright (c) 2021 Scientia Medicahttp://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessMizael, Weby DelsinVilela, Leandro CamposBuainain, Ronaldo ParissiNonose, Nilson2022-01-28T17:51:28Zoai:ojs.revistaseletronicas.pucrs.br:article/39421Revistahttps://revistaseletronicas.pucrs.br/scientiamedica/PUBhttps://revistaseletronicas.pucrs.br/scientiamedica/oaiscientiamedica@pucrs.br || editora.periodicos@pucrs.br1980-61081806-5562opendoar:2022-01-28T17:51:28Scientia Medica (Porto Alegre. Online) - Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS)false
dc.title.none.fl_str_mv Epidemiological comparison between proximal femur fractures in a secondary and a tertiary hospital
Comparação epidemiológica entre as fraturas de fêmur proximal atendidas em um hospital secundário e um terciário
title Epidemiological comparison between proximal femur fractures in a secondary and a tertiary hospital
spellingShingle Epidemiological comparison between proximal femur fractures in a secondary and a tertiary hospital
Mizael, Weby Delsin
orthopedics
traumatology
epidemiology
femur
fractures
ortopedia
traumatologia
epidemiologia
fêmur
fraturas
title_short Epidemiological comparison between proximal femur fractures in a secondary and a tertiary hospital
title_full Epidemiological comparison between proximal femur fractures in a secondary and a tertiary hospital
title_fullStr Epidemiological comparison between proximal femur fractures in a secondary and a tertiary hospital
title_full_unstemmed Epidemiological comparison between proximal femur fractures in a secondary and a tertiary hospital
title_sort Epidemiological comparison between proximal femur fractures in a secondary and a tertiary hospital
author Mizael, Weby Delsin
author_facet Mizael, Weby Delsin
Vilela, Leandro Campos
Buainain, Ronaldo Parissi
Nonose, Nilson
author_role author
author2 Vilela, Leandro Campos
Buainain, Ronaldo Parissi
Nonose, Nilson
author2_role author
author
author
dc.contributor.author.fl_str_mv Mizael, Weby Delsin
Vilela, Leandro Campos
Buainain, Ronaldo Parissi
Nonose, Nilson
dc.subject.por.fl_str_mv orthopedics
traumatology
epidemiology
femur
fractures
ortopedia
traumatologia
epidemiologia
fêmur
fraturas
topic orthopedics
traumatology
epidemiology
femur
fractures
ortopedia
traumatologia
epidemiologia
fêmur
fraturas
description Aim: to compare the occurrence of femur fractures treated in a secondary and in a tertiary hospitals.Method: the sample of this study consisted of all patients who had fractures of the proximal femur treated at two hospital services, from 2015 to 2017, and the medical records were evaluated.Results: a greater number of surgeries has been performed at the tertiary hospital, although the secondary hospital patients had the highest number of complications, resulted probably by longer waiting times for the procedure, including surgeries that needed to be scheduled. It is also likely that this fact implied in a longer hospital stay and the need for referral to the Intensive Unit Care in the immediate postoperative period, also observed in secondary hospitals.Conclusion: these results call attention to the need to reformulate the protocols for the care of patients with proximal fracture of the femur, to solve the problems presented here.
publishDate 2021
dc.date.none.fl_str_mv 2021-09-17
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://revistaseletronicas.pucrs.br/scientiamedica/article/view/39421
10.15448/1980-6108.2021.1.39421
url https://revistaseletronicas.pucrs.br/scientiamedica/article/view/39421
identifier_str_mv 10.15448/1980-6108.2021.1.39421
dc.language.iso.fl_str_mv por
language por
dc.relation.none.fl_str_mv https://revistaseletronicas.pucrs.br/scientiamedica/article/view/39421/27084
dc.rights.driver.fl_str_mv Copyright (c) 2021 Scientia Medica
http://creativecommons.org/licenses/by/4.0
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Copyright (c) 2021 Scientia Medica
http://creativecommons.org/licenses/by/4.0
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Editora da PUCRS - ediPUCRS
publisher.none.fl_str_mv Editora da PUCRS - ediPUCRS
dc.source.none.fl_str_mv Scientia Medica; Vol. 31 No. 1 (2021): Single Volume; e39421
Scientia Medica; v. 31 n. 1 (2021): Volume Único; e39421
1980-6108
1806-5562
10.15448/1980-6108.2021.1
reponame:Scientia Medica (Porto Alegre. Online)
instname:Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS)
instacron:PUC_RS
instname_str Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS)
instacron_str PUC_RS
institution PUC_RS
reponame_str Scientia Medica (Porto Alegre. Online)
collection Scientia Medica (Porto Alegre. Online)
repository.name.fl_str_mv Scientia Medica (Porto Alegre. Online) - Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS)
repository.mail.fl_str_mv scientiamedica@pucrs.br || editora.periodicos@pucrs.br
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