Epidemiological comparison between proximal femur fractures in a secondary and a tertiary hospital
Autor(a) principal: | |
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Data de Publicação: | 2021 |
Outros Autores: | , , |
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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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 |
_version_ |
1809101752448843776 |