Envelhecimento e fraturas osteopor??ticas
Autor(a) principal: | |
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Data de Publicação: | 2019 |
Tipo de documento: | Dissertação |
Idioma: | por |
Título da fonte: | Biblioteca Digital de Teses e Dissertações da UCB |
Texto Completo: | https://bdtd.ucb.br:8443/jspui/handle/tede/2622 |
Resumo: | The aging of the world's population brings major challenges to health systems. The bone fragility caused by osteoporosis increased the occurrence of fractures, representing a serious Public Health problem, since it increases the risks of new fractures, morbidity, mortality, and also impacts treatment costs. The objective of this study was to describe and evaluate the implantation of an osteoporotic fracture coordination service in Trindade-Goi??s-Brazil. As for the methodology, it was a retrospective study, by analysis of medical records, convenience sample, with descriptive analysis of the data after the implantation of the Osteoporotic Fructose Coordination Service (SCFO) known as Fracture Liaison Services (FLS) at the Clinical Diagnosis of Trindade (CDT) located in the State of Goi??s at the end of 2012. The evaluation period occurred from January 2013 to December 2016 (four years). The results indicated the mean age was 70 years, ranging from 45 to 95 years. Regarding the location of the first fracture, the vertebral column was the most frequent site representing 50% of the fractures, followed by the ribs 17%, proximal humerus, distal radius, proximal femur and other sites with 8.25% each. Initially, the goal for four years would be to avoid six fractures (50%) of an expected total of 12, but nine osteoporotic fractures (75%) were avoided, with only three patients fractured during treatment. It is concluded that the implementation of the program provided significant data for the design of specific health actions aimed at maintaining quality of life, prevention and non-recurrence of osteoporotic fractures. The program is effective in reducing the number of future fracture, after a previous osteoporotic fracture in the evaluated patients. |
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Oliveira, Maria Liz Cunha dehttp://lattes.cnpq.br/8444432728032111http://lattes.cnpq.br/4334886402366553Nishimori, Fabio Koiti2019-09-10T17:07:13Z2019-06-28NISHIMORI, Fabio Koiti. Envelhecimento e fraturas osteopor??ticas. 2019. 59 f. Disserta????o (Programa Stricto Sensu em Gerontologia) - Universidade Cat??lica de Bras??lia, Bras??lia, 2019.https://bdtd.ucb.br:8443/jspui/handle/tede/2622The aging of the world's population brings major challenges to health systems. The bone fragility caused by osteoporosis increased the occurrence of fractures, representing a serious Public Health problem, since it increases the risks of new fractures, morbidity, mortality, and also impacts treatment costs. The objective of this study was to describe and evaluate the implantation of an osteoporotic fracture coordination service in Trindade-Goi??s-Brazil. As for the methodology, it was a retrospective study, by analysis of medical records, convenience sample, with descriptive analysis of the data after the implantation of the Osteoporotic Fructose Coordination Service (SCFO) known as Fracture Liaison Services (FLS) at the Clinical Diagnosis of Trindade (CDT) located in the State of Goi??s at the end of 2012. The evaluation period occurred from January 2013 to December 2016 (four years). The results indicated the mean age was 70 years, ranging from 45 to 95 years. Regarding the location of the first fracture, the vertebral column was the most frequent site representing 50% of the fractures, followed by the ribs 17%, proximal humerus, distal radius, proximal femur and other sites with 8.25% each. Initially, the goal for four years would be to avoid six fractures (50%) of an expected total of 12, but nine osteoporotic fractures (75%) were avoided, with only three patients fractured during treatment. It is concluded that the implementation of the program provided significant data for the design of specific health actions aimed at maintaining quality of life, prevention and non-recurrence of osteoporotic fractures. The program is effective in reducing the number of future fracture, after a previous osteoporotic fracture in the evaluated patients.O envelhecimento da popula????o mundial traz grandes desafios para os sistemas de sa??de. A fragilidade ??ssea causada pela osteoporose aumentou a ocorr??ncia de fraturas, representando um s??rio problema de sa??de p??blica, j?? que aumenta os riscos de novas fraturas, morbidade, mortalidade, al??m de impactar nos custos do tratamento. O objetivo deste trabalho foi descrever e avaliar a implanta????o de um servi??o de coordena????o de fraturas osteopor??ticas em Trindade-Goi??s-Brasil. Quanto ao m??todo, tratou-se de um estudo retrospectivo, por an??lise de prontu??rios, amostra de conveni??ncia, com an??lise descritiva dos dados ap??s a implanta????o do Servi??o de Coordena????o de Fraturas Osteopor??ticas (SCFO) conhecido como Fracture Liaison Services (FLS) na Cl??nica de Diagn??sticos de Trindade (CDT), localizada no estado de Goi??s, no final de 2012. O per??odo de avalia????o ocorreu de janeiro de 2013 a dezembro de 2016 (quatro anos). Os resultados indicaram a idade m??dia de 70 anos, com varia????o de 45 a 95 anos. Com rela????o ?? localiza????o da primeira fratura, a coluna vertebral foi o s??tio mais frequente, representando 50% das fraturas, seguido pelas costelas (17%), ??mero proximal, r??dio distal, f??mur proximal e outros s??tios, com 8,25% cada. Inicialmente, a meta para quatro anos seria evitar seis fraturas (50%) de um total esperado de 12, por??m foram evitadas nove fraturas osteopor??ticas (75%), sendo apenas tr??s pacientes que fraturaram durante o tratamento. Conclui-se que a implanta????o do programa forneceu dados significativos para o delineamento de a????es espec??ficas em sa??de voltadas ?? manuten????o da qualidade de vida, da preven????o e n??o reincid??ncia de fraturas osteopor??ticas. O programa apresenta efetividade com rela????o a redu????o do n??mero de refraturas, ap??s uma fratura osteopor??tica pr??via nos pacientes avaliados.Submitted by Sara Ribeiro (sara.ribeiro@ucb.br) on 2019-09-10T17:07:00Z No. of bitstreams: 1 FabioKoitiNishimoriDissertacao2019.pdf: 1257998 bytes, checksum: 9f63a8a639831919d51f49244a0d3b7d (MD5)Approved for entry into archive by Sara Ribeiro (sara.ribeiro@ucb.br) on 2019-09-10T17:07:13Z (GMT) No. of bitstreams: 1 FabioKoitiNishimoriDissertacao2019.pdf: 1257998 bytes, checksum: 9f63a8a639831919d51f49244a0d3b7d (MD5)Made available in DSpace on 2019-09-10T17:07:13Z (GMT). No. of bitstreams: 1 FabioKoitiNishimoriDissertacao2019.pdf: 1257998 bytes, checksum: 9f63a8a639831919d51f49244a0d3b7d (MD5) Previous issue date: 2019-06-28application/pdfhttps://200.214.135.178:8443/jspui/retrieve/7124/FabioKoitiNishimoriDissertacao2019.pdf.jpgporUniversidade Cat??lica de Bras??liaPrograma Stricto Sensu em GerontologiaUCBBrasilEscola de Sa??de e MedicinaIdososOsteoporoseGerontologiaFratura futuraFuture fractureOsteoporosisGerontologyElderlyCNPQ::CIENCIAS DA SAUDEEnvelhecimento e fraturas osteopor??ticasinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesisinfo:eu-repo/semantics/openAccessreponame:Biblioteca Digital de Teses e Dissertações da UCBinstname:Universidade Católica de Brasília (UCB)instacron:UCBTHUMBNAILFabioKoitiNishimoriDissertacao2019.pdf.jpgFabioKoitiNishimoriDissertacao2019.pdf.jpgimage/jpeg4908https://200.214.135.178:8443/jspui/bitstream/tede/2622/4/FabioKoitiNishimoriDissertacao2019.pdf.jpg2aca51cec2336977a40228d61281a2c9MD54TEXTFabioKoitiNishimoriDissertacao2019.pdf.txtFabioKoitiNishimoriDissertacao2019.pdf.txttext/plain110409https://200.214.135.178:8443/jspui/bitstream/tede/2622/3/FabioKoitiNishimoriDissertacao2019.pdf.txtb20a62d175cad4ed89ff56852b292dbaMD53LICENSElicense.txtlicense.txttext/plain; charset=utf-81905https://200.214.135.178:8443/jspui/bitstream/tede/2622/1/license.txt75558dcf859532757239878b42f1c2c7MD51ORIGINALFabioKoitiNishimoriDissertacao2019.pdfFabioKoitiNishimoriDissertacao2019.pdfapplication/pdf1257998https://200.214.135.178:8443/jspui/bitstream/tede/2622/2/FabioKoitiNishimoriDissertacao2019.pdf9f63a8a639831919d51f49244a0d3b7dMD52tede/26222020-07-07 16:00:41.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 Digital de Teses e Dissertaçõeshttps://bdtd.ucb.br:8443/jspui/ |
dc.title.por.fl_str_mv |
Envelhecimento e fraturas osteopor??ticas |
title |
Envelhecimento e fraturas osteopor??ticas |
spellingShingle |
Envelhecimento e fraturas osteopor??ticas Nishimori, Fabio Koiti Idosos Osteoporose Gerontologia Fratura futura Future fracture Osteoporosis Gerontology Elderly CNPQ::CIENCIAS DA SAUDE |
title_short |
Envelhecimento e fraturas osteopor??ticas |
title_full |
Envelhecimento e fraturas osteopor??ticas |
title_fullStr |
Envelhecimento e fraturas osteopor??ticas |
title_full_unstemmed |
Envelhecimento e fraturas osteopor??ticas |
title_sort |
Envelhecimento e fraturas osteopor??ticas |
author |
Nishimori, Fabio Koiti |
author_facet |
Nishimori, Fabio Koiti |
author_role |
author |
dc.contributor.advisor1.fl_str_mv |
Oliveira, Maria Liz Cunha de |
dc.contributor.advisor1Lattes.fl_str_mv |
http://lattes.cnpq.br/8444432728032111 |
dc.contributor.authorLattes.fl_str_mv |
http://lattes.cnpq.br/4334886402366553 |
dc.contributor.author.fl_str_mv |
Nishimori, Fabio Koiti |
contributor_str_mv |
Oliveira, Maria Liz Cunha de |
dc.subject.por.fl_str_mv |
Idosos Osteoporose Gerontologia Fratura futura |
topic |
Idosos Osteoporose Gerontologia Fratura futura Future fracture Osteoporosis Gerontology Elderly CNPQ::CIENCIAS DA SAUDE |
dc.subject.eng.fl_str_mv |
Future fracture Osteoporosis Gerontology Elderly |
dc.subject.cnpq.fl_str_mv |
CNPQ::CIENCIAS DA SAUDE |
dc.description.abstract.eng.fl_txt_mv |
The aging of the world's population brings major challenges to health systems. The bone fragility caused by osteoporosis increased the occurrence of fractures, representing a serious Public Health problem, since it increases the risks of new fractures, morbidity, mortality, and also impacts treatment costs. The objective of this study was to describe and evaluate the implantation of an osteoporotic fracture coordination service in Trindade-Goi??s-Brazil. As for the methodology, it was a retrospective study, by analysis of medical records, convenience sample, with descriptive analysis of the data after the implantation of the Osteoporotic Fructose Coordination Service (SCFO) known as Fracture Liaison Services (FLS) at the Clinical Diagnosis of Trindade (CDT) located in the State of Goi??s at the end of 2012. The evaluation period occurred from January 2013 to December 2016 (four years). The results indicated the mean age was 70 years, ranging from 45 to 95 years. Regarding the location of the first fracture, the vertebral column was the most frequent site representing 50% of the fractures, followed by the ribs 17%, proximal humerus, distal radius, proximal femur and other sites with 8.25% each. Initially, the goal for four years would be to avoid six fractures (50%) of an expected total of 12, but nine osteoporotic fractures (75%) were avoided, with only three patients fractured during treatment. It is concluded that the implementation of the program provided significant data for the design of specific health actions aimed at maintaining quality of life, prevention and non-recurrence of osteoporotic fractures. The program is effective in reducing the number of future fracture, after a previous osteoporotic fracture in the evaluated patients. |
dc.description.abstract.por.fl_txt_mv |
O envelhecimento da popula????o mundial traz grandes desafios para os sistemas de sa??de. A fragilidade ??ssea causada pela osteoporose aumentou a ocorr??ncia de fraturas, representando um s??rio problema de sa??de p??blica, j?? que aumenta os riscos de novas fraturas, morbidade, mortalidade, al??m de impactar nos custos do tratamento. O objetivo deste trabalho foi descrever e avaliar a implanta????o de um servi??o de coordena????o de fraturas osteopor??ticas em Trindade-Goi??s-Brasil. Quanto ao m??todo, tratou-se de um estudo retrospectivo, por an??lise de prontu??rios, amostra de conveni??ncia, com an??lise descritiva dos dados ap??s a implanta????o do Servi??o de Coordena????o de Fraturas Osteopor??ticas (SCFO) conhecido como Fracture Liaison Services (FLS) na Cl??nica de Diagn??sticos de Trindade (CDT), localizada no estado de Goi??s, no final de 2012. O per??odo de avalia????o ocorreu de janeiro de 2013 a dezembro de 2016 (quatro anos). Os resultados indicaram a idade m??dia de 70 anos, com varia????o de 45 a 95 anos. Com rela????o ?? localiza????o da primeira fratura, a coluna vertebral foi o s??tio mais frequente, representando 50% das fraturas, seguido pelas costelas (17%), ??mero proximal, r??dio distal, f??mur proximal e outros s??tios, com 8,25% cada. Inicialmente, a meta para quatro anos seria evitar seis fraturas (50%) de um total esperado de 12, por??m foram evitadas nove fraturas osteopor??ticas (75%), sendo apenas tr??s pacientes que fraturaram durante o tratamento. Conclui-se que a implanta????o do programa forneceu dados significativos para o delineamento de a????es espec??ficas em sa??de voltadas ?? manuten????o da qualidade de vida, da preven????o e n??o reincid??ncia de fraturas osteopor??ticas. O programa apresenta efetividade com rela????o a redu????o do n??mero de refraturas, ap??s uma fratura osteopor??tica pr??via nos pacientes avaliados. |
description |
The aging of the world's population brings major challenges to health systems. The bone fragility caused by osteoporosis increased the occurrence of fractures, representing a serious Public Health problem, since it increases the risks of new fractures, morbidity, mortality, and also impacts treatment costs. The objective of this study was to describe and evaluate the implantation of an osteoporotic fracture coordination service in Trindade-Goi??s-Brazil. As for the methodology, it was a retrospective study, by analysis of medical records, convenience sample, with descriptive analysis of the data after the implantation of the Osteoporotic Fructose Coordination Service (SCFO) known as Fracture Liaison Services (FLS) at the Clinical Diagnosis of Trindade (CDT) located in the State of Goi??s at the end of 2012. The evaluation period occurred from January 2013 to December 2016 (four years). The results indicated the mean age was 70 years, ranging from 45 to 95 years. Regarding the location of the first fracture, the vertebral column was the most frequent site representing 50% of the fractures, followed by the ribs 17%, proximal humerus, distal radius, proximal femur and other sites with 8.25% each. Initially, the goal for four years would be to avoid six fractures (50%) of an expected total of 12, but nine osteoporotic fractures (75%) were avoided, with only three patients fractured during treatment. It is concluded that the implementation of the program provided significant data for the design of specific health actions aimed at maintaining quality of life, prevention and non-recurrence of osteoporotic fractures. The program is effective in reducing the number of future fracture, after a previous osteoporotic fracture in the evaluated patients. |
publishDate |
2019 |
dc.date.accessioned.fl_str_mv |
2019-09-10T17:07:13Z |
dc.date.issued.fl_str_mv |
2019-06-28 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
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info:eu-repo/semantics/masterThesis |
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publishedVersion |
format |
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dc.identifier.citation.fl_str_mv |
NISHIMORI, Fabio Koiti. Envelhecimento e fraturas osteopor??ticas. 2019. 59 f. Disserta????o (Programa Stricto Sensu em Gerontologia) - Universidade Cat??lica de Bras??lia, Bras??lia, 2019. |
dc.identifier.uri.fl_str_mv |
https://bdtd.ucb.br:8443/jspui/handle/tede/2622 |
identifier_str_mv |
NISHIMORI, Fabio Koiti. Envelhecimento e fraturas osteopor??ticas. 2019. 59 f. Disserta????o (Programa Stricto Sensu em Gerontologia) - Universidade Cat??lica de Bras??lia, Bras??lia, 2019. |
url |
https://bdtd.ucb.br:8443/jspui/handle/tede/2622 |
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por |
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openAccess |
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Programa Stricto Sensu em Gerontologia |
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UCB |
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Brasil |
dc.publisher.department.fl_str_mv |
Escola de Sa??de e Medicina |
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Universidade Cat??lica de Bras??lia |
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