Salud [online]. ISSN Objective : To identify anemia as a sign of malnutrition in children belonging to the home nutritional recovery program from San Juan de Dios Hospital in Santa Rosa de Osos, Antioquia. Materials and methods : A cross-sectional study which included 33 children years from the program was carried out. Anemic patients for other reasons were excluded. Full blood counts were done using values of hemoglobin, hematocrit, presence of anemia and its classification for analysis.
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Hospital Provincial. As the population progressively ages, hip fractures have become increasingly common and are associated with high morbidity and mortality and a pronounced decline in functional status.
Hip fractures frequently occur in elderly patients with a high rate of comorbidity and polymedication. Patients hospitalised with hip fractures often display signs of protein malnutrition and may develop medical complications requiring intrahospital care.
These factors, more than simply surgical ones, unfavourably influence the vital status and functional outcome of these patients. For this reason, it is necessary to improve the management of pre-existing conditions during hospitalisation, assess and treat malnutrition and prevent medical complications to achieve optimal outcomes for these patients.
With this objective, we believe that care should be provided by multidisciplinary teams in close partnership with internists. Functional outcome. Medical factors. An Med Interna Madrid ; Servicio de Medicina Interna I. Los varones suelen tener mayor comorbilidad 18, Tras este periodo de meses, el riesgo de mortalidad se iguala con las personas de similar edad y sexo que no se han fracturado la cadera. Los pacientes que no fallecen sufren un deterioro funcional importante.
Schurch, Tkatch, y Delmi y cols. Los factores que se asocian en los distintos estudios a una mayor mortalidad, se pueden ver resumidos en la tabla I. Mullen y cols. Kenzora y cols. El estudio de White y cols. Los pacientes con ictus previo, al contrario de lo que se pudiera pensar, no recuperan peor su nivel funcional previo.
En una larga serie de pacientes no institucionalizados, Youm y cols. Entre las complicaciones destacan los cuadros confusionales 11,12, Madrid, INE, Guideline for the prevention of falls in older persons. Am Geriatr Soc ; Barret J, Connor E. The economic and human cost of osteoporotic fracture. Am J Med ; Postoperative complications and mortality associated with operative delay in older patients who have a fracture of the hip. J Bone Joint Surg Am ; Fracturas de cadera en el anciano: determinantes de mortalidad y capacidad de marcha.
Med Clin Barc ; The prevalence of malnutrition in elderly hip fracture patients. NZ Med J ; The effects of nutritional status on outcome after hip fracture.
J Orthop Trauma ; Mortality and morbidity after hip fracture: can evidence based clinical pathways make a difference? J Rheumatol ; Lyons AR. Clinical outcomes and treatment of hip fractures. Predictor of functional recovery one year following hospital discharge for hip fracture: a prospective study.
J Gerontol ; Differences in body composition between female geriatric hip fracture patients and healthy controls: body fat is more important as explanatory factor for the fracture than body weight and lean body mass.
Age Clin Exp Res ; 8: Nutritional differences in patients with proximal femoral fractures. Age and Ageing ; Relative rates of the fracture of the hip in the United States. Geographic, sex and age variations. J Bone Joint Surg ; A: Psychotropic drugs use and the risk of hip fractures.
New Engl J Med ; Predicting in-hospital mortality after hip fracture in elderly patients. J Trauma ; Rev Ortop Trauma ; Rev Ortop Traumatol ; 2: A prospective study on socioeconomic aspects of fracture of the proximal femur.
J Bone Min Res ; Epidemiology of hip fractures among the elderly: risk factors for fracture type. Clin Orthop Relat Res ; Benefits of supplementary tube feeding after fractured neck of femur: a randomised controled trial. Br Med J ; Protein deplection and metabolic stress in elderly patients who have a fracture of the hip. J Bone and Joint Surg ; A: A prospective assessment of nutritional status and complications in patients with fractures of the hip.
J Orthop Trauma ; 4: Protein and energy balance following femoral neck fracture in geriatric patients. Metabolism ; Occult vitamin D deficiency in postmenopausal US women with acute hip fracture. JAMA ; 16 : Hip fracture in elderly men: the importance of subclinical vitamin D deficiency and hipogonadism.
Med J Aust ; 3 : Concentraciones de vitamina D en pacientes con fractura de cadera en Madrid. Energy balance in elderly patients after surgery for a femoral neck fracture.
JPEN ; Hip fracture mortality: a prospective multifactorial study to predict and minimize death risk. Benefits of oral protein supplementation in elderly patients with fracture of the proximal femur. J Am Coll Nutr ; Dietary supplementation in elderly patients with fractured neck of the femur.
Lancet ; In-hospital case-fatality of aged patients with hip fracture in Catalonia, Spain. Eur J Epidemiol ; Mortality and institutionalization following hip fracture. J Am Geriatr Soc ; Treatment and survival among elderly americans with hip fractures: a population-based study. Am J Publ Health ; Age and sex as determinants of mortality after hip fracture: 3.
J Orthop Trauma ; 6: Rev Chirur Orthop ; Factors affecting survival of patients with hip fractures. Acta Orthop Belgica ; Current concepts review. Functional recovery after fracture on the hip. J Bone Joint Surg ; 76 A: Functional recovery after hip fracture. Arch Phys Med Rehabil ; Ambulatory ability after hip fracture: a prospective study in geriatric patients. Clin Orthop ; Orthop Trans ; Effect of intravenous nutrition on nutrition and function in acute attacks of inflamatory bowel disease.
Malnutrición en el país de la alta gastronomía