Avalicao preliminar de un protocolo assistencial de artroplastia total de quadril

The hip arthrosis is a degenerativejoint disease occurring main]y in the elderly patients, a recently growing population. Rationalmeaswes are needed to better carry out the sur-¡cal procedurcsand lo reduce cost for the health system, since almost two thirds of the costs are due to the admission peri...

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Autor principal: Galia, Carlos Roberto
Formato: Artículo revista
Lenguaje:Español
Publicado: Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2002
Materias:
Total hip arthroplasty
Prospective assistance preliminar
Artroplastia total de quadril
Protocolo assistencial preliminar
Acceso en línea:https://revistas.unc.edu.ar/index.php/med/article/view/36794
Aporte de:
Revista de la Facultad de Ciencias Médicas de Córdoba de Universidad Nacional de Córdoba
id I10-R327-article-36794
record_format ojs
institution Universidad Nacional de Córdoba
institution_str I-10
repository_str R-327
container_title_str Revista de la Facultad de Ciencias Médicas de Córdoba
language Español
format Artículo revista
topic Total hip arthroplasty
Prospective assistance preliminar
Artroplastia total de quadril
Protocolo assistencial preliminar
spellingShingle Total hip arthroplasty
Prospective assistance preliminar
Artroplastia total de quadril
Protocolo assistencial preliminar
Galia, Carlos Roberto
Avalicao preliminar de un protocolo assistencial de artroplastia total de quadril
topic_facet Total hip arthroplasty
Prospective assistance preliminar
Artroplastia total de quadril
Protocolo assistencial preliminar
author Galia, Carlos Roberto
author_facet Galia, Carlos Roberto
author_sort Galia, Carlos Roberto
title Avalicao preliminar de un protocolo assistencial de artroplastia total de quadril
title_short Avalicao preliminar de un protocolo assistencial de artroplastia total de quadril
title_full Avalicao preliminar de un protocolo assistencial de artroplastia total de quadril
title_fullStr Avalicao preliminar de un protocolo assistencial de artroplastia total de quadril
title_full_unstemmed Avalicao preliminar de un protocolo assistencial de artroplastia total de quadril
title_sort avalicao preliminar de un protocolo assistencial de artroplastia total de quadril
description The hip arthrosis is a degenerativejoint disease occurring main]y in the elderly patients, a recently growing population. Rationalmeaswes are needed to better carry out the sur-¡cal procedurcsand lo reduce cost for the health system, since almost two thirds of the costs are due to the admission period. Therefore, a global, rnultidisciphinary assistance program for total hip arthroplasty (THAAP), including ambulatory appointments and programmed home care by a nursing team, was established to guide patients and theii' relatives for the procedure. This is a pilot study for a randomized prospective clinical trial to assess the feasibihity of the THAAP and to determine the protocol adherence by the medical and nurse team. Secondarily, it atternpts to determine the impact of the program on admission period, patient functional autonomy and postoperali ve events, as well as lo assess the lcasibiltty of theprogrammed nursing home-care. A total of 22 patients (8 males, 12 females) with mean (SD) age of 59.45 (16.87) ranging trom 21 to 86 years were includedin the study. They were divided into two groups according whether they were (group 1, n=10) or were not (group 2, n=10) included in the THAAP. The malo comorbidity for both groups were SAH (2 vs. 1). diabetes (1 vs. 0) and alcoho! consuniption (1 VS. 0), respectively. Mean (SD) postoperative (PO) period vas significantly reduced (p=0.0055) in group 1; 5.2 (0.4) as compared to group 2: 7.5 (2.3). Adherence to the THAAP was 9017ú and 10011, lordoctors and nurses, rcspectively. Seven outof nine patients in group 1 were bed-seated on the second POD, two were seated on the third POD and none were bed-ridden. Al¡of them were able to waik with crutches a day later. Al! patients in group 2 left bed on the fourth POD. In conclusion, the present protocol dernonstrated to he feasib!e, team adherence was adequate and resulted in a reduceci adrnission period. The progress of the program shall determine its cfficacy and the feasibility of programmed nursing home care.
publisher Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología
publishDate 2002
url https://revistas.unc.edu.ar/index.php/med/article/view/36794
work_keys_str_mv AT galiacarlosroberto avalicaopreliminardeunprotocoloassistencialdeartroplastiatotaldequadril
first_indexed 2024-09-03T21:03:24Z
last_indexed 2024-09-03T21:03:24Z
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spelling I10-R327-article-367942022-03-15T21:10:09Z Avalicao preliminar de un protocolo assistencial de artroplastia total de quadril Galia, Carlos Roberto Total hip arthroplasty Prospective assistance preliminar Artroplastia total de quadril Protocolo assistencial preliminar The hip arthrosis is a degenerativejoint disease occurring main]y in the elderly patients, a recently growing population. Rationalmeaswes are needed to better carry out the sur-¡cal procedurcsand lo reduce cost for the health system, since almost two thirds of the costs are due to the admission period. Therefore, a global, rnultidisciphinary assistance program for total hip arthroplasty (THAAP), including ambulatory appointments and programmed home care by a nursing team, was established to guide patients and theii' relatives for the procedure. This is a pilot study for a randomized prospective clinical trial to assess the feasibihity of the THAAP and to determine the protocol adherence by the medical and nurse team. Secondarily, it atternpts to determine the impact of the program on admission period, patient functional autonomy and postoperali ve events, as well as lo assess the lcasibiltty of theprogrammed nursing home-care. A total of 22 patients (8 males, 12 females) with mean (SD) age of 59.45 (16.87) ranging trom 21 to 86 years were includedin the study. They were divided into two groups according whether they were (group 1, n=10) or were not (group 2, n=10) included in the THAAP. The malo comorbidity for both groups were SAH (2 vs. 1). diabetes (1 vs. 0) and alcoho! consuniption (1 VS. 0), respectively. Mean (SD) postoperative (PO) period vas significantly reduced (p=0.0055) in group 1; 5.2 (0.4) as compared to group 2: 7.5 (2.3). Adherence to the THAAP was 9017ú and 10011, lordoctors and nurses, rcspectively. Seven outof nine patients in group 1 were bed-seated on the second POD, two were seated on the third POD and none were bed-ridden. Al¡of them were able to waik with crutches a day later. Al! patients in group 2 left bed on the fourth POD. In conclusion, the present protocol dernonstrated to he feasib!e, team adherence was adequate and resulted in a reduceci adrnission period. The progress of the program shall determine its cfficacy and the feasibility of programmed nursing home care. . A artrose do quadril é urna doença articular degenerativa frequcnte, que, quando em estágio avançado, o tratamento é a artroplastia total do quadril (ATQ). Assirn, medidas de raciona]izaçáo do período de internaçüo sao necessárias para meihor viabilizar os procedimentos cirúrgicos e reduzir gastos para o sistema de saúde. Com esse objetivo, fol desenvolvido um protocolo assistencial de artroplastia total de quadril (PAATQ), multidisciplinar, com con- sultas arnbulatoriais médicas, de enfermagem e de assistentes sociais para pacientes a serem submetidos á ATQ. Este estudo transversal (piloto), com controle histórico, tem por objetivo avahar a implantaçáo e a adcsSo, por parte das equipes médica e de enfermagem, á utilizaçáo deste protocolo e determinar o impacto desta rotina no tempo de internaçáo, na independéncia funcional do paciente e nos eventos clínicos da fase hospitalar e até 30 dias após a alta. Um total de 20 pacientes (8 homcns e 12 mulheres) submetidos á ATQ no 1-lospital de Clínicas de Porto Alegre (Brasil), entre 1998 e 1999, com média (dp) de idade de 59.45 (16.87). variando de 21 a 86 anos, ftrarn incluídos no estudo. Os pacientes foram divididos em dois grupos sendo no grupo 1 aplicado o PAATQ e o grupo 2 um controle histórico de pacientes submetidos a ATQ no mesmo Serviço. O tempo de permanéncia médio (dp) pós-operatório (DPO) foi de 5,2 e 7,5 dias para os grupos 1 e 2, respectivamente (p=0.0055). A adesáo ao protocolo fol de 90% e 100% por parte das equipes médica e de enfermagem. conseguiram sentar fora do leito no 2° dia pós- operatório (PO), dois sentaram no 3°c nenhum fol incapaz de sair do leito. No grupo 2, todos OS pacientes saíram do leito no 4° DPO. respectivamente. Sete pacientes do grupo 1 Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2002-03-30 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion texto texto texto application/pdf https://revistas.unc.edu.ar/index.php/med/article/view/36794 10.31053/1853.0605.v59.n1.36794 Revista de la Facultad de Ciencias Médicas de Córdoba.; Vol. 59 No. 1 (2002); 101-107 Revista de la Facultad de Ciencias Médicas de Córdoba; Vol. 59 Núm. 1 (2002); 101-107 Revista da Faculdade de Ciências Médicas de Córdoba; v. 59 n. 1 (2002); 101-107 1853-0605 0014-6722 10.31053/1853.0605.v59.n1 spa https://revistas.unc.edu.ar/index.php/med/article/view/36794/37137 Derechos de autor 2022 Universidad Nacional de Córdoba http://creativecommons.org/licenses/by-nc/4.0

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