Accelerated recovery protocol in older adults with lower limb fractures. Cardenas, 2015-2019
Keywords:
accelerated recovery, fracture, elderlyAbstract
Introduction: the perioperative process evolves to reduce the stress caused by surgical trauma and achieve early recovery. Traumatic injuries of the osteomyoarticular system are a frequent cause of medical care and a health problem around the world, where early return to daily life is crucial to morbidity decrease. Faced with this, applying accelerated recovery protocols would be very helpful. In a review carried out by the authors no guidelines or manuals were found in Cuba that provide methodological rules for their implementation. Objective: to determine the effectiveness of the implementation of accelerated recovery protocols in older adults with lower limbs fractures, at the General Teaching Hospital Julio Aristegui Villamil, of Cardenas, from January 1, 2015 to December 31, 2019.Materials and methods: a descriptive study was carried out on the application of the accelerated recovery protocol in older people with lower limbs fractures. The used variables were: gender, location of the fracture, associated pathologies, accelerated recovery, presence of complications and hospital stay.Results: hip fracture predominated as the pathology of traumatic origins in both genders. Arterial hypertension was the main associated pathology reported. Satisfactory evolution was achieved in the largest number of patients. The report of complications was minimal. The average hospital stay of 48 hours was more representative.Conclusions: the designed work protocol contributed to the early recovery of elder people with a lower limb fracture.Downloads
Download data is not yet available.
References
1. Ferro S, Mangiarotti E, Peroni D, et al. Respuesta al estrés quirúrgico: gasto metabólico basal, cortisol y glucemia. Tratamiento perioperatorio. Rev Chil Anestesia [Internet]. 2019 [citado 13/03/2021]. Disponible en: https://revistachilenadeanestesia.cl/resumen/congresoclasa2019-88/
2. Zamora Santana O. Programas para mejorar la recuperación posoperatoria. Rev Cubana Cir [Internet]. 2019 Mar [citado 13/03/2021];58(1):e727. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0034-74932019000100007&lng=es
3. Muñoz RE, Barón P, Vega D, et al. Complicaciones en adultos mayores intervenidos por fracturas de cadera. Clínica de IV Nivel Cartagena 2014. Rev Salud Mov [Internet]. 2015 [citado 13/03/2021];7(2):9-23. Disponible en: http://publicaciones.unisimonbolivar.edu.co/rdigital/ojs/index.php/saludmov/article/view/1421/1382
4. Pinheiro P. Fractura de cadera: qué es, causas y tratamiento [Internet]. MD.Saúde; 2008 [actualizado 2016; citado 14/03/2021]. Disponible en: http://www.mdsaude.com/es/2016/08/fractura-de-cadera.html
5. Palomino L, Ramírez R, Vejerano J, et al. Fractura de cadera en el adulto mayor: la epidemia ignorada en el Perú. Acta méd peruana [Internet]. 2016 ene-mar [citado 13/03/2021];33(1). Disponible en: http://www.scielo.org.pe/scielo.php?pid=S172859172016000100004&script=sci_arttext
6. Sanz J, Salvador J, Fernández J, et al. Factores de riesgo para la demora quirúrgica en la fractura de cadera. Rev Esp Cir Ortop Traumatol [Internet]. 2017 mayo-jun [citado 13/03/2021];61(3):162-9. Disponible en: http://www.sciencedirect.com/science/article/pii/S1888441517300218
7. Guánchez Mercado A, Jiménez Ramírez G, Cyrus Barker E. Recuperación postquirúrgica mejorada (fast-track) en el paciente adulto mayor. Rev Cl EMed UCR [Internet]. 2016 [citado 13/03/2021];1(I). Disponible en: https://www.medigraphic.com/pdfs/revcliescmed/ucr-2016/ucr161c.pdf
8. Bengoa F, Carrasco M, Amenábar PP, et al. Optimización perioperatoria del paciente anciano con fractura osteoporótica de cadera. Rev Méd Chile [Internet]. 2017 nov [13/03/2021];145(11):1437-46. Disponible en: https://scielo.conicyt.cl/scielo.php?script=sci_arttext&pid=S003498872017001101437&lng=es
9. Köhnenkampf R, Maldonado F. Protocolos de recuperación acelerada después de cirugía ¿tienen espacio en nuestra práctica diaria actual? Rev Chil Anest [Internet]. 2019 [citado 14/03/2021];48(1):20-7. Disponible en: https://revistachilenadeanestesia.cl/protocolos-de-recuperacion-acelerada-despues-de-cirugia-tienen-espacio-en-nuestra-practica-diaria-actual/#b7
10. Kehlet H, Joshi GP. Enhanced Recovery After Surgery: Current Controversies and Concerns. Anesth Analg [Internet]. 2017 dic [citado 13/03/2021];125(6):2154-5. Disponible en: https://pubmed.ncbi.nlm.nih.gov/29190219/
11. Ljungqvist O, Scott M, Fearon KC. Enhanced Recovery After Surgery: A Review. JAMA Surgery. 2017;152(3):292-8. Citado en PubMed; PMID: 28097305.
12. King A, Alvis B, McEvoy M. Enhanced recovery after surgery, perioperative medicine, and the perioperative surgical home: current state and future implications for education and training. Curr Opin Anaesthesiol [Internet]. 2016 [citado 14/03/2021];29(6):727-32. Disponible en: https://pubmed.ncbi.nlm.nih.gov/27652514/
13. Gupta R, Gan TJ. Preoperative Nutrition and Prehabilitation. Anesthesiol Clin [Internet]. 2016 [citado 14/03/2021];34(1):143-53. Disponible en: https://pubmed.ncbi.nlm.nih.gov/26927744/
14. Street AD. Two unique studies highlighting the positive effects of Enhanced Recovery After Surgery (ERAS) pathways on patient care and satisfaction. Rev Colomb Anestesiol [Internet]. 2019 [citado 14/03/2021];47(1):1-4. Disponible en: http://www.scielo.org.co/scielo.php?script=sci_arttext&id=S0120-33472019000100001&Ing=en&nrm=iso
15. Peñafiel Ochoa KJ, Preciado Orrala GS, Solórzano Vélez JA, et al. Respuesta metabólica al estrés en pacientes adultos. Recimundo [Internet]. 2019 [citado 14/03/2021];3(1):1050-74. Disponible en: https://recimundo.com/index.php/es/article/view/405
16. Wilches C, Sulbarán JD, Fernández JE, et al. Técnica de recuperación acelerada (fast-track) aplicada a cirugía protésica primaria de rodilla y cadera. Análisis de costos y complicaciones. Rev Esp Cir Ortop Traumatol [Internet]. 2017 [citado 14/03/2021];61(2):111-6. Disponible en: https://medes.com/publication/119532
2. Zamora Santana O. Programas para mejorar la recuperación posoperatoria. Rev Cubana Cir [Internet]. 2019 Mar [citado 13/03/2021];58(1):e727. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0034-74932019000100007&lng=es
3. Muñoz RE, Barón P, Vega D, et al. Complicaciones en adultos mayores intervenidos por fracturas de cadera. Clínica de IV Nivel Cartagena 2014. Rev Salud Mov [Internet]. 2015 [citado 13/03/2021];7(2):9-23. Disponible en: http://publicaciones.unisimonbolivar.edu.co/rdigital/ojs/index.php/saludmov/article/view/1421/1382
4. Pinheiro P. Fractura de cadera: qué es, causas y tratamiento [Internet]. MD.Saúde; 2008 [actualizado 2016; citado 14/03/2021]. Disponible en: http://www.mdsaude.com/es/2016/08/fractura-de-cadera.html
5. Palomino L, Ramírez R, Vejerano J, et al. Fractura de cadera en el adulto mayor: la epidemia ignorada en el Perú. Acta méd peruana [Internet]. 2016 ene-mar [citado 13/03/2021];33(1). Disponible en: http://www.scielo.org.pe/scielo.php?pid=S172859172016000100004&script=sci_arttext
6. Sanz J, Salvador J, Fernández J, et al. Factores de riesgo para la demora quirúrgica en la fractura de cadera. Rev Esp Cir Ortop Traumatol [Internet]. 2017 mayo-jun [citado 13/03/2021];61(3):162-9. Disponible en: http://www.sciencedirect.com/science/article/pii/S1888441517300218
7. Guánchez Mercado A, Jiménez Ramírez G, Cyrus Barker E. Recuperación postquirúrgica mejorada (fast-track) en el paciente adulto mayor. Rev Cl EMed UCR [Internet]. 2016 [citado 13/03/2021];1(I). Disponible en: https://www.medigraphic.com/pdfs/revcliescmed/ucr-2016/ucr161c.pdf
8. Bengoa F, Carrasco M, Amenábar PP, et al. Optimización perioperatoria del paciente anciano con fractura osteoporótica de cadera. Rev Méd Chile [Internet]. 2017 nov [13/03/2021];145(11):1437-46. Disponible en: https://scielo.conicyt.cl/scielo.php?script=sci_arttext&pid=S003498872017001101437&lng=es
9. Köhnenkampf R, Maldonado F. Protocolos de recuperación acelerada después de cirugía ¿tienen espacio en nuestra práctica diaria actual? Rev Chil Anest [Internet]. 2019 [citado 14/03/2021];48(1):20-7. Disponible en: https://revistachilenadeanestesia.cl/protocolos-de-recuperacion-acelerada-despues-de-cirugia-tienen-espacio-en-nuestra-practica-diaria-actual/#b7
10. Kehlet H, Joshi GP. Enhanced Recovery After Surgery: Current Controversies and Concerns. Anesth Analg [Internet]. 2017 dic [citado 13/03/2021];125(6):2154-5. Disponible en: https://pubmed.ncbi.nlm.nih.gov/29190219/
11. Ljungqvist O, Scott M, Fearon KC. Enhanced Recovery After Surgery: A Review. JAMA Surgery. 2017;152(3):292-8. Citado en PubMed; PMID: 28097305.
12. King A, Alvis B, McEvoy M. Enhanced recovery after surgery, perioperative medicine, and the perioperative surgical home: current state and future implications for education and training. Curr Opin Anaesthesiol [Internet]. 2016 [citado 14/03/2021];29(6):727-32. Disponible en: https://pubmed.ncbi.nlm.nih.gov/27652514/
13. Gupta R, Gan TJ. Preoperative Nutrition and Prehabilitation. Anesthesiol Clin [Internet]. 2016 [citado 14/03/2021];34(1):143-53. Disponible en: https://pubmed.ncbi.nlm.nih.gov/26927744/
14. Street AD. Two unique studies highlighting the positive effects of Enhanced Recovery After Surgery (ERAS) pathways on patient care and satisfaction. Rev Colomb Anestesiol [Internet]. 2019 [citado 14/03/2021];47(1):1-4. Disponible en: http://www.scielo.org.co/scielo.php?script=sci_arttext&id=S0120-33472019000100001&Ing=en&nrm=iso
15. Peñafiel Ochoa KJ, Preciado Orrala GS, Solórzano Vélez JA, et al. Respuesta metabólica al estrés en pacientes adultos. Recimundo [Internet]. 2019 [citado 14/03/2021];3(1):1050-74. Disponible en: https://recimundo.com/index.php/es/article/view/405
16. Wilches C, Sulbarán JD, Fernández JE, et al. Técnica de recuperación acelerada (fast-track) aplicada a cirugía protésica primaria de rodilla y cadera. Análisis de costos y complicaciones. Rev Esp Cir Ortop Traumatol [Internet]. 2017 [citado 14/03/2021];61(2):111-6. Disponible en: https://medes.com/publication/119532
Downloads
Published
2022-06-02
How to Cite
1.
Soria-Pérez R, Agüero-Martínez MO, de Armas-Mestre J, Díaz-Camellón DJ, Benítez-Ruiz A. Accelerated recovery protocol in older adults with lower limb fractures. Cardenas, 2015-2019. Rev Méd Electrón [Internet]. 2022 Jun. 2 [cited 2025 Feb. 6];44(3):1-13. Available from: https://revmedicaelectronica.sld.cu/index.php/rme/article/view/4759
Issue
Section
Research article
License
All content published in this journal is Open Access, distributed under the terms of the CC BY-NC 4.0 License.
It allows:
- Copy and redistribute published material in any medium or format.
- Adapt the content.
This will be done under the following terms:
- Attribute the authors' credits and indicate whether changes were made, in which case it must be in a reasonable way.
- Non-commercial use.
- Recognize the journal where it is published.
The copyrights of each article are maintained, without restrictions.
Guidelines to authors
