Publication: Estudio de la morbimortalidad en fracturas de húmero proximal
Loading...
Files
Official URL
Full text at PDC
Publication Date
2023-04-11
Authors
Advisors (or tutors)
Editors
Journal Title
Journal ISSN
Volume Title
Publisher
Universidad Complutense de Madrid
Citations
Exportar
Abstract
Las fracturas de húmero proximal (FHPs) representan una de las fracturas por fragilidad más frecuentes, sólo superadas por las fracturas de cadera y radio distal. Un gran porcentaje de las FHPs se producen en pacientes de edad avanzada que, además de osteoporosis, suelen padecer otras comorbilidades asociadas que los convierte en un grupo de especial riesgo Numerosos estudios han sido publicados sobre la clasificación, el tratamiento y los resultados funcionales de las FHPs. Sin embargo, solo unos pocos trabajos se han centrado en cómo el hecho de sufrir una FHP puede afectar al estado de salud del paciente y, más específicamente, cómo las comorbilidades previas pueden influir en las complicaciones y la tasa de mortalidad. En cambio, estos aspectos han sido ampliamente estudiados en otro tipo de fracturas por fragilidad, como las de cadera, en las que el tratamiento está estandarizado desde hace décadas. Sin embargo, el manejo de las FHPs continúa siendo foco de debate en nuestros días. Los estudios publicados que comparan los diferentes tratamientos en FHPs se han centrado en los resultados funcionales, sin haber realizado un estudio de la mortalidad según el tratamiento al que han sido sometidos y la tipología de paciente en virtud a sus enfermedades previas..
Proximal humerus fractures (PHFs) are the third most common frailty fractures, surpassed only by hip and distal radius fractures. A large percentage of PHFs occur in elderly patients who usually develop other associated comorbidities (in addition to osteoporosis), which make them a special risk group. Many papers have been published on the classification, treatment and functional results of PHFs. However, only a few studies have focused on the effect of PHFs on patients’ state of health and, more specifically, how prior comorbidities can affect the complications and the mortality rate. In contrast, these aspects have been widely studied in other type of frailty fractures, such as hip fractures, in which the treatment has been standardized for decades. However, the management of PHFs continues to be the focus of debate. The published studies that have compared the different treatments for PHFs have focused on functional results, without conducting a mortality study according to the treatment to which the patients have undergone or the type of patient considering their previous pathologies...
Proximal humerus fractures (PHFs) are the third most common frailty fractures, surpassed only by hip and distal radius fractures. A large percentage of PHFs occur in elderly patients who usually develop other associated comorbidities (in addition to osteoporosis), which make them a special risk group. Many papers have been published on the classification, treatment and functional results of PHFs. However, only a few studies have focused on the effect of PHFs on patients’ state of health and, more specifically, how prior comorbidities can affect the complications and the mortality rate. In contrast, these aspects have been widely studied in other type of frailty fractures, such as hip fractures, in which the treatment has been standardized for decades. However, the management of PHFs continues to be the focus of debate. The published studies that have compared the different treatments for PHFs have focused on functional results, without conducting a mortality study according to the treatment to which the patients have undergone or the type of patient considering their previous pathologies...
Description
Tesis inédita de la Universidad Complutense de Madrid, Facultad de Medicina, leída el 11-07-2022