Incidencia de delirium posoperatorio por dolor perioperatorio en artroplastia de cadera: una revisión sistemática de la literatura

Segura Ávila, Andrés Felipe; Ordoñez Cardozo, Ricardo Andrés

dc.contributor.advisor	González Cárdenas, Víctor Hugo
dc.contributor.author	Segura Ávila, Andrés Felipe
dc.contributor.author	Ordoñez Cardozo, Ricardo Andrés
dc.date.accessioned	2023-03-09T19:38:09Z
dc.date.available	2023-03-09T19:38:09Z
dc.date.issued	2023-02-09
dc.identifier.uri	http://hdl.handle.net/10818/54296
dc.description	67 páginas	es_CO
dc.description.abstract	Identificar la incidencia de delirium posoperatorio por dolor perioperatorio en artroplastia de cadera, y determinar la asociación del dolor perioperatorio con el delirium posoperatorio en artroplastia de cadera. MATERIALES Y METODOS: Esta revisión sistemática fue realizada sobre la literatura mundial publicada hasta el 30 de octubre del año 2022. La búsqueda, selección y análisis fue realizada por tres investigadores independientes, con los términos de búsqueda ((hip arthroplasty) AND (pain)) AND (postoperative delirium) sin restricción de idiomas, ni de tiempo. En las bases de datos PubMed/Medline se identificaron 56 artículos, Embase 147 artículos, Bireme/Lilacs 34 artículos y literatura gris 32 artículos. Posterior al retiro de duplicados se realizó la lectura de títulos y resúmenes de 221 estudios. Se seleccionaron 45 artículos para lectura a texto completo. De forma definitiva 4 estudios fueron seleccionados para la revisión sistemática lo cual corresponde a 1442 participantes, 298 en el grupo delirium y 1144 en el grupo sin delirium. Dos estudios fueron elegidos para conducir un metaanálisis, en total se incluyeron 663 participantes con 186 pacientes en el grupo con delirium posoperatorio. RESULTADOS ESPERADOS: Los cuatro (#4) estudios incluidos fueron clasificados como bajo riesgo de sesgos por la escala de Newcasttle Otawa. La incidencia de delirium posoperatorio en pacientes con dolor perioperatorio en artroplastia de cadera fue descrita entre el 11,4% al 31,6. Dos estudios fueron incluidos en el metaanálisis, no existió asociación entre el dolor perioperatorio y el delirium posoperatorio en artroplastia de cadera (DME 0,15 IC 95% -0,01;0,32, I2 0% p= 0,07).	es_CO
dc.description.abstract	AIM: To identify the incidence of postoperative delirium due to perioperative pain in hip arthroplasty and to determine the association of perioperative pain with postoperative delirium in hip arthroplasty. MATERIALS AND METHODS: This systematic review was performed on the world literature published up to October 30, 2022. The search, selection and analysis was performed by three independent investigators, with the search terms ((hip arthroplasty) AND (pain)) AND (postoperative delirium) without language or time restriction. In the databases PubMed/Medline 56 articles were identified, Embase 147 articles, Bireme/Lilacs 34 articles and grey literature 32 articles. After the removal of duplicates, the titles and abstracts of 221 studies were read. Forty-five articles were selected for full-text reading. Four studies were definitely selected for the systematic review, which corresponds to 1442 participants, 298 in the delirium group and 1144 in the non-delirium group. Two studies were chosen to conduct a meta-analysis, in total 663 participants were included with 186 patients in the postoperative delirium group. EXPECTED RESULTS: All four (#4) included studies were classified as low risk of bias by the Newcasttle Ottawa scale. The incidence of postoperative delirium in patients with perioperative hip arthroplasty pain was described as 11.4 % to 31.6 %. Two studies were included in the meta-analysis, there were no association between perioperative pain and postoperative delirium in hip arthroplasty (SMD 0.15 95% CI -0.01;0.32, I2 0% p 0.07).	en
dc.format	application/pdf	es_CO
dc.language.iso	spa	es_CO
dc.publisher	Universidad de La Sabana	es_CO
dc.rights	Attribution-NonCommercial-NoDerivatives 4.0 Internacional	*
dc.rights.uri	http://creativecommons.org/licenses/by-nc-nd/4.0/	*
dc.source	Universidad de La Sabana
dc.source	Intellectum Repositorio Universidad de La Sabana
dc.title	Incidencia de delirium posoperatorio por dolor perioperatorio en artroplastia de cadera: una revisión sistemática de la literatura	es_CO
dc.type	bachelor thesis	es_CO
dc.identifier.local	291509
dc.identifier.local	TE12186
dc.type.hasVersion	publishedVersion	es_CO
dc.rights.accessRights	restrictedAccess	es_CO
dc.subject.armarc	Dolor
dc.subject.decs	Artroplastia
dc.subject.decs	Artroplastia de reemplazo de cadera
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thesis.degree.discipline	Facultad de Medicina	es_CO
thesis.degree.level	Especialización en Anestesiología y Medicina Perioperatoria	es_CO
thesis.degree.name	Especialista en Anestesiología y Medicina Perioperatoria	es_CO