Incidencia de delirium post-operatorio en mayores a 65 años llevados a cirugía ortopédica en el Hospital Universitario de la Samaritana.

Ortiz Restrepo, Juliana; González Serrano, Gina Katherine

dc.contributor.advisor	Pérez Cely, Jairo Antonio
dc.contributor.advisor	Javier Rincón, Carlos
dc.contributor.author	Ortiz Restrepo, Juliana
dc.contributor.author	González Serrano, Gina Katherine
dc.date.accessioned	2013-07-31T15:48:51Z
dc.date.available	2013-07-31T15:48:51Z
dc.date.issued	2013-07-31
dc.identifier.uri	http://hdl.handle.net/10818/8192
dc.description	62 páginas	es_CO
dc.description.abstract	El objetivo del presente estudio es determinar la incidencia de delirium POP a las 72 horas en pacientes mayores de 65 años llevados a cirugía ortopédica en el Hospital Universitario de la Samaritana. Metodologia: Se trata de un estudio prospectivo observacional de incidencia realizado en pacientes mayores > 65 años llevados a cirugía ortopédica en hospital universitario de la samaritana, con hospitalización en el post-operatorio en piso o unidad de cuidado intensivo entre Septiembre a Diciembre del 2012. Con una muestra de 132 casos, a los cuales se les aplico la escala de CAM-ICU a las 24, 48 y 72 horas posoperatorias. Resultados: Se encontró una incidencia de delirium postoperatorio del 37% con un intervalo de confianza entre el 29 y 46%. Se recolectaron un 58,3% del género femenino y el 41,6% del género masculino; con un promedio de edad de 74,5 años. Dentro de las variables se determinaron como factores de riesgo estadisticamente significtivos, el inicio de mas de 3 medicamentos intrahospitalarios (RR 1,77 IC 1,01-3,11), la presencia de alteraciones electrolíticas (RR 2,46 IC 1,77-3,54), el ayuno mayor a 8 horas (RR 2,55 IC 1,01-6,41), la deshidratacion (RR 1,77 IC 1,15-2,72), la hipotension (RR 2,10 IC 1,41-3,2), el uso de benzodiacepina (RR 3,05 IC 2,12-4,40) y el dolor postoperatorio a las 24 y 72 horas. Conclusiones: Se concluye que la incidencia de delirium posoperatorio de esta poblacion es concordante con lo encontrado en la literatura mundial; encontrando una relacion estadisticamente significativa con factores de riesgo que pueden ser modificables. Adicionalmente se encontro una fuerte relacion entre el uso de benzodiacepinas y el mayor riesgo de presentar delirium posopertario.	es_CO
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 International	*
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.subject	Delirio -- Investigaciones	es_CO
dc.subject	Procedimientos quirúrgicos operativos -- Investigaciones	es_CO
dc.subject	Cirugía ortopédica -- Investigaciones	es_CO
dc.subject	Edad adulta -- Investigaciones	es_CO
dc.title	Incidencia de delirium post-operatorio en mayores a 65 años llevados a cirugía ortopédica en el Hospital Universitario de la Samaritana.	es_CO
dc.type	bachelor thesis	es_CO
dc.identifier.local	254650
dc.identifier.local	TE05942
dc.type.hasVersion	publishedVersion	es_CO
dc.rights.accessRights	openAccess	es_CO
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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