Complicaciones de fracturas de fémur proximal en el contexto de pandemia por SARS-CoV-2
No Thumbnail Available
Date
2023-05-15
Authors
Journal Title
Journal ISSN
Volume Title
Publisher
Universidad Nacional de Trujillo
Abstract
La pandemia por la enfermedad por SARS-CoV2, causante de una enfermedad viral que afecta las vías respiratorias y puede devenir en neumonía e insuficiencia respiratoria, ha sido causante de múltiples cambios y colapso del sistema de salud. Por otra parte, las fracturas de fémur proximal son frecuentes en nuestro medio, asimismo presentan múltiples complicaciones y cuya atención y manejo constituyen una potencial medida para evaluar el nivel de respuesta y resolución de una entidad hospitalaria.
En el presente trabajo, se busca investigar sobre la incidencia de estas complicaciones de la fractura de fémur proximal, haciendo una comparación entre periodos similares correspondiente a una etapa de pandemia versus una etapa previa a la pandemia.
Se plantea el siguiente problema: ¿Es mayor la incidencia de complicaciones de fractura de fémur proximal en un contexto de pandemia por SARS-COV-2 en EsSalud La Libertad, a comparación de un periodo previo a la pandemia?, con la hipótesis de que sí es mayor dicha incidencia. El objetivo general establecido es: Comparar la incidencia de complicaciones de fractura de fémur proximal en EsSalud La Libertad en un contexto de pandemia por SARS-COV-2, versus la etapa pre-pandemia.
En cuanto a metodología, el tipo de estudio a realizar será: Observacional, Analítico, cohortes históricas. Se solicitará el permiso respectivo para uso de historias clínicas a la entidad EsSalud, para obtener los datos de casos de fractura de fémur proximal en los periodos establecidos de interés. Se establecerá como grupos de estudio, homogenizados mediante Z-score: (1) COHORTE EXPUESTA (Pandemia): Periodo de julio 2020 a junio 2021. (2) COHORTE NO EXPUESTA (Pre-Pandemia): Periodo de julio 2018 a junio 2019. En dichos periodos, se procede a evaluar las incidencias y realizar la comparación mediante una tabla 2x2, obtener un riesgo relativo y validarlo mediante una prueba de Chi-cuadrado, utilizando el programa SPSS V24.0.
El presente proyecto se respetan los principios bioéticos, acorde a la normativa vigente.
Abstract The SARS-CoV2 disease pandemic, which causes a viral disease that affects the respiratory tract and can lead to pneumonia and respiratory failure, has caused multiple changes and collapse of the health system. On the other hand, proximal femur fractures are frequent in our environment, they also present multiple complications and whose care and management constitute a potential measure to evaluate the level of response and resolution of a hospital entity. In this project, we seek to investigate the incidence of these complications of proximal femur fracture, making a comparison between similar periods corresponding to a pandemic stage versus a pre-pandemic stage. The following problem is raised: Is the incidence of complications of proximal femur fracture higher in a context of the SARS-COV-2 pandemic in EsSalud La Libertad, compared to a period prior to the pandemic?, with the hypothesis that Yes, this incidence is higher. The general objective established is: Compare the incidence of proximal femur fracture complications in EsSalud La Libertad in a context of the SARS-COV-2 pandemic, versus the pre-pandemic stage. Regarding methodology, the type of study to be carried out will be: Observational, Analytical, historical cohorts. The respective permission to use medical records will be requested from the EsSalud entity, to obtain data on cases of proximal femur fractures in the established periods of interest. The following will be established as study groups, homogenized using Z-score: (1) EXPOSED COHORT (Pandemic): Period from July 2020 to June 2021. (2) NON-EXPOSED COHORT (Pre-Pandemic): Period from July 2018 to June 2019. In these periods, the incidents are evaluated and the comparison is made using a 2x2 table, a relative risk is obtained and validated using a Chi-square test, using the SPSS V24.0 program. This project respects bioethical principles, in accordance with current regulations.
Abstract The SARS-CoV2 disease pandemic, which causes a viral disease that affects the respiratory tract and can lead to pneumonia and respiratory failure, has caused multiple changes and collapse of the health system. On the other hand, proximal femur fractures are frequent in our environment, they also present multiple complications and whose care and management constitute a potential measure to evaluate the level of response and resolution of a hospital entity. In this project, we seek to investigate the incidence of these complications of proximal femur fracture, making a comparison between similar periods corresponding to a pandemic stage versus a pre-pandemic stage. The following problem is raised: Is the incidence of complications of proximal femur fracture higher in a context of the SARS-COV-2 pandemic in EsSalud La Libertad, compared to a period prior to the pandemic?, with the hypothesis that Yes, this incidence is higher. The general objective established is: Compare the incidence of proximal femur fracture complications in EsSalud La Libertad in a context of the SARS-COV-2 pandemic, versus the pre-pandemic stage. Regarding methodology, the type of study to be carried out will be: Observational, Analytical, historical cohorts. The respective permission to use medical records will be requested from the EsSalud entity, to obtain data on cases of proximal femur fractures in the established periods of interest. The following will be established as study groups, homogenized using Z-score: (1) EXPOSED COHORT (Pandemic): Period from July 2020 to June 2021. (2) NON-EXPOSED COHORT (Pre-Pandemic): Period from July 2018 to June 2019. In these periods, the incidents are evaluated and the comparison is made using a 2x2 table, a relative risk is obtained and validated using a Chi-square test, using the SPSS V24.0 program. This project respects bioethical principles, in accordance with current regulations.
Description
Keywords
SARS-CoV-2, Fracturas Femorales Proximales, Salud, Traumatología