Factores asociados a la satisfacción del paciente en el post operatorio de reemplazo total de cadera

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dc.contributor.advisorAmado Pico, Omar Alejandro
dc.contributor.advisorSerrano Gómez, Sergio
dc.contributor.apolounabAmado Pico, Omar Alejandro [omar-alejandro-amado-pico]spa
dc.contributor.apolounabSerrano Gómez, Sergio [sergio-eduardo-serrano-gómez]spa
dc.contributor.authorCoronado Pantoja, David Alejandro
dc.contributor.cvlacAmado Pico, Omar Alejandro [0000130799]spa
dc.contributor.cvlacSerrano Gómez, Sergio [0001547816]spa
dc.contributor.googlescholarSerrano Gómez, Sergio [es&oi=ao]spa
dc.contributor.orcidAmado Pico, Omar Alejandro [0009-0006-6136-8281]spa
dc.contributor.orcidSerrano Gómez, Sergio [0000-0001-6418-7116]spa
dc.contributor.researchgroupGrupo de Investigación en Ciencias y Educación en Saludspa
dc.coverage.campusUNAB Campus Bucaramangaspa
dc.coverage.spatialFloridablanca (Santander, Colombia)spa
dc.coverage.temporal2020 A 2023spa
dc.date.accessioned2024-01-22T19:15:44Z
dc.date.available2024-01-22T19:15:44Z
dc.date.issued2023-12-06
dc.degree.nameEspecialista en Ortopedia y Traumatologíaspa
dc.description.abstractEl reemplazo total de cadera o también llamado artroplastia total de cadera es un procedimiento quirúrgico en el cual se reemplaza los componentes anatómicos que conforman la articulación de la cadera debido a patologías en las cuales se pierde o altera la anatomía normal, causando intenso dolor y afectación de la calidad de vida, por elementos metálicos, cerámicas, polímeros entre otros, que intentan restablecer la funcionalidad coxofemoral. Las principales indicaciones causales del reemplazo total de cadera son la osteoartritis (que representó el 90% de los procedimientos en el Reino Unido en 2017), fractura del cuello del fémur (5%), necrosis avascular (2%), displasia (2%) y artritis inflamatoria. (1%). La osteoartritis de cadera tiene causas multifactoriales, con componentes biológicos y mecánicos dictados por factores genéticos y ambientales. En este estudio se pretende conocer cuáles son los factores e intervenciones que mejoran la percepción de los pacientes en el post operatorio, así como la satisfacción y mejoría de calidad de vida posterior al manejo quirúrgico de reemplazo total de cadera en pacientes intervenidos por el grupo de Ortopedia y Traumatología de la Clínica Foscal y Foscal Internacional. 1.2 Metodología Estudio de cohorte retrospectivo. Análisis secundario de una base de datos anonimizada del servicio de ortopedia en el que se incluyen pacientes con patologías de la articulación coxofemoral a quienes se realizó reemplazo total primario de cadera con prótesis cementada o no cementada en la clínica Foscal y Foscal internacional durante el periodo de junio de 2020 a diciembre de 2022. Se utilizó para el estudio la base de datos anonimizada que se ha venido llevando desde el 2020 donde se tomaron datos sociodemográficos, diagnóstico por el que se llevó a cabo la cirugía, características de la prótesis, medidas antropométricas de los pacientes, complicaciones tempranas y tardías, nivel de satisfacción medido con escalas, la cual fue diligenciada al momento de la cirugía para su posterior análisis estadístico.spa
dc.description.abstractenglishTotal hip replacement or also called total hip arthroplasty is a surgical procedure in which the anatomical components that make up the hip joint are replaced due to pathologies in which the normal anatomy is lost or altered, causing intense pain and impairment. of the quality of life, due to metallic elements, ceramics, polymers among others, which attempt to restore coxofemoral functionality. The main causal indications for total hip replacement are osteoarthritis (which accounted for 90% of procedures in the UK in 2017), fracture of the neck of the femur (5%), avascular necrosis (2%), dysplasia (2% ) and inflammatory arthritis. (1%). Hip osteoarthritis has multifactorial causes, with biological and mechanical components dictated by genetic and environmental factors. This study aims to know which factors and interventions improve the perception of patients in the postoperative period, as well as the satisfaction and improvement in quality of life after the surgical management of total hip replacement in patients operated on by the group of Orthopedics and Traumatology of the Foscal and Foscal International Clinic. 1.2 Methodology Retrospective cohort study. Secondary analysis of an anonymized database of the orthopedic service that includes patients with coxofemoral joint pathologies who underwent primary total hip replacement with cemented or cementless prosthesis at the Foscal and Foscal international clinic during the study period. June 2020 to December 2022. The anonymized database that has been maintained since 2020 was used for the study, where sociodemographic data, diagnosis for which the surgery was carried out, characteristics of the prosthesis, anthropometric measurements were taken. of patients, early and late complications, level of satisfaction measured with scales, which was completed at the time of surgery for subsequent statistical analysis.spa
dc.description.abstractotherIntroduction L'arthroplastie totale de la hanche ou également appelée arthroplastie totale de la hanche est une intervention chirurgicale dans laquelle les composants anatomiques qui composent l'articulation de la hanche sont remplacés en raison de pathologies dans lesquelles l'anatomie normale est perdue ou altérée, provoquant une douleur intense et une altération de la qualité de vie. , due à des éléments métalliques, céramiques, polymères entre autres, qui tentent de restaurer la fonctionnalité coxofémorale. Les principales indications causales de l'arthroplastie totale de la hanche sont l'arthrose (qui représentait 90 % des interventions au Royaume-Uni en 2017), les fractures du col du fémur (5 %), la nécrose avasculaire (2 %), la dysplasie (2 %) et arthrite inflammatoire. (1%). L'arthrose de la hanche a des causes multifactorielles, avec des composantes biologiques et mécaniques dictées par des facteurs génétiques et environnementaux. Cette étude vise à savoir quels facteurs et interventions améliorent la perception des patients en période postopératoire, ainsi que la satisfaction et l'amélioration de la qualité de vie après la prise en charge chirurgicale d'une arthroplastie totale de la hanche chez les patients opérés par le groupe d'orthopédie et de traumatologie de la Clinique Foscal et Foscal International. 1.2 Méthodologie Étude de cohorte rétrospective. Analyse secondaire d'une base de données anonymisée du service d'orthopédie qui inclut des patients atteints de pathologies de l'articulation coxo-fémorale ayant subi une arthroplastie totale primaire de la hanche avec prothèse cimentée ou sans ciment à la clinique internationale Foscal et Foscal pendant la période d'étude de juin 2020 à décembre 2022. La base de données anonymisée qui a été maintenue depuis 2020 a été utilisée pour l'étude, où des données sociodémographiques, le diagnostic pour lequel l'intervention chirurgicale a été réalisée, les caractéristiques de la prothèse, les mesures anthropométriques des patients, les complications précoces et tardives, le niveau de satisfaction mesuré avec des échelles, qui a été complété au moment de la chirurgie pour une analyse statistique ultérieure.spa
dc.description.degreelevelEspecializaciónspa
dc.description.learningmodalityModalidad Presencialspa
dc.description.tableofcontents1. Resumen del Proyecto 1.1 Introducción 1.2 Metodología 1.3 Resultados 1.4 Conclusiones 2. Justificación 3. Marco teórico 3.1 Generalidades articulación coxofemoral 3.1.1 Embriología 3.1.2 Anatomía 3.1.3 Biomecánica 3.2 Patologías de la cadera que afectan la relación articular coxofemoral: 3.2.1 Patología degenerativa 3.2.2 Patología traumáticas 3.2.3 Patologia vasculares 3.3 Reemplazo total de cadera (RTC) 3.3.1 Generalidades del RTC 3.3.2 indicaciones del RTC 3.3.3 Tipos de prótesis 3.3.4 abordajes quirúrgicos en el RTC 3.3.5 Complicaciones post quirúrgicas 3.4 Escalas de evaluación postquirúrgicas para evaluar satisfacción en un RTC 4. Estado del arte 5. Objetivos 5.1 Objetivo general 5.2 Objetivos específicos 6. Metodología 6.1 Tipo de estudio 6.2 Población 6.3 Criterios de inclusión 6.4 Criterios de exclusión 6.5 Cálculo del tamaño de muestra 6.6 Muestreo 6.7 Recolección de la información 6.8 Variables 6.9 Plan de análisis de datos 6.10 Consideraciones éticas 7. Resultados/impactos esperados 8. Resultados 9. Discusión 10. Conclusiones 11. Referencias Bibliográficas 12. Anexosspa
dc.format.mimetypeapplication/pdfspa
dc.identifier.instnameinstname:Universidad Autónoma de Bucaramanga - UNABspa
dc.identifier.reponamereponame:Repositorio Institucional UNABspa
dc.identifier.repourlrepourl:https://repository.unab.edu.cospa
dc.identifier.urihttp://hdl.handle.net/20.500.12749/23231
dc.language.isospaspa
dc.publisher.facultyFacultad Ciencias de la Saludspa
dc.publisher.grantorUniversidad Autónoma de Bucaramanga UNABspa
dc.publisher.programEspecialización en Ortopedia y Traumatologíaspa
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dc.relation.references82. Greimel F, Maderbacher G, Zeman F, Grifka J. No clinical difference comparing general, regional and combination anesthesia in hip arthroplasty: a multicenter cohort-study regarding perioperative pain management and patient satisfaction. J Arthroplasty [Internet]. 2017; Available from: http://dx.doi.org/10.1016/j.arth.2017.05.038spa
dc.relation.references83. Mistry JB, Chughtai M, Elmallah RK, Le S, Bonutti PM, Delanois RE, et al. What In fl uences How Patients Rate Their Hospital After Total Hip Arthroplasty ? J Arthroplasty [Internet]. 2016;1–4. Available from: http://dx.doi.org/10.1016/j.arth.2016.03.060spa
dc.relation.references84. Schaal T, Schoenfelder T, Klewer J, Kugler J. Determinants of patient satisfaction and their willingness to return after primary total hip replacement : a cross-sectional study. BMC Musculoskelet Disord [Internet]. 2016;1–9. Available from: http://dx.doi.org/10.1186/s12891-016-1196-3spa
dc.relation.references85. Rolfson O, Donahue GS, Hallsten M, Nemes S. Patient-reported outcomes in cemented and uncemented total hip replacements. 2016;26(5):451–7.spa
dc.relation.uriapolohttps://apolo.unab.edu.co/en/persons/omar-alejandro-amado-picospa
dc.rights.accessrightsinfo:eu-repo/semantics/openAccessspa
dc.rights.creativecommonsAtribución-NoComercial-SinDerivadas 2.5 Colombia*
dc.rights.localAbierto (Texto Completo)spa
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/2.5/co/*
dc.subject.keywordsMedical sciencesspa
dc.subject.keywordsHealth sciencesspa
dc.subject.keywordsHipsspa
dc.subject.keywordsReplacementspa
dc.subject.keywordsArthroplastyspa
dc.subject.keywordsOsteoarthritisspa
dc.subject.keywordsPatientsspa
dc.subject.keywordsSatisfactionspa
dc.subject.keywordsOrthopedicsspa
dc.subject.keywordsSurgeryspa
dc.subject.keywordsPost surgicalspa
dc.subject.keywordsMedical attentionspa
dc.subject.keywordsSurgical clinicsspa
dc.subject.keywordsHealth institutionsspa
dc.subject.keywordsHip prosthesisspa
dc.subject.keywordsHip replacement arthroplastyspa
dc.subject.lembCiencias médicasspa
dc.subject.lembAtención médicaspa
dc.subject.lembClínicas quirúrgicasspa
dc.subject.lembInstituciones de saludspa
dc.subject.lembPrótesis de caderaspa
dc.subject.lembArtroplastia de remplazo de caderaspa
dc.subject.proposalCaderasspa
dc.subject.proposalReemplazospa
dc.subject.proposalArtroplastiaspa
dc.subject.proposalArtrosisspa
dc.subject.proposalPacientesspa
dc.subject.proposalSatisfacciónspa
dc.subject.proposalOrtopediaspa
dc.subject.proposalCirugíaspa
dc.subject.proposalPost quirúrgicospa
dc.titleFactores asociados a la satisfacción del paciente en el post operatorio de reemplazo total de caderaspa
dc.title.translatedFactors associated with patient satisfaction in the post-operative operation of total hip replacementspa
dc.typeThesiseng
dc.type.coarhttp://purl.org/coar/resource_type/c_bdcc
dc.type.coarversionhttp://purl.org/coar/version/c_ab4af688f83e57aaspa
dc.type.driverinfo:eu-repo/semantics/masterThesisspa
dc.type.hasversioninfo:eu-repo/semantics/acceptedVersionspa
dc.type.localTesisspa
dc.type.redcolhttp://purl.org/redcol/resource_type/TMspa

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Especialización en Ortopedia y Traumatología
Grupo de Investigación en Ciencias y Educación en Salud