The Abandonment Syndrome as a Determinant in the Surgical Denouement in Elderly Population in Mexico City

A Coronado-MorenoEdson, E Álvarez-LiconaNelson, Snowball-Del Pilar Lenin, Chapa-Azuela Oscar, E Almontes-DorantesAlan, D Carrillo-RuizJosé, R. Jesús
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Abstract

The demographic aging in Mexico is turning into one of the main concerns in the country; this raises the hospital admissions in different levels of medical care. The increase of surgical procedures causes high rates of morbidity and mortality in this population, nowadays, there are multiple instruments used for evaluating the surgical risk and mortality, however, the negative denouements still happen, this can be attributed to the existence of other variables which are not considered such as social kind and the ones which influences in the denouements of hospitalized patients. Objectives: The present study proposes to perform a socio-family assessment in elderly people as a non-considered variable in the pre-surgical and post-surgical evaluation through OARS (Older American and Resource Socials) scale; the evaluation of surgical denouements was recorded with the Dindo-Clavien scale. Methods: Total population was composed for 67 patients, 50.7% male and 49.3% female; mean age of 73.61 years. Results: Statistical analysis showed a p=0.012 in the xi² test and an r=0.67 in the Pearson correlation of OARS/ Dindo-Clavien. Conclusion: In conclusion, this study pretends to beef up the idea that social assessment in elderly population has an important transcendence in surgical denouements and is worthy of a deep development.
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遗弃综合征是墨西哥城老年人群手术结局的决定因素
墨西哥的人口老龄化正在成为该国的主要问题之一;这提高了不同级别医疗服务的住院率。外科手术的增加导致这一人群的发病率和死亡率很高,如今,有多种工具用于评估手术风险和死亡率,然而,负面后果仍然发生,这可归因于其他未考虑的变量的存在,如社会类型和影响住院患者后果的变量。目的:本研究提出通过OARS (Older American and Resource Socials)量表对老年人进行社会家庭评估,作为术前和术后评估的一个非考虑变量;用Dindo-Clavien评分法对手术结果进行评价。方法:患者67例,男性50.7%,女性49.3%;平均年龄73.61岁。结果:统计学分析显示,OARS/ Dindo-Clavien的xi²检验p=0.012, Pearson相关r=0.67。结论:本研究强化了老年人群的社会评价对手术结局有重要的超越作用,值得深入发展。
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