Incidencia del deterioro cognitivo y la dependencia funcional en mayores de 65 años hospitalizados por fracturas óseasanálisis de variables moduladoras

Abstract

Hospital admission for acute illness, as in the case of bone fractures, means for some elderly people a loss of autonomy not always associated with the illness causing hospitalization. The factors and/or modulators contributing to this situation have not been sufficiently studied. The aim of this study is to describe the characteristics of hospitalized elderly patients diagnosed with bone fractures after surgery is carried out, and to establish the associated variables to their cognitive and functional dependency at discharge. The outcomes show that functional deterioration correlates significantly to anxiety self-control at discharge and knowledge about the therapy at discharge and, inversely, to the patient's age, polypharmacy and length of inpatient stay until surgery. From our outcomes we conclude the need to design and apply actions leading towards a reduction of the pre-surgery inpatient stay, immediate mobilization programs as well as training and information about therapeutic procedures.