PREVENÇÃO DE DISTÚRBIOS MUSCULOESQUELÉTICOS EM IDOSOS: RELATO DE EXPERIÊNCIA

Objetivo: Relatar a inserção de palestras educativas e atividades físicas de promoção e prevenção em saúde com diferentes temas para um grupo de idosos na cidade de Curitiba – PR sobre prevenção de distúrbios musculoesqueléticos em idosos. Métodos: Foram aplicadas em duas avaliações escalas para medir depressão (GDS-15), funcionalidade (índice de Katz), risco de quedas/mobilidade (Timed Up and Go - TUG), nível de atividade física (perfil de atividade humana - PAH) e estado de saúde mental (mini exame do estado mental – MEEM). Resultados: Das 30 participantes, 8 obtiveram frequência total nas atividades. A pontuação dos questionários mostrou manutenção dos resultados e índices satisfatórios. Considerações finais: Além da troca de conhecimento e experiência, as atividades de educação em saúde proporcionaram melhora da auto-estima e bem estar nos idosos, que são essenciais para minimizar as consequências naturais do envelhecimento, principalmente na área de musculoesquelética

Is it really advantageous to operate proximal femoral fractures within 48 h from diagnosis? – A multicentric retrospective study exploiting COVID pandemic-related delays in time to surgery

Objectives: Hip fractures in the elderly are common injuries that need timely surgical management. Since the beginning of the pandemic, patients with a proximal femoral fracture (PFF) experienced a delay in time to surgery. The primary aim of this study was to evaluate a possible variation in mortality in patients with PFF when comparing COVID-19 negative versus positive. Methods: This is a multicentric and retrospective study including 3232 patients with PFF who underwent surgical management. The variables taken into account were age, gender, the time elapsed between arrival at the emergency room and intervention, pre-operative American Society of Anesthesiology score, pre-operative cardiovascular and respiratory disease, and 10-day/1-month/6-month mortality. For 2020, we had an additional column, “COVID-19 swab positivity.” Results: COVID-19 infection represents an independent mortality risk factor in patients with PFFs. Despite the delay in time-to-surgery occurring in 2020, no statistically significant variation in terms of mortality was detected. Within our sample, a statistically significant difference was not detected in terms of mortality at 6 months, in patients operated within and beyond 48 h, as well as no difference between those operated within or after 12/24/72 h. The mortality rate among subjects with PFF who tested positive for COVID-19 was statistically significantly higher than in patients with PFF who tested. COVID-19 positivity resulted in an independent factor for mortality after PFF. Conclusion: Despite the most recent literature recommending operating PFF patients as soon as possible, no significant difference in mortality was found among patients operated before or after 48 h from diagnosis