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Síntomas de tracto urinario inferior, caídas y fracturas en el hombre adulto: Asociaciones y desenlaces clínicos. Revisión sistemática de la literatura y metaanálisis

dc.rights.licenseAtribución-NoComercial-SinDerivadas 4.0 Internacional
dc.contributor.advisorDonoso Donoso, Wilfredo
dc.contributor.authorVelasquez Quiroga, Jonatan Andres
dc.date.accessioned2022-10-20T19:49:57Z
dc.date.available2022-10-20T19:49:57Z
dc.date.issued2022-01-15
dc.identifier.urihttps://repositorio.unal.edu.co/handle/unal/82381
dc.descriptionilustraciones, gráficas
dc.description.abstractLos síntomas del tracto urinario inferior (STUI) se presentan con frecuencia en la población adulta. Los viajes frecuentes al baño secundarios a los síntomas de vaciamiento y de llenado en pacientes con comorbilidades y de edad avanzada involucran el peligro de pérdida del equilibrio, caídas y lesiones graves. Esto puede perjudicar el funcionamiento motor posterior, la independencia, la calidad de vida y la supervivencia en los ancianos. El objetivo fue evaluar la asociación entre la presencia de síntomas urinarios en el adulto mayor y el riesgo de caídas y fracturas mediante una revisión sistemática y metaanálisis para establecer posibles relaciones causales. Realizamos una búsqueda sistemática de la literatura de artículos indexados en bases de datos (PubMed, Cochrane central, LILACS y EMBASE). Realizamos metaanálisis de efectos fijos de relación de probabilidades entre síntomas urinarios y caídas. De 45 estudios encontrados 15 artículos de 8 países fueron incluidos en la revisión sistemática, dos de ellos relacionaban la presencia de fracturas y síntomas urinarios y ningún estudio evaluaba el impacto del tratamiento. 3 estudios fueron meta-analizados logrando establecer una relación en la presencia de síntomas urinarios y las caídas (OR 2.10, 95% CI 1.55 - 2,84, I2: 99%) En conclusión, la presencia de síntomas urinarios en el adulto mayor se asocia un riesgo incrementado de caídas; esta asociación, desde la teoría, podría generar desenlaces óseos adversos en este grupo poblacional como fracturas. (Texto tomado de la fuente)
dc.description.abstractLower urinary tract symptoms (LUTS) occur frequently in the adult population. Trips to the bathroom involving emptying and filling symptoms in elderly and comorbid patients involve the danger of loss of balance, falls, and serious injury. This can impair later motor function, independence, quality of life, and survival in the elderly. The objective was to evaluate the association between falling urinary symptoms and fractures through a systematic review and meta-analysis to establish a causal risk factor. We carried out a systematic search of the literature for articles indexed in databases (PubMed, LILACS and EMBASE). We performed a meta-analysis of fixed effects of the odds ratio between urinary symptoms and falls. Of 45 studies found, 15 articles from 8 countries were included in the systematic review, two of them related the presence of fractures and urinary symptoms and no study evaluated the impact of treatment. 3 studies were meta-analyzed, establishing a relationship in the presence of urinary symptoms and falls (OR 2.10, 95% CI 1.55 - 2.84, I2: 99%) In conclusion, the presence of urinary symptoms is associated with the risk of falling, which can cause fractures in the elderly.
dc.format.extentxiv, 36 páginas
dc.format.mimetypeapplication/pdf
dc.language.isospa
dc.publisherUniversidad Nacional de Colombia
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/
dc.subject.ddc610 - Medicina y salud::617 - Cirugía, medicina regional, odontología, oftalmología, otología, audiología
dc.titleSíntomas de tracto urinario inferior, caídas y fracturas en el hombre adulto: Asociaciones y desenlaces clínicos. Revisión sistemática de la literatura y metaanálisis
dc.typeTrabajo de grado - Especialidad Médica
dc.type.driverinfo:eu-repo/semantics/masterThesis
dc.type.versioninfo:eu-repo/semantics/acceptedVersion
dc.publisher.programBogotá - Medicina - Especialidad en Urología
dc.contributor.educationalvalidatorCastañeda, David
dc.contributor.educationalvalidatorAlzate, Juan Pablo
dc.contributor.refereeLopez de Mesa, Byron
dc.contributor.researchgroupGrupo de Investigación e Innovación en Urología Universidad Nacional de Colombia
dc.description.degreelevelEspecialidades Médicas
dc.description.degreenameEspecialista en Urología
dc.description.methodsSe realizó una revisión sistemática de la literatura utilizando los términos MeSH y Decs como: “Aged”, “Elderly”, “Lower Urinary Tract Symptoms”, “Urological Manifestations”, “Urination Disorders”, “Orthopedic Procedures”, “Accidental Falls”, “Falls”, “Accidents” y “Prognosis”. Utilizando como limites el año de publicación (2000 - actualidad) y humanos. La estrategia de búsqueda se muestra en el anexo 1. Los resúmenes fueron seleccionados y revisados por dos de los autores (JV y DC) para su inclusión; posterior al análisis de los estudios incluidos de ejecutó un metaanálisis. Se incluyeron en el universo a evaluar todos los estudios encontrados durante la búsqueda sistemática en bases de datos en inglés y español incluyéndose literatura gris, aplicándose los criterios PRISMA para revisiones sistemáticas.
dc.identifier.instnameUniversidad Nacional de Colombia
dc.identifier.reponameRepositorio Institucional Universidad Nacional de Colombia
dc.identifier.repourlhttps://repositorio.unal.edu.co/
dc.publisher.departmentDepartamento de Cirugía
dc.publisher.facultyFacultad de Medicina
dc.publisher.placeBogotá, Colombia
dc.publisher.branchUniversidad Nacional de Colombia - Sede Bogotá
dc.relation.indexedBireme
dc.relation.indexedRedCol
dc.relation.indexedLaReferencia
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dc.rights.accessrightsinfo:eu-repo/semantics/openAccess
dc.subject.lembAtención médica para ancianos
dc.subject.lembAged -- Medical care
dc.subject.lembGeriatría
dc.subject.lembGeriatrics
dc.subject.lembEnfermedades de los ancianos
dc.subject.lembAged - Diseases
dc.subject.proposalCaídas accidentales
dc.subject.proposalsíntomas del tracto urinario bajo
dc.subject.proposalfracturas óseas
dc.subject.proposalAncianos
dc.title.translatedLower urinary tract symptoms, falls, and fractures in the Elderly: Associations and clinical outcomes. Systematic literature review and meta-analysis.
dc.type.coarhttp://purl.org/coar/resource_type/c_bdcc
dc.type.coarversionhttp://purl.org/coar/version/c_ab4af688f83e57aa
dc.type.contentText
dc.type.redcolhttp://purl.org/redcol/resource_type/TM
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dcterms.audience.professionaldevelopmentEstudiantes


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