El impacto del transporte público en las fracturas de cadera: una comparación entre dos grandes ciudades de España y China

  • Shuaishuai Gao Universidad de Sevilla
  • Aurelio Borrás Verdera
  • Wen-Ting Zhang
  • Yan-Jun Wang
Palabras clave: anciano, fractura de cadera, transporte público, viajes

Resumen

Objetivo  Explorar la influencia de los medios de transporte público en diferentes países en las fracturas de cadera.  Materiales y métodos Los sujetos del estudio fueron pacientes con fractura de cadera intervenidos en el Xi’an Daxing Hospital, China y en el Hospital Universitario Virgen Macarena de Sevilla, España del 1 de enero al 30 de diciembre de 2017. Sexo, edad, el lugar de la caída, el tiempo de la caída, la clasificación de ASA, el alcance principal de las actividades antes y después de la lesión, las razones para restringir las salidas y la satisfacción con las instalaciones de transporte público del paciente se recopilaron mediante la consulta de registros médicos y el seguimiento ambulatorio durante un año.  Resultados Se incluyeron 178 pacientes en Sevilla (España), con una edad media de 83,2 ± 6,9 años, 45 varones (25,3%) y 131 mujeres (74,7%); 139 pacientes en Xi’an (China), con una edad media de 77,8 ± 8,2 años, y 47 hombres (33,8%), 92 mujeres (66,2%). Conclusión El transporte público tiene un gran impacto en los viajes de las personas mayores. Los gobiernos municipales de varios países deben prestar atención y mejorar los detalles de las instalaciones de transporte público para brindar a los pacientes condiciones de viaje más seguras y convenientes

Citas

Ensrud KE. Epidemiology of Fracture Risk With Advancing Age. The Journals of Gerontology: Series A. 2013;68(10):1236-1242. doi: 10.1093/gerona/glt092.

https://pubmed.ncbi.nlm.nih.gov/23833201/

Jaul E, Barron J. Age-Related Diseases and Clinical and Public Health Implications for the 85 Years Old and Over Population. Front Public Health. 2017;5:335-335. doi: 10.3389/fpubh.2017.00335. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5732407/

Lee Tien-Ching HP-S, Lin Hui-Tzu, Ho Mei-Ling, Huang Hsuan-Ti, Chang Je-Ken. One-Year Readmission Risk and Mortality after Hip Fracture Surgery: A National Population-Based Study in Taiwan. 2017;8(4):402-409. doi: 10.14336/ad.2016.1228. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5524803/

Morri M, Ambrosi E, Chiari P, et al. One-year mortality after hip fracture surgery and prognostic factors: a prospective cohort study. Scientific reports. 2019;9(1):18718-18718. doi: 10.1038/s41598-019-55196-6. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6904473/

Pioli G, Lauretani F, Davoli ML, et al. Older People With Hip Fracture and IADL Disability Require Earlier Surgery. The Journals of Gerontology: Series A. 2012;67(11):1272-1277. doi: 10.1093/gerona/gls097. https://pubmed.ncbi.nlm.nih.gov/22454376/

Leung F, Blauth M, Bavonratanavech S. Surgery for fragility hip fracture—streamlining the process. Osteoporosis International. 2010;21(4):519-521. doi: 10.1007/s00198-010-1402-3. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2974904/

Binder EF, Brown M, Sinacore DR, Steger-May K, Yarasheski KE, Schechtman KB. Effects of Extended Outpatient Rehabilitation After Hip FractureA Randomized Controlled Trial. JAMA. 2004;292(7):837-846. doi: 10.1001/jama.292.7.837. https://pubmed.ncbi.nlm.nih.gov/15315998/

Milleville-Pennel I, Marquez S. Comparison between elderly and young drivers’ performances on a driving simulator and self-assessment of their driving attitudes and mastery. Accident Analysis & Prevention. 2020;135(105317. doi: 10.1016/j.aap.2019.105317. https://pubmed.ncbi.nlm.nih.gov/31785478/

Koffman D, Weiner R, Pfeiffer A, Chapman SJAPTA. Funding the public transportation needs of an aging population. American Public Transportation Association. 2010. Disponible en: https://onlinepubs.trb.org/onlinepubs/tcrp/docs/TCRPJ-11Task8-FR.pdf

Graham H, de Bell S, Flemming K, Sowden A, White P, Wright K. The experiences of everyday travel for older people in rural areas: A systematic review of UK qualitative studies. Journal of Transport & Health. 2018;(11)141-152. doi:10.1016/j.jth.2018.10.007. https://www.sciencedirect.com/science/article/pii/S2214140518303827

Rey-Rodriguez MM, Vazquez-Gamez MA, Giner M, et al. Incidence, morbidity and mortality of hip fractures over a period of 20 years in a health area of Southern Spain. BMJ open. 2020;10(9):e037101. doi: 10.1136/bmjopen-2020-037101. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7517558/

Zhu Y, Xing X, Liu S, Chen W, Zhang X, Zhang Y. Epidemiology of low-energy wrist, hip, and spine fractures in Chinese populations 50 years or older: A national population-based survey. Medicine. 2020;99(5):e18531. doi: 10.1097/MD.0000000000018531. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7004702/

Abdi S, Spann A, Borilovic J, de Witte L, Hawley M. Understanding the care and support needs of older people: a scoping review and categorisation using the WHO international classification of functioning, disability and health framework (ICF). BMC Geriatr. 2019;19(1):195. doi: 10.1186/s12877-019-1189-9. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6647108/

Kutubaeva RZ. Analysis of life satisfaction of the elderly population on the example of Sweden, Austria and Germany. Population and Economics. 2019;3(3):102-116.

Rondón García LM, Ramírez Navarrro JM. The Impact of Quality of Life on the Health of Older People from a Multidimensional Perspective. Journal of Aging Research. 2018;2018:4086294. doi: 10.1155/2018/4086294. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5977005/

Shrestha BP, Millonig A, Hounsell NB, McDonald M. Review of Public Transport Needs of Older People in European Context. Journal of Population Ageing. 2017;10(4):343-361. doi:10.1007/s12062-016-9168-9. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5656732/

Huang JZ,Ma YX,Hu GY. A review of research on travel behaviors of the elderly from a health perspective [J]. Science & Technology Review, 2020, 38(7): 69-75. 18. Xi’an City Population. Disponible en: https://populationstat.com/china/xian.

Fong JH, Feng Q. Toileting Disability Among Older Adults in China and Role of Environmental Factors. Journal of Aging and Health. 2021;08982643211015026. doi: 10.1177/08982643211015026. https://pubmed.ncbi.nlm.nih.gov/33929272/

Yuan Y,Fan B,Li XY,et al. Analysis of injury factors in elderly patients with hip fracture[J]. Chinese Journal of Osteoporosis. 2020,26(1): 85-90,117.

Loos E, Sourbati M, Behrendt F. The Role of Mobility Digital Ecosystems for Age-Friendly Urban Public Transport: A Narrative Literature Review. Int J Environ Res Public Health. 2020;17(20):7465. doi: 10.3390/ijerph17207465. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7602187/

Cœugnet S, Dommes A, Panëels S, et al. Helping older pedestrians navigate unknown environments through vibrotactile guidance instructions. Transportation Research Part F: Traffic Psychology and Behaviour. 2018;58:816-830. doi:10.1016/j.trf.2018.07.017. https://www.sciencedirect.com/science/article/abs/pii/S1369847817306307?via%3Dihub

Publicado
2022-02-27
Sección
Articulos Originales