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OBJECTIVE. To determine the risk factors of intrauterine fetal death in a Northern Peruvian population. DESIGN: Retrospective, analytical, case control study of intrauterine fetal death in 2,743 deliveries with newborn weights 500 g or more and/or over 19 weeks gestation ATTENDED AT HOSPITAL DE APOYO III, SULLANA, PERÚ, BETWEEN JUNE 1994 AND JUNE 1995. Data were obtained by the CLAP Perinatal Informatic System. RESULTY: The 92 dead newborns gave a fetal death rate of 33,5 per 1000 newborns; 53,6% occurred during pregnancy, 30,4% in an unknown moment and 11,9% during delivery. Causes of intrauterine death were infections (44,6%), hemorrage (25%) and hipertension (9,8%). Cause of death was not determined in 16,3%. Risk factors of fetal death were: a) Maternal: multiparity (RR 1,65), induced delivery (RR 7,75), PNC (RR 0,44), breech (RR 2,95) and transverse PRESENTATION (RR 4,56), preterm ...
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Introducción. Las fracturas de cadera son un conjunto de patologías frecuentes en los adultos mayores frágiles, con impacto negativo sobre la funcionalidad. Objetivo. Determinar las características clínicas, funcionales, mentales y sociales basados en la evaluación geriátrica integral. Métodos. Se evaluó a 445 pacientes, la comorbilidad se midió con el índice de Charlson, el estado funcional basal con el índice de Barthel y la escala de Lawton y Brody, el estado mental con el cuestionario de Pfeiffer, el delirio mediante el Confusion Assessment Method y la evaluación social con la Escala Sociofamiliar de Gijón. Las variables categóricas se presentaron como valor absoluto y porcentaje, y las continuas como media y desviación estándar. Resultados. El sexo femenino representó el 71,5%, el promedio de edad en mujeres fue de 81,58 años y en varones de 82,58 años. El deteri...
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Introduction. Hip fractures are a group of frequent pathologies in frail older adults, with a negative impact on functionality. Objective. To determine the clinical, functional, mental, and social characteristics based on the comprehensive geriatric assessment. Methods. 445 patients were evaluated, comorbidity was measured with the Charlson index, baseline functional state with the Barthel index and the Lawton and Brody scale, mental state with the Pfeiffer questionnaire, delirium using the Confusion Assessment Method and social assessment with the Gijón Socio-Family Scale. Categorical variables were presented as absolute value and percentage and continuous variables as mean and standard deviation. Results. The female sex represented 71.5%, the average age in women was 81.58 years and in men 82.58 years. Visual impairment was 48.8% and hearing impairment 46.1%. 46% had more than one com...