<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1684-1824</journal-id>
<journal-title><![CDATA[Revista Médica Electrónica]]></journal-title>
<abbrev-journal-title><![CDATA[Rev.Med.Electrón.]]></abbrev-journal-title>
<issn>1684-1824</issn>
<publisher>
<publisher-name><![CDATA[Universidad de Ciencias Médicas de Matanzas]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1684-18242022000300495</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Protocolo de recuperación acelerada en adultos mayores con fracturas de miembros inferiores. Cárdenas, 2015-2019]]></article-title>
<article-title xml:lang="en"><![CDATA[Accelerated recovery protocol in older adults with lower limb fractures. Cardenas, 2015-2019]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Soria-Pérez]]></surname>
<given-names><![CDATA[Reynier]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Agüero-Martínez]]></surname>
<given-names><![CDATA[María Oslaida]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[de Armas-Mestre]]></surname>
<given-names><![CDATA[Joanna]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Díaz-Camellón]]></surname>
<given-names><![CDATA[Dunia Justa]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Benítez-Ruiz]]></surname>
<given-names><![CDATA[Amauris]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital General Docente Julio M. Aristegui Villamil  ]]></institution>
<addr-line><![CDATA[ Matanzas]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital Clínico Quirúrgico Hermanos Ameijeiras  ]]></institution>
<addr-line><![CDATA[ La]]></addr-line>
<country>Habana</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2022</year>
</pub-date>
<volume>44</volume>
<numero>3</numero>
<fpage>495</fpage>
<lpage>507</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S1684-18242022000300495&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S1684-18242022000300495&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S1684-18242022000300495&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  el perioperatorio evoluciona para reducir el estrés causado por el trauma quirúrgico y lograr recuperación temprana. Las lesiones traumáticas del sistema osteomioarticular constituyen una causa frecuente de asistencia médica y un problema de salud mundial, donde la reincorporación precoz a la vida cotidiana es fundamental para la disminución de la morbilidad. Frente a esto, aplicar los protocolos de recuperación acelerada sería muy ventajoso. En una revisión efectuada por los autores, no se encontraron guías o manuales en Cuba que brinden pautas metodológicas para la implementación de estos.  Objetivo:  determinar la efectividad de la implementación de los protocolos de recuperación acelerada en adultos mayores con fracturas de miembros inferiores, en el Hospital General Docente Julio M. Aristegui Villamil, de Cárdenas, entre el 1 de enero de 2015 y el 31 de diciembre de 2019.  Materiales y métodos:  se realizó un estudio descriptivo sobre la aplicación del protocolo de recuperación acelerada en adultos mayores con fracturas de miembros inferiores. Se utilizaron las variables: sexo, localización de la fractura, patologías asociadas, recuperación acelerada, presencia de complicaciones y estadía hospitalaria.  Resultados:  predominó la fractura de cadera como la patología de origen traumática en ambos sexos. La hipertensión arterial fue la patología asociada mayor reportada. Se logró una evolución satisfactoria en el mayor número de pacientes. El reporte de complicaciones fue mínimo. La estadía hospitalaria promedio de 48 horas tuvo mayor representatividad.  Conclusiones:  el protocolo de trabajo diseñado contribuyó a la recuperación precoz del adulto mayor con fractura en miembros inferiores.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[  ABSTRACT   Introduction:  the perioperative process evolves to reduce the stress caused by surgical trauma and achieve early recovery. Traumatic injuries of the osteomyoarticular system are a frequent cause of medical care and a health problem around the world, where early return to daily life is crucial to morbidity decrease. Faced with this, applying accelerated recovery protocols would be very helpful. In a review carried out by the authors no guidelines or manuals were found in Cuba that provide methodological rules for their implementation.  Objective:  to determine the effectiveness of the implementation of accelerated recovery protocols in older adults with lower limbs fractures, at the General Teaching Hospital Julio Aristegui Villamil, of Cardenas, from January 1, 2015 to December 31, 2019.  Materials and methods:  a descriptive study was carried out on the application of the accelerated recovery protocol in older people with lower limbs fractures. The used variables were: gender, location of the fracture, associated pathologies, accelerated recovery, presence of complications and hospital stay.  Results:  hip fracture predominated as the pathology of traumatic origins in both genders. Arterial hypertension was the main associated pathology reported. Satisfactory evolution was achieved in the largest number of patients. The report of complications was minimal. The average hospital stay of 48 hours was more representative.  Conclusions:  the designed work protocol contributed to the early recovery of elder people with a lower limb fracture.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[recuperación acelerada]]></kwd>
<kwd lng="es"><![CDATA[fractura]]></kwd>
<kwd lng="es"><![CDATA[adulto mayor]]></kwd>
<kwd lng="en"><![CDATA[accelerated recovery]]></kwd>
<kwd lng="en"><![CDATA[fracture]]></kwd>
<kwd lng="en"><![CDATA[elderly]]></kwd>
</kwd-group>
</article-meta>
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