<?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>1727-897X</journal-id>
<journal-title><![CDATA[MediSur]]></journal-title>
<abbrev-journal-title><![CDATA[Medisur]]></abbrev-journal-title>
<issn>1727-897X</issn>
<publisher>
<publisher-name><![CDATA[Universidad de Ciencias Médicas de Cienfuegos, Centro Provincial de Ciencias Médicas, Provincia de Cienfuegos.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1727-897X2023000601224</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Vulnerabilidad del adulto mayor con lesión cervical traumática]]></article-title>
<article-title xml:lang="en"><![CDATA[Vulnerability of the elderly with traumatic cervical injury]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Betharte Sotomayor]]></surname>
<given-names><![CDATA[Yanmara]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Serra Reyes]]></surname>
<given-names><![CDATA[Delvis]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Universitario Manuel Ascunce Domenech  ]]></institution>
<addr-line><![CDATA[Camagüey ]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2023</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2023</year>
</pub-date>
<volume>21</volume>
<numero>6</numero>
<fpage>1224</fpage>
<lpage>1230</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S1727-897X2023000601224&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S1727-897X2023000601224&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S1727-897X2023000601224&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Fundamento:  los adultos mayores sufren caídas que producen complicaciones traumáticas, dentro de estas se encuentra el trauma raquimedular que produce una alta tasa de discapacidad y mortalidad.  Objetivo:  exponer factores pronósticos que repercuten en el adulto mayor con lesión espinal cervical traumática.  Métodos:  se realizó un estudio de corte transversal sobre 42 pacientes geriátricos diagnosticados con trauma raquimedular cervical atendidos en Camagüey, desde 2019 hasta el 2022. Se analizaron las variables siguientes: datos demográficos, tipo de accidente, nivel de la lesión, complicaciones médicas, terapia utilizada y como variable dependiente la mortalidad.  Resultados:  se observó un predominio de los pacientes entre 60 a 74 años. El análisis estadístico sobre las probabilidades de fallecer mostró que ante un evento cervical traumático los pacientes con ventilación mecánica asistida, complicaciones médicas, nivel de severidad de la lesión (ASIA A o B) que sufrieron un accidente de tránsito tuvieron mayor riesgo de morir que los que no se encontraban en estos grupos. El nivel de dependencia social del grupo estuvo entre moderado y severo.  Conclusiones:  el envejecimiento poblacional requiere del desarrollo de terapias especializadas, donde se tomen en cuenta las características morfofisiológicas de este grupo que permitirá mejor recuperación funcional y una calidad de vida adecuada.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Foundation  older adults suffer falls that produce traumatic complications, among which is spinal cord trauma with a high rate of disability and mortality.  Objective  to set out the prognostic factors that affect the elderly with traumatic cervical spinal injury.  Methods:  a cross-sectional study was carried out with 42 geriatric patients diagnosed with spinal cord trauma treated in Camagüey, from 2019 to 2022. The research consisted of a stage for the collection of demographic data, the type of accident, the level of injury, medical complications, the therapy used and another where the statistical processing was carried out where the mortality variable was considered as dependent. Results: a predominance of patients between 60 and 74 years of age was observed. The statistical analysis on the probabilities of dying showed that in a traumatic cervical event, patients with assisted mechanical ventilation, medical complications, injury severity level (ASIA A or B) who suffered a traffic accident had a higher risk of dying than those who were not in these groups. The level of social dependence of the group was between moderate and severe.  Conclusions:  population aging requires the development of specialized therapies, where the morphophysiological characteristics of this group are taken into account, which will allow better functional recovery and an adequate quality of life.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[daño medular traumático]]></kwd>
<kwd lng="es"><![CDATA[adulto mayor]]></kwd>
<kwd lng="es"><![CDATA[caídas]]></kwd>
<kwd lng="en"><![CDATA[traumatic spinal cord injury]]></kwd>
<kwd lng="en"><![CDATA[older adults]]></kwd>
<kwd lng="en"><![CDATA[falls]]></kwd>
</kwd-group>
</article-meta>
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