El GES promueve la equidad en el tratamiento del gran quemado de la tercera edad

Background: The guidelines for the treatment of severely burned patients, ineluded in the explicit guarantees in health care (GES), accept having a Garces' index over 70, among others, as an inclusion criterion. This criterion allows elderly patients with small total burn surface area (TBSA) to...

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Autores principales:	Albornoz G,Claudia R, Villegas C,Jorge, Bravo Y,Iside, Peña M,Verónica
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2011
Materias:	Aged Burns Delivery of health care
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872011001100011
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spelling	oai:scielo:S0034-988720110011000112012-02-08El GES promueve la equidad en el tratamiento del gran quemado de la tercera edadAlbornoz G,Claudia RVillegas C,JorgeBravo Y,IsidePeña M,Verónica Aged Burns Delivery of health care Background: The guidelines for the treatment of severely burned patients, ineluded in the explicit guarantees in health care (GES), accept having a Garces' index over 70, among others, as an inclusion criterion. This criterion allows elderly patients with small total burn surface area (TBSA) to have access to GES. Aim: To analyze if a universal access to GES for this group of patients is justified. Material and Methods: Revision of medical records of adult patients admitted to a burn service. Causative agent, TBSA, associated illnesses and outcome were compared between 218 subjects aged 65 years or more and 720 subjects aged less than 65 years. Results: Older subjects had smaller TBSA, a lower prevalence of inhalation injury and more associated diseases. Their lethality was three times greater than that of younger subjects and their risk of dying. When adjusting for TBSA, presence of inhalation injury and associated diseases was 11 times greater. Conclusions: The inclusion of older people with lower TBSA in the explicit guarantees in health is fully justified, considering the lethality of burns in this age group.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.139 n.11 20112011-11-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872011001100011es10.4067/S0034-98872011001100011
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Aged Burns Delivery of health care
spellingShingle	Aged Burns Delivery of health care Albornoz G,Claudia R Villegas C,Jorge Bravo Y,Iside Peña M,Verónica El GES promueve la equidad en el tratamiento del gran quemado de la tercera edad
description	Background: The guidelines for the treatment of severely burned patients, ineluded in the explicit guarantees in health care (GES), accept having a Garces' index over 70, among others, as an inclusion criterion. This criterion allows elderly patients with small total burn surface area (TBSA) to have access to GES. Aim: To analyze if a universal access to GES for this group of patients is justified. Material and Methods: Revision of medical records of adult patients admitted to a burn service. Causative agent, TBSA, associated illnesses and outcome were compared between 218 subjects aged 65 years or more and 720 subjects aged less than 65 years. Results: Older subjects had smaller TBSA, a lower prevalence of inhalation injury and more associated diseases. Their lethality was three times greater than that of younger subjects and their risk of dying. When adjusting for TBSA, presence of inhalation injury and associated diseases was 11 times greater. Conclusions: The inclusion of older people with lower TBSA in the explicit guarantees in health is fully justified, considering the lethality of burns in this age group.
author	Albornoz G,Claudia R Villegas C,Jorge Bravo Y,Iside Peña M,Verónica
author_facet	Albornoz G,Claudia R Villegas C,Jorge Bravo Y,Iside Peña M,Verónica
author_sort	Albornoz G,Claudia R
title	El GES promueve la equidad en el tratamiento del gran quemado de la tercera edad
title_short	El GES promueve la equidad en el tratamiento del gran quemado de la tercera edad
title_full	El GES promueve la equidad en el tratamiento del gran quemado de la tercera edad
title_fullStr	El GES promueve la equidad en el tratamiento del gran quemado de la tercera edad
title_full_unstemmed	El GES promueve la equidad en el tratamiento del gran quemado de la tercera edad
title_sort	el ges promueve la equidad en el tratamiento del gran quemado de la tercera edad
publisher	Sociedad Médica de Santiago
publishDate	2011
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872011001100011
work_keys_str_mv	AT albornozgclaudiar elgespromuevelaequidadeneltratamientodelgranquemadodelaterceraedad AT villegascjorge elgespromuevelaequidadeneltratamientodelgranquemadodelaterceraedad AT bravoyiside elgespromuevelaequidadeneltratamientodelgranquemadodelaterceraedad AT penamveronica elgespromuevelaequidadeneltratamientodelgranquemadodelaterceraedad
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El GES promueve la equidad en el tratamiento del gran quemado de la tercera edad

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