Browsing by Author "Martinez, F."
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- ItemComparison of complications and length of hospital stay between orthopedic and orthogeriatric treatment in elderly patients with a hip fracture(2012) Wagner, P.; Fuentes, P.; Diaz, A.; Martinez, F.; Amenábar Edwards, Pedro Pablo; Schweitzer, Daniel; Botello Correa, Eduardo; Gac Espínola, HomeroHip fractures in the elderly individuals are a complex problem. Our objective was to determine whether orthogeriatric treatment is effective in terms of reducing length of hospital stay, morbidity, and mortality of elderly patients with a hip fracture compared with orthopedic (traditional) treatment. From July 2009 to May 2011, patients older than 65 years with a hip fracture were followed prospectively. They were co-treated by geriatric and orthopedic teams. This cohort was compared with a retrospective cohort followed from January 2007 to June 2009 that was managed by the orthopedic surgery team only. Epidemiology, pre- and postoperative hematocrit, and renal function were registered. Also, in-hospital and distant mortality data (determined by consulting the national registry), mortality-associated factors, postoperative complications, hospital stay length, and transfers to other services were registered. One hundred and eighty-three patients in the retrospective group and 92 in the prospective group were included in this study with a median follow-up of 26 months (interquartile range: 13-41). The average age was 84 years and 74% of patients were female. Intertrochanteric fracture accounted for 51% of the cases. There was no difference between groups with regard to hospital stay length, hematocrit at discharge, in-hospital mortality, long-term survival, or transfers to internal medicine or the intensive care unit. It did show differences in the transfer to the intermediate care unit, prolonged hospitalizations (>20 days), and diagnosis of delirium and anemia requiring transfusion. In the present study, orthogeriatric treatment is slightly more effective than traditional treatment in terms of morbidity, but there is no difference in hospital stay length or mortality. Further studies and longer follow-up are needed to draw more conclusions.
- ItemNature and tectonic significance of co-seismic structures associated with the Mw 8.8 Maule earthquake, central-southern Chile forearc(PERGAMON-ELSEVIER SCIENCE LTD, 2011) Arriagada, C.; Arancibia, G.; Cembrano, J.; Martinez, F.; Carrizo, D.; Van Sint Jan, M.; Saez, E.; Gonzalez, G.; Rebolledo, S.; Sepulveda, S. A.; Contreras Reyes, E.; Jensen, E.; Yanez, G.The Mw 8.8 Maule earthquake on February 27, 2010 affected the central-southern Chilean forearc of the Central Andes. Here we show the results of field investigations of surface deformation associated with this major earthquake. Observations were carried out within three weeks after the seismic event, mostly in the central and northern part of the forearc overlying the rupture zone. We provide a detailed field record of co-seismic surface deformation and examine its implications on active Andean tectonics. Surface rupture consisted primarily of extensional cracks, push-up structures, fissures with minor lateral displacements and a few but impressive extensional geometries similar to those observed in analogical modeling of rift systems. A major group of NW-WNW striking fractures representing co-seismic extensional deformation is found at all localities. These appear to be spatially correlated to long-lived basement fault zones. The NW-striking normal focal mechanism of the Mw 6.9 aftershock occurred on March 11 demonstrates that the basement faults were reactivated by the Mw 8.8 Maule earthquake. The co-seismic surface ruptures show patterns of distributed deformation similar to those observed in mapped basement-involved structures. We propose that co-seismic reactivation of basement structures play a fundamental role in stress release in the upper plate during large subduction earthquakes. The fundamental mechanism that promotes stress relaxation is largely driven by elastic rebound of the upper plate located right above the main rupture zone. (C) 2011 Elsevier Ltd. All rights reserved.