P05.015 Epidemiology Of Ankle Sprain In A Health Centre In Castilla Y Le¢N (Spain)

I. Sierra-Mart¡nez1, L. Sierra-Mart¡nez2, R. Mart¡nez-Fuerte2;
1Traumatology Department, Hospital of Medina del Campo, Medina del Campo (Valladolid), Spain, 2Valladolid Este Primary Assistance Gerency, Valladolid, Spain.
Rosario Mart¡nez-Fuerte
Sanidad Castilla y Le¢n
Zip: 47005
Email: mtnezfuerte@hotmail.com
Phone: 0034676559065
AIMS: To evaluate the care of patients with Ankle Sprain (AS) in our Health Centre in order to promote an Improvement Plan in the care of these patients in daily clinical practice.
DESIGN: Retrospective and descriptive study of 228 patients with AS that had records in the Computer Medical Record (RMR) in PILARICA Health Centre (Valladolid).
METHOD: Of the 16.294 patients over 15 years, with 8634 women and 7660 men with clinical records were selected with 228 diagnosed AS, we studied the age, mechanism of injury, days lost, treatment and complications. The data is collected on an Excel spreadsheet and analysed using SPSS 9.0 for Windows.
1- AS Prevalence: n=228 cases (102 men, 126 women). AS total prevalence: 1.39%. AS-men Prevalence: 1.33%. AS-women Prevalence: 1.4%.
2- Age : 90-100: 1 men, 0 women ,80-90: 3 men 5 women. 70-80:3 men, 9 women. 60-70: 16 men, 18 women, 50-60: 12 men, 18 women. 40-50: 9 men, 24 women, 30-40: 38 men, 23 women, 20-30: 8 women, 23 women, 15-20 years: 12 men and 6 women.
3- The most common mechanism of injury: twisting of the foot by 33.9%.
4- The greatest day of this pathology consultation was Monday with 25%.
5- In 90.1% of the chaos was compromised lateral ligament complex.
6- The initial treatment was performed in 40% of the health centre with elastic bandage and 55% of patients in plaster having been referred to service and traumatology orthopaedic surgery.
7- The 99'5% of patients developed no complications. Only 0.4% had chronic pain.
8- The average high was 11 work days.
9- X-ray study were asked at some point in their evolution to 56 percent of the patients, 97.2 per cent negative radiographs.
CONCLUSIONS: The prevalence of Ankle Sprain in daily clinical practice has a Prevalence of 1.39% in our Health Centre, the patients were referred to a specialist 55% of Orthopaedic Surgery and Traumatology, which recommended the establishment of a Plan Improvement in clinical practice daily care of the consultation, which increase the response capacity of primary care.
Epidemiology of Ankle Sprain in a Health Centre in Castilla y Le¢n (Spain)