Fragilidad: en busca de herramientas de evaluación preoperatoria

Fragilidad: en busca de herramientas de evaluación preoperatoria

Background: In the perioperative context, a frailty evaluation scale must consider certain characteristics such as validation, execution speed, simplicity, the capacity to measure multiple dimensions and not being dependent on a cognitive or physical test that could not be performed prior to surger...

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Autores principales: Vargas,Javiera, Gálvez,María de Los Ángeles, Rojas,Mariana, Honorato,Macarena, Andrade,Maricarmen, Leyton,Patricio, Mardones,Gabriela, Morales,Julián, Pérsico,Daniela, Rojas,Fernanda, Moreno,Duby, Becker,Erika, Cavada,Gabriel, Carvajal,Cristóbal
Lenguaje:Spanish / Castilian
Publicado: Sociedad Médica de Santiago 2020
Materias:
Anesthesia
Frail Elderly
Perioperative Care
Perioperative Period
Risk Assessment
Acceso en línea:http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872020000300311
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spelling oai:scielo:S0034-988720200003003112020-06-11Fragilidad: en busca de herramientas de evaluación preoperatoriaVargas,JavieraGálvez,María de Los ÁngelesRojas,MarianaHonorato,MacarenaAndrade,MaricarmenLeyton,PatricioMardones,GabrielaMorales,JuliánPérsico,DanielaRojas,FernandaMoreno,DubyBecker,ErikaCavada,GabrielCarvajal,Cristóbal Anesthesia Frail Elderly Perioperative Care Perioperative Period Risk Assessment Background: In the perioperative context, a frailty evaluation scale must consider certain characteristics such as validation, execution speed, simplicity, the capacity to measure multiple dimensions and not being dependent on a cognitive or physical test that could not be performed prior to surgery. The test should select patients that could benefit from interventions aimed to improve their postoperative outcomes. Aim: To validate two frailty evaluation scales for the perioperative period. Material and Methods: The Risk Analysis Index with local modifications (RAI-M) were applied to 201 patients aged 73 ± 7 years (49% women) and the Edmonton frailty scale were applied in 151 patients aged 73 ± 7 years (49% women) in the preoperative period. Their results were compared with the Rockwood frailty index. Results: The Edmonton frail scale showed adequate psychometric properties and assessed multiple dimensions through 8 of the 11 original questions, achieving a discrimination power over 80% compared to the Rockwood Index. The RAI- M, demonstrated solid psychometric properties with a tool that examines 4 dimensions of frailty through 15 questions and reviewing the presence of 11 medical comorbidities. This scale had a discrimination power greater than 85% and it was significantly associated with prolongation of the planned hospital stay and mortality. Conclusions: RAI-M is a short and easily administered scale, useful to detect frailty in the preoperative period.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.148 n.3 20202020-03-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872020000300311es10.4067/S0034-98872020000300311
institution Scielo Chile
collection Scielo Chile
language Spanish / Castilian
topic Anesthesia
Frail Elderly
Perioperative Care
Perioperative Period
Risk Assessment
spellingShingle Anesthesia
Frail Elderly
Perioperative Care
Perioperative Period
Risk Assessment
Vargas,Javiera
Gálvez,María de Los Ángeles
Rojas,Mariana
Honorato,Macarena
Andrade,Maricarmen
Leyton,Patricio
Mardones,Gabriela
Morales,Julián
Pérsico,Daniela
Rojas,Fernanda
Moreno,Duby
Becker,Erika
Cavada,Gabriel
Carvajal,Cristóbal
Fragilidad: en busca de herramientas de evaluación preoperatoria
description Background: In the perioperative context, a frailty evaluation scale must consider certain characteristics such as validation, execution speed, simplicity, the capacity to measure multiple dimensions and not being dependent on a cognitive or physical test that could not be performed prior to surgery. The test should select patients that could benefit from interventions aimed to improve their postoperative outcomes. Aim: To validate two frailty evaluation scales for the perioperative period. Material and Methods: The Risk Analysis Index with local modifications (RAI-M) were applied to 201 patients aged 73 ± 7 years (49% women) and the Edmonton frailty scale were applied in 151 patients aged 73 ± 7 years (49% women) in the preoperative period. Their results were compared with the Rockwood frailty index. Results: The Edmonton frail scale showed adequate psychometric properties and assessed multiple dimensions through 8 of the 11 original questions, achieving a discrimination power over 80% compared to the Rockwood Index. The RAI- M, demonstrated solid psychometric properties with a tool that examines 4 dimensions of frailty through 15 questions and reviewing the presence of 11 medical comorbidities. This scale had a discrimination power greater than 85% and it was significantly associated with prolongation of the planned hospital stay and mortality. Conclusions: RAI-M is a short and easily administered scale, useful to detect frailty in the preoperative period.
author Vargas,Javiera
Gálvez,María de Los Ángeles
Rojas,Mariana
Honorato,Macarena
Andrade,Maricarmen
Leyton,Patricio
Mardones,Gabriela
Morales,Julián
Pérsico,Daniela
Rojas,Fernanda
Moreno,Duby
Becker,Erika
Cavada,Gabriel
Carvajal,Cristóbal
author_facet Vargas,Javiera
Gálvez,María de Los Ángeles
Rojas,Mariana
Honorato,Macarena
Andrade,Maricarmen
Leyton,Patricio
Mardones,Gabriela
Morales,Julián
Pérsico,Daniela
Rojas,Fernanda
Moreno,Duby
Becker,Erika
Cavada,Gabriel
Carvajal,Cristóbal
author_sort Vargas,Javiera
title Fragilidad: en busca de herramientas de evaluación preoperatoria
title_short Fragilidad: en busca de herramientas de evaluación preoperatoria
title_full Fragilidad: en busca de herramientas de evaluación preoperatoria
title_fullStr Fragilidad: en busca de herramientas de evaluación preoperatoria
title_full_unstemmed Fragilidad: en busca de herramientas de evaluación preoperatoria
title_sort fragilidad: en busca de herramientas de evaluación preoperatoria
publisher Sociedad Médica de Santiago
publishDate 2020
url http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872020000300311
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