Fragilidad: en busca de herramientas de evaluación preoperatoria

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dc.contributor.authorVargas, Javiera
dc.contributor.authorGálvez, María de los Ángeles
dc.contributor.authorRojas, Mariana
dc.contributor.authorHonorato, Macarena
dc.contributor.authorAndrade, Maricarmen
dc.contributor.authorLeyton, Patricio
dc.contributor.authorMardones, Gabriela
dc.contributor.authorMorales, Julián
dc.contributor.authorPérsico, Daniela
dc.contributor.authorRojas, Fernanda
dc.contributor.authorMoreno, Duby
dc.contributor.authorBecker, Erika
dc.contributor.authorCavada, Gabriel
dc.contributor.authorCarvajal, Cristóbal
dc.date.accessioned2021-08-24T16:32:23Z
dc.date.available2021-08-24T16:32:23Z
dc.date.issued2020
dc.description.abstractIn 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 periodes
dc.identifier.citationRevista Médica de Chile, 2020, vol.148: 311-319es
dc.identifier.urihttps://dx.doi.org/10.4067/S0034-98872020000300311es
dc.identifier.urihttp://hdl.handle.net/11447/4448
dc.language.isoeses
dc.subjectAnesthesiaes
dc.subjectFrail Elderlyes
dc.subjectPerioperative Carees
dc.subjectPerioperative Periodes
dc.subjectRisk Assessmentes
dc.titleFragilidad: en busca de herramientas de evaluación preoperatoriaes
dc.title.alternativeAssessment of two frailty scales for the preoperative periodes
dc.typeArticlees

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