Fragilidad: en busca de herramientas de evaluación preoperatoria
Palabras clave:
Anesthesia, Frail Elderly, Perioperative Care, Perioperative Period, Risk AssessmentResumen
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) and the Edmonton frailty scale were applied to 201 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 length of stay in hospital and mortality. Conclusions: RAI-M is a short and easily administered scale, useful to detect frailty in the preoperative period.Descargas
Publicado
2020-03-11
Cómo citar
Vargas, J., Gálvez, M. de los Ángeles, Rojas, M., Honorato, M., Andrade, M., Leyton, P., Mardones, G., Persico, D., Rojas, F., Moreno, D., Becker, E., Cavada, G., & Carvajal, C. (2020). Fragilidad: en busca de herramientas de evaluación preoperatoria. Revista Médica De Chile, 148(3). Recuperado a partir de https://revistamedicadechile.cl/index.php/rmedica/article/view/7844
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Artículos de Investigación