Fragilidad: En busca de herramientas de evaluación preoperatoria

Javiera Vargas*, Mariá De Los Ángeles Gálvez, Mariana Rojas, MacArena Honorato, Maricarmen Andrade, Patricio Leyton, Gabriela Mardones, Julián Morales, Daniela Pérsico, Fernanda Rojas, Duby Moreno, Erika Becker, Gabriel Cavada, Cristóbal Carvajal

*Autor correspondiente de este trabajo

Resultado de la investigación: Contribución a una revistaArtículorevisión exhaustiva

Resumen

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.

Título traducido de la contribuciónAssessment of two frailty scales for the preoperative period
Idioma originalEspañol
Páginas (desde-hasta)311-319
Número de páginas9
PublicaciónRevista Medica de Chile
Volumen148
N.º3
DOI
EstadoPublicada - mar. 2020

Nota bibliográfica

Publisher Copyright:
© 2020 Sociedad Medica de Santiago. All rights reserved.

Palabras clave

  • Anesthesia
  • Frail elderly
  • Perioperative care
  • Perioperative period
  • Risk assessment

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