2026, Número S1
<< Anterior Siguiente >>
Rev Mex Anest 2026; 49 (S1)
¿A qué nos referimos cuando hablamos de fragilidad? Del modelo geriátrico al quirófano
Nepomuceno-Severiano Y
Idioma: Español
Referencias bibliográficas: 15
Paginas: 177-179
Archivo PDF: 743.30 Kb.
FRAGMENTO
INTRODUCCIÓN
Uno de los errores conceptuales más frecuentes en la práctica clínica es asumir que la fragilidad y el envejecimiento son fenómenos equivalentes. Aunque su prevalencia aumenta con la edad, corresponden a entidades biológicas distintas. La fragilidad no es sinónimo de vejez, comorbilidad o discapacidad, sino un estado biológico y clínico de vulnerabilidad caracterizado por disminución de la reserva fisiológica y menor capacidad de adaptación frente al estrés.
REFERENCIAS (EN ESTE ARTÍCULO)
Partridge JSL, Harari D, Martin FC, Dhesi JK. New guidelines for theperioperative care of people living with frailty undergoing elective andemergency surgery, a commentary. Age Ageing. 2022;51:afac237. doi:10.1093/ageing/afac237.
George EL, Hall DE, Youk A, Chen R, Kashikar A, Trickey AW, et al.Association between patient frailty and postoperative mortality acrossmultiple noncardiac surgical specialties. JAMA Surg. 2021;156:e205152.doi: 10.1001/jamasurg.2020.5152.
Swarbrick CJ, SNAP-3 collaborators, Williams K, Evans B, Blake HA,Poulton T, et al. Postoperative outcomes in older patients living withfrailty and multimorbidity in the UK: SNAP-3, a snapshot observationalstudy. Br J Anaesth. 2025;135:166-176. doi: 10.1016/j.bja.2025.04.026.
Hall DE, Jacobs CA, Reitz KM, Arya S, Jacobs MA, Cashy J, et al.Frailty screening using the risk analysis index: a user guide. Jt CommJ Qual Patient Saf. 2025;51:178-191.
Street A, Maynou L, Blodgett JM, Conroy S. Association betweenHospital Frailty Risk Score and length of hospital stay, hospital mortality,and hospital costs for all adults in England: a nationally representative,retrospective, observational cohort study. Lancet Healthy Longev.2025;6:100740.
McIsaac DI, Lee S, Fergusson D, Gillis C, Khadaroo RG, MeliambroA, et al. Home-based prehabilitation for older surgical patients withfrailty: a randomized clinical trial. JAMA Surg. 2025;161:113-123. doi:10.1001/jamasurg.2025.5288.
Cheuk E, Yan E, Alhamdah Y, Saripella A, Campbell S, He D, et al.The perioperative impact of frailty and cognitiveimpairment in oldersurgical patients: a multicentered longitudinal cohort study. J ClinAnesth. 2025;107:112015. doi: 10.1016/j.jclinane.2025.112015.
Fang J, Liang H, Chen M, Zhao Y, Wei L. Association of preoperativecognitive frailty with postoperative complications in older patientsunder general anesthesia: a prospective cohort study. BMC Geriatr.2024;24:851. doi: 10.1186/s12877-024-05431-1.
Lander HL, Dick AW, Joynt Maddox KE, Oldham MA, Fleisher LA,Mazzeffi M, et al. Postoperative delirium in older adults undergoingnoncardiac surgery. JAMA Netw Open. 2025;8:e2519467.
Han S, Zhang H, Li F, Hou D, Lv X, Lou J, et al. Associations ofpostoperative delirium with perioperative frailty worsening and theircombined effect on 1-year mortality in older surgical patients: aprospective cohort study. Eur Geriatr Med. 2026;17:1345-1355. doi:10.1007/s41999-026-01423-z.
Wijeysundera DN, Alibhai SMH, Puts MTE, Xu K, Daza JF, Diep C, etal. Significant new disability after major non-cardiac surgery in olderadults aged 65 years and older in Canada: a multicentre prospectivecohort study. Lancet Healthy Longev. 2025;6(11):100789. doi: https://doi.org/10.1016/j.lanhl.2025.100789.
Dossabhoy SS, Suskind AM, Finlayson E, George EL, Seib CD, TamuraMK, et al. Frailty and long-term health care utilization after electivegeneral and vascular surgery. JAMA Surg. 2025;160:e245065. doi:10.1001/jamasurg.2024.5711.
Engel JS, Tran J, Khalil N, McIsaac DI. A systematic review ofperioperative clinical practice guidelines for care of older adultsliving with frailty. Br J Anaesth. 2023;130:e251-e260. doi: 10.1016/j.bja.2022.11.033.
Daum N, Hoff L, Spies C, Pohrt A, Bald A, Langer N, et al. Influenceof frailty status on the incidence of intraoperative hypotension in olderadults undergoing surgery. Br J Anaesth. 2025;135:40-47.
Becerra-Bolaños Á, Hernández-Aguiar Y, Rodríguez-Pérez A.Preoperative frailty and postoperative complications after noncardiacsurgery: a systematic review. J Int Med Res. 2024;52:3000605241274553.doi: 10.1177/03000605241274553.