<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1405-0099</journal-id>
<journal-title><![CDATA[Cirujano general]]></journal-title>
<abbrev-journal-title><![CDATA[Cir. gen]]></abbrev-journal-title>
<issn>1405-0099</issn>
<publisher>
<publisher-name><![CDATA[Asociación Mexicana de Cirugía General A.C.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1405-00992024000200110</article-id>
<article-id pub-id-type="doi">10.35366/118279</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[La importancia de valoración geriátrica integral preoperatoria como predictor de complicaciones posquirúrgicas en el adulto mayor]]></article-title>
<article-title xml:lang="en"><![CDATA[The importance of comprehensive preoperative geriatric assessment as a predictor of postsurgical complications in the elderly]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Uscanga Mejía]]></surname>
<given-names><![CDATA[Ivonne]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Suarez Méndez]]></surname>
<given-names><![CDATA[José Antonio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Robledo Madrid]]></surname>
<given-names><![CDATA[Paul]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Noyola Villalobos]]></surname>
<given-names><![CDATA[Héctor Faustino]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Benemérita Universidad Autónoma de Puebla Facultad de Medicina ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital Central Militar  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Hospital Militar Regional de Acapulco  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>México</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2024</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2024</year>
</pub-date>
<volume>46</volume>
<numero>2</numero>
<fpage>110</fpage>
<lpage>113</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S1405-00992024000200110&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S1405-00992024000200110&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S1405-00992024000200110&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen: La valoración preoperatoria es una herramienta que ayuda a reconocer factores de riesgo, establecer porcentajes de presentación de complicaciones en aquellos pacientes que se someten a una cirugía y clasificar a aquellos que son más susceptibles de desarrollar complicaciones, incluso para determinar quienes no sean aptos para realizar un procedimiento quirúrgico específico, en la actualidad, la población de adultos mayores se incrementa y como consecuencia el porcentaje de pacientes que requieren intervenciones quirúrgicas. La valoración geriátrica integral es una herramienta de evaluación individualizada del adulto mayor que permite integrar datos importantes de los diferentes dominios (cognitivo, clínico, funcional y social), recopilados a través de diferentes escalas y ayuda a detectar pacientes con síndrome de fragilidad, que es un factor de riesgo para el desarrollo de complicaciones posoperatorias y se utiliza como predictor de morbimortalidad en el perioperatorio, actualmente se considera un factor de riesgo bien establecido para efectos adversos. Por tal motivo para poder realizar un procedimiento quirúrgico de manera más segura y disminuir complicaciones en este grupo de pacientes, se requiere un valoración más allá de datos de laboratorio, de imagen y registro electrocardiográfico, ya que se trata de población con una disminución de la respuesta de varios sistemas, por lo que proponemos implementar la valoración geriátrica integral como herramienta para identificar el síndrome de fragilidad en el adulto mayor y disminuir las complicaciones posquirúrgicas que se presentan en pacientes que requieren algún tipo de procedimiento quirúrgico en cirugía general.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract: Preoperative assessment is a tool that helps recognize risk factors, establishes percentages of complications in those patients who undergo surgery and classifies those who are more susceptible to developing complications, even to determine who is not suitable to perform surgery a specific surgical procedure, currently the population of older adults is increasing and as a consequence the percentage of patients requiring surgical interventions. The comprehensive geriatric assessment is an individualized evaluation tool for the Elderly that allows the integration of important data from the different domains (cognitive, clinical, functional and social), collected through different scales and helps to detect patients with frailty syndrome, which is a risk factor for the development of postoperative complications and is used as a predictor of perioperative morbidity and mortality and is currently considered a well-established risk factor for adverse effects. For this reason, in order to perform a surgical procedure more safely and reduce complications in this group of patients, an assessment beyond laboratory data, imaging and electrocardiographic recording is required, since this is a population with a decreased response of several systems, so we propose to implement comprehensive geriatric assessment as a tool to identify frailty syndrome in the Elderly and reduce post-surgical complications that occur in patients who require some type of surgical procedure in general surgery.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[valoración geriátrica integral]]></kwd>
<kwd lng="es"><![CDATA[complicaciones posquirúrgicas]]></kwd>
<kwd lng="es"><![CDATA[adulto mayor]]></kwd>
<kwd lng="en"><![CDATA[comprehensive geriatric assessment]]></kwd>
<kwd lng="en"><![CDATA[post-surgical complications]]></kwd>
<kwd lng="en"><![CDATA[elderly patients]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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