<?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>0484-7903</journal-id>
<journal-title><![CDATA[Revista mexicana de anestesiología]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. mex. anestesiol.]]></abbrev-journal-title>
<issn>0484-7903</issn>
<publisher>
<publisher-name><![CDATA[Colegio Mexicano de Anestesiología A.C.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0484-79032025000100023</article-id>
<article-id pub-id-type="doi">10.35366/118363</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Síndrome de fragilidad como predictor en la práctica de atención paliativa en la persona mayor de edad avanzada]]></article-title>
<article-title xml:lang="en"><![CDATA[Frailty syndrome as a predictor of palliative care practice in the elderly]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Verano-Matadamas]]></surname>
<given-names><![CDATA[Verónica]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Guevara-López]]></surname>
<given-names><![CDATA[Uría]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Terrazas-Luna]]></surname>
<given-names><![CDATA[Víctor M]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado Geriatra Hospital Regional «Presidente Benito Juárez» ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad Autónoma «Benito Juárez» de Oaxaca Facultad de Medicina y Cirugía Observatorio Nacional de Cuidados Paliativos]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Hospital Regional de Alta Especialidad de Oaxaca  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>México</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>03</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>03</month>
<year>2025</year>
</pub-date>
<volume>48</volume>
<numero>1</numero>
<fpage>23</fpage>
<lpage>27</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S0484-79032025000100023&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S0484-79032025000100023&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S0484-79032025000100023&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen:  Introducción:  el síndrome de fragilidad es un síndrome geriátrico asociado a resultados adversos de la salud como hospitalización, institucionalización y muerte.  Objetivo:  identificar y medir su severidad, en la práctica clínica para una atención paliativa oportuna.  Material y métodos:  se estudiaron en forma prospectiva una muestra de 99 adultos mayores, aplicándoles cuestionarios semiestructurados, escalas (Barthel, Lawton) y para detectar síndrome de fragilidad (FRAIL). A los resultados se les efectuó un análisis: descriptivo, univariado, bivariado y pruebas de hipótesis no paramétricas de &#967;2 y Odds Ratio; para determinar la asociación causal, se utilizó la correlación de Spearman.  Resultados:  99 personas mayores, 74% femeninos y 26% masculinos. La escala de FRAIL determinó que, de los 99 pacientes, 35.4% cursaban con prefragilidad y 41.4% con fragilidad, con aumento de este síndrome en personas de edad avanzada mayores de 81 años, con una prevalencia de 83%.  Conclusiones:  existe una alta prevalencia de síndrome de fragilidad en personas adultas mayores de edad avanzada con factores de riesgo estadísticamente significativos: sexo femenino, estado civil viudo, escolaridad incompleta, déficit sensorial (mixto), polifarmacia. La correlación Spearman indicó asociaciones importantes con el grado de dependencia.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract:  Introduction:  frailty syndrome is a geriatric syndrome associated with adverse health outcomes such as hospitalization, institutionalization and death.  Objective:  to identify and measure its severity in clinical practice for timely palliative care.  Material and methods:  a sample of 99 older adults was prospectively studied, using semi-structured questionnaires, scales (Barthel, Lawton) and to detect frailty syndrome (FRAIL). The results were analyzed: descriptive, univariate, bivariate and nonparametric hypothesis tests of &#967;2 and odd ratio; to determine the causal association, Spearman&#8217;s correlation was used.  Results:  99 older people, 74% female and 26% male. The FRAIL scale determined that of the 99 patients, 35.4% had pre-frailty and 41.4% had frailty, with an increase in this syndrome in elderly people over 81 years of age, with a prevalence of 83%.  Conclusions:  there is a high prevalence of frailty syndrome in elderly adults with statistically significant risk factors: female sex, widowed marital status, incomplete schooling, sensory deficit (mixed), polypharmacy. The Spearman correlation indicated significant associations with the degree of dependency.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[síndrome de fragilidad]]></kwd>
<kwd lng="es"><![CDATA[atención paliativa]]></kwd>
<kwd lng="es"><![CDATA[persona de edad avanzada]]></kwd>
<kwd lng="en"><![CDATA[frailty syndrome]]></kwd>
<kwd lng="en"><![CDATA[palliative care]]></kwd>
<kwd lng="en"><![CDATA[elderly person]]></kwd>
</kwd-group>
</article-meta>
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