<?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>S0484-79032025000100033</article-id>
<article-id pub-id-type="doi">10.35366/118365</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Descripción de las directrices anticipadas en pacientes adultos mayores que ingresaron a cuidados paliativos]]></article-title>
<article-title xml:lang="en"><![CDATA[Description of advance care planning in older adult patients admitted to palliative care]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[García-Valdés]]></surname>
<given-names><![CDATA[Paola]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Templos-Esteban]]></surname>
<given-names><![CDATA[Luz Adriana]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Vázquez-Navarro]]></surname>
<given-names><![CDATA[Martha Estela]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital General Dr. Manuel Gea González Departamento de Dolor y Cuidados Paliativos ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></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>33</fpage>
<lpage>38</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S0484-79032025000100033&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S0484-79032025000100033&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S0484-79032025000100033&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen:  Introducción:  las directrices anticipadas son importantes para planificar la atención médica futura cuando una persona no pueda tomar decisiones por sí misma. En el caso de adultos mayores con enfermedades limitantes, es crucial tener estas directrices establecidas. La falta de información sobre quienes completan estos documentos dentro de un entorno hospitalario es un área poco explorada. El objetivo del estudio es describir las características clínicas y funcionales de los adultos mayores que establecen sus directrices anticipadas.  Material y métodos:  estudio observacional retrospectivo de 139 participantes mayores de 60 años que llevaron a cabo sus directrices anticipadas en el Hospital Gea González entre junio de 2021 y junio de 2023.  Resultados:  se encontró que la mayor parte de los sujetos estudiados tenían comorbilidades, siendo la sepsis la principal causa de muerte. La gran mayoría presentaron altas necesidades paliativas y dependencia funcional, por lo que, casi todas las decisiones fueron tomadas por sus familiares y se optaron por métodos poco invasivos. Finalmente, la media de supervivencia tras la interconsulta a cuidados paliativos fue de tres días.  Conclusiones:  estos hallazgos subrayan la importancia de la planificación anticipada de la atención previo a un episodio de hospitalización.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract:  Introduction:  advanced care planning is important for planning future medical care when a person is unable to make decisions for themselves. In the case of older adults with limiting illnesses, it is crucial to have these advanced care planning established. The lack of information about who completes these documents within a hospital setting is an underexplored area. The objective of the study is to describe the clinical and functional characteristics of older adults who establish their advance care planning.  Material and methods:  retrospective observational study of 139 participants over 60 years-old who carried out their advance care planning at Gea González Hospital between June 2021 and June 2023.  Results:  it was found that most of the studied subjects had comorbidities, with sepsis being the main cause of death. The vast majority presented high palliative needs and functional dependency, so almost all decisions were made by their relatives, opting for less invasive methods. Finally, the average survival after the palliative care consultation was three days.  Conclusions:  these findings underscore the importance of advance care planning prior to a hospitalization episode.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[directrices anticipadas]]></kwd>
<kwd lng="es"><![CDATA[adultos mayores]]></kwd>
<kwd lng="es"><![CDATA[cuidados paliativos]]></kwd>
<kwd lng="en"><![CDATA[advanced care planning]]></kwd>
<kwd lng="en"><![CDATA[older adults]]></kwd>
<kwd lng="en"><![CDATA[palliative care]]></kwd>
</kwd-group>
</article-meta>
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