<?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>2448-8909</journal-id>
<journal-title><![CDATA[Medicina crítica (Colegio Mexicano de Medicina Crítica)]]></journal-title>
<abbrev-journal-title><![CDATA[Med. crít. (Col. Mex. Med. Crít.)]]></abbrev-journal-title>
<issn>2448-8909</issn>
<publisher>
<publisher-name><![CDATA[Colegio Mexicano de Medicina Crítica A.C.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2448-89092023000700547</article-id>
<article-id pub-id-type="doi">10.35366/114855</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Asociación entre el nivel de fragilidad previo al ingreso a la Unidad de Terapia Intensiva con la mortalidad al egreso hospitalario en el paciente en estado crítico]]></article-title>
<article-title xml:lang="en"><![CDATA[Association between the level of fragility prior to admission to the Intensive Care Unit with mortality at hospital discharge in critically ill patients]]></article-title>
<article-title xml:lang="pt"><![CDATA[Associação entre o nível de fragilidade anterior à admissão na Unidade de Terapia Intensiva com a mortalidade na alta hospitalar em pacientes em estado crítico]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[García Morán]]></surname>
<given-names><![CDATA[Concepción]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Muralla Sil]]></surname>
<given-names><![CDATA[Laura Ichelle]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cerón Díaz]]></surname>
<given-names><![CDATA[Ulises Wilfrido]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Español Unidad de Terapia Intensiva «Dr. Alberto Villazón Sahagún» ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>México</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2023</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2023</year>
</pub-date>
<volume>37</volume>
<numero>7</numero>
<fpage>547</fpage>
<lpage>551</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S2448-89092023000700547&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S2448-89092023000700547&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S2448-89092023000700547&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen:  Introducción:  la fragilidad previa al ingreso a las unidades de cuidado crítico, medida con la escala clínica de fragilidad (CFS), se asocia con la mortalidad.  Objetivos:  determinar la asociación entre el puntaje de CFS previo al ingreso a la Unidad de Terapia Intensiva (UTI) y la mortalidad al egreso hospitalario en el paciente en estado crítico en un hospital privado de tercer nivel.  Material y métodos:  se realizó un estudio observacional, longitudinal, prospectivo. Incluyó a todos los pacientes ingresados a la UTI del 1 de marzo al 30 de junio de 2023.  Resultados:  se incluyeron 116 pacientes con media de edad de 64.2 ± 17.8 años; 45.7% fueron mujeres. La mortalidad global fue de 18.1%, y fue mayor en los pacientes con puntaje &#8805; 4 de la CFS (p = 0.003). El análisis univariado encontró que los enfermos que fallecieron tuvieron como factores asociados el puntaje de SAPS 3 (p &lt; 0.001), SOFA (p &lt; 0.001), horas de ventilación mecánica (p = 0.004) y el puntaje de CFS (p = 0.003). En el análisis multivariado, a través de regresión logística, se encontró que los días de estancia hospitalaria (p = 0.001), el puntaje de SOFA (p &lt; 0.001), las horas de ventilación mecánica (p = 0.015) y el puntaje de CFS (p = 0.003) fueron variables que se asociaron de manera independiente a la mortalidad.  Conclusiones:  la CFS es una variable que se asocia de manera independiente con la mortalidad al egreso hospitalario y puede ser utilizada por su practicidad para estimar el impacto de la condición previa al ingreso a la UTI en el pronóstico de los pacientes críticos.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract:  Introduction:  frailty prior to admission to critical care units, measured with the clinical frailty scale (CFS), is associated with mortality.  Objectives:  to determine the association between the CFS score prior to admission to the Intensive Care Unit (ICU) and mortality at hospital discharge in critically ill patients in a private tertiary hospital.  Material and methods:  an observational, longitudinal, prospective study was conducted. It included all patients admitted to the ICU from March 1 to June 30, 2023.  Results:  116 patients with a mean age of 64.2 ± 17.8 years, 45.7% were women. Overall mortality was 18.1%, and it was higher in patients with CFS score &#8805; 4 (p = 0.003). The univariate analysis found that the patients who died had as associated factors the SAPS 3 score (p &lt; 0.001), SOFA (p &lt; 0.001), hours of mechanical ventilation (p = 0.004) and CFS score (p = 0.003). In the multivariate analysis, through logistic regression, it was found that the days of hospital stay (p = 0.001), the SOFA score (p &lt; 0.001), the hours of mechanical ventilation (p = 0.015) and the CFS score (p = 0.003) were variables that were independently associated with mortality.  Conclusions:  CFS is a variable that is independently associated with mortality at hospital discharge and can be used for its convenience to estimate the impact of the condition prior to admission to the ICU on the prognosis of critically ill patients.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo:  Introdução:  a fragilidade prévia à admissão em unidades de terapia intensiva, medida através da escala de fragilidade clínica (EFC), está associada à mortalidade.  Objetivos:  determinar a associação entre o escore da EFC antes da admissão na Unidade de Terapia Intensiva (UTI) e a mortalidade na alta hospitalar em pacientes em estado crítico de um hospital privado terciário.  Material e métodos:  realizou-se um estudo observacional, longitudinal e prospectivo. Incluíram-se todos os pacientes internados na UTI no período de 1o de março a 30 de junho de 2023.  Resultados:  dos 116 pacientes com idade média de 64.2 ± 17.8 anos, 45.7% eram mulheres. A mortalidade geral foi de 18.1% e foi maior em pacientes com escore EFC &#8805; 4 (p = 0.003). A análise univariada constatou que os pacientes que foram a óbito tiveram como fatores associados o escore SAPS 3 (p &lt; 0.001), SOFA (p &lt; 0.001), horas de ventilação mecânica (p = 0.004) e o escore EFC (p = 0.003). Na análise multivariada, por meio de regressão logística, constatou-se que os dias de internação (p = 0.001), o escore SOFA (p &lt; 0.001), as horas de ventilação mecânica (p = 0.015) e o escore EFC (p = 0.003) foram variáveis que se associaram independentemente à mortalidade.  Conclusões:  a EFC é uma variável que se associa independentemente à mortalidade na alta hospitalar e pode ser utilizada devido à sua praticidade para estimar o impacto da condição antes da admissão na UTI no prognóstico de pacientes críticos.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[escala clínica de fragilidad]]></kwd>
<kwd lng="es"><![CDATA[CFS]]></kwd>
<kwd lng="es"><![CDATA[mortalidad]]></kwd>
<kwd lng="es"><![CDATA[UTI]]></kwd>
<kwd lng="es"><![CDATA[unidad de terapia intensiva]]></kwd>
<kwd lng="es"><![CDATA[fragilidad]]></kwd>
<kwd lng="es"><![CDATA[predicción de riesgo]]></kwd>
<kwd lng="en"><![CDATA[clinical frailty scale]]></kwd>
<kwd lng="en"><![CDATA[CFS]]></kwd>
<kwd lng="en"><![CDATA[mortality]]></kwd>
<kwd lng="en"><![CDATA[ICU]]></kwd>
<kwd lng="en"><![CDATA[intensive care unit]]></kwd>
<kwd lng="en"><![CDATA[frailty]]></kwd>
<kwd lng="en"><![CDATA[risk prediction]]></kwd>
<kwd lng="pt"><![CDATA[escala de fragilidade clínica]]></kwd>
<kwd lng="pt"><![CDATA[EFC]]></kwd>
<kwd lng="pt"><![CDATA[mortalidade]]></kwd>
<kwd lng="pt"><![CDATA[UTI]]></kwd>
<kwd lng="pt"><![CDATA[unidade de terapia intensiva]]></kwd>
<kwd lng="pt"><![CDATA[fragilidade]]></kwd>
<kwd lng="pt"><![CDATA[predição de risco]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[McDermid]]></surname>
<given-names><![CDATA[RC]]></given-names>
</name>
<name>
<surname><![CDATA[Stelfox]]></surname>
<given-names><![CDATA[HT]]></given-names>
</name>
<name>
<surname><![CDATA[Bagshaw]]></surname>
<given-names><![CDATA[SM]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Frailty in the critically ill: a novel concept]]></article-title>
<source><![CDATA[Crit Care]]></source>
<year>2011</year>
<volume>15</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>301</page-range></nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[De Biasio]]></surname>
<given-names><![CDATA[JC]]></given-names>
</name>
<name>
<surname><![CDATA[Mittel]]></surname>
<given-names><![CDATA[AM]]></given-names>
</name>
<name>
<surname><![CDATA[Mueller]]></surname>
<given-names><![CDATA[AL]]></given-names>
</name>
<name>
<surname><![CDATA[Ferrante]]></surname>
<given-names><![CDATA[LE]]></given-names>
</name>
<name>
<surname><![CDATA[Kim]]></surname>
<given-names><![CDATA[DH]]></given-names>
</name>
<name>
<surname><![CDATA[Shaefi]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Frailty in critical care medicine: a review]]></article-title>
<source><![CDATA[Anesth Analg]]></source>
<year>2020</year>
<volume>130</volume>
<numero>6</numero>
<issue>6</issue>
<page-range>1462-73</page-range></nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Muscedere]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Waters]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
<name>
<surname><![CDATA[Varambally]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Bagshaw]]></surname>
<given-names><![CDATA[SM]]></given-names>
</name>
<name>
<surname><![CDATA[Boyd]]></surname>
<given-names><![CDATA[JG]]></given-names>
</name>
<name>
<surname><![CDATA[Maslove]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[The impact of frailty on intensive care unit outcomes: a systematic review and meta-analysis]]></article-title>
<source><![CDATA[Intensive Care Med]]></source>
<year>2017</year>
<volume>43</volume>
<numero>8</numero>
<issue>8</issue>
<page-range>1105-22</page-range></nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Pérez-Zepeda]]></surname>
<given-names><![CDATA[MU]]></given-names>
</name>
<name>
<surname><![CDATA[Rodríguez]]></surname>
<given-names><![CDATA[MA]]></given-names>
</name>
<name>
<surname><![CDATA[Wong]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
</person-group>
<source><![CDATA[Envejecimiento en México: fragilidad]]></source>
<year>2020</year>
<publisher-name><![CDATA[Boletín Informativo del ENASEM]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Rockwood]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
<name>
<surname><![CDATA[Song]]></surname>
<given-names><![CDATA[X]]></given-names>
</name>
<name>
<surname><![CDATA[MacKnight]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Bergman]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
<name>
<surname><![CDATA[Hogan]]></surname>
<given-names><![CDATA[DB]]></given-names>
</name>
<name>
<surname><![CDATA[McDowell]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[A global clinical measure of fitness and frailty in elderly people]]></article-title>
<source><![CDATA[CMAJ]]></source>
<year>2005</year>
<volume>173</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>489-95</page-range></nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Jung]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Guidet]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
<name>
<surname><![CDATA[Flaatten]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Frailty in intensive care medicine must be measured, interpreted and taken into account!]]></article-title>
<collab>VIP study group</collab>
<source><![CDATA[Intensive Care Med]]></source>
<year>2023</year>
<volume>49</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>87-90</page-range></nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Darvall]]></surname>
<given-names><![CDATA[JN]]></given-names>
</name>
<name>
<surname><![CDATA[Bellomo]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Paul]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Bailey]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Young]]></surname>
<given-names><![CDATA[PJ]]></given-names>
</name>
<name>
<surname><![CDATA[Reid]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Routine frailty screening in critical illness: a population-based cohort study in Australia and New Zealand]]></article-title>
<source><![CDATA[Chest]]></source>
<year>2021</year>
<volume>160</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>1292-303</page-range></nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Pasin]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Boraso]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Golino]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Fakhr]]></surname>
<given-names><![CDATA[BS]]></given-names>
</name>
<name>
<surname><![CDATA[Tiberio]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
<name>
<surname><![CDATA[Trevisan]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[The impact of frailty on mortality in older patients admitted to an Intensive Care Unit]]></article-title>
<source><![CDATA[Med Intensiva (Engl Ed)]]></source>
<year>2020</year>
<numero>20</numero>
<issue>20</issue>
<page-range>30191</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
