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• W2893089239 abstract "Frailty is an age-associated clinical syndrome characterized by a decrease in physiological reserve in situations of stress, constituting a state of vulnerability that involves a higher risk of adverse events. Its prevalence in Spain is high, especially in elderly individuals with comorbidity and chronic diseases. In cardiovascular disease, frailty is associated worse clinical outcomes and higher morbidity and mortality in all scenarios, in both acute and chronic settings, and could consequently influence diagnosis and treatment. However, frailty is often not addressed or included when planning the management of elderly patients with heart disease. In this article, we review the available scientific evidence and highlight the most appropriate scales for the measurement and assessment of frailty, some of which are more useful and have better predictive capacity than others, depending on the clinical context. We also underline the importance of properly identifying and assessing frailty in order to include it in the treatment and care plan that best suits each patient. La fragilidad es un síndrome clínico que ocurre durante el envejecimiento, que se caracteriza por una disminución de la reserva fisiológica ante una situación de estrés y constituye un estado de vulnerabilidad que conlleva mayor riesgo de un resultado adverso. Su prevalencia en España es alta, especialmente en ancianos con comorbilidad y enfermedades crónicas. En el caso de la enfermedad cardiovascular, la fragilidad determina peores resultados clínicos, con mayor morbimortalidad en todos los escenarios, agudos y crónicos; por lo tanto, puede condicionar el diagnóstico y el tratamiento de los pacientes. A pesar de todo ello, se trata de un problema que con frecuencia no se aborda ni se incluye al planificar la atención al paciente mayor con cardiopatía. En este trabajo se repasa la evidencia científica disponible y se destacan las escalas más adecuadas para la medición y la valoración de la fragilidad, algunas con mayor utilidad y mejor capacidad predictiva según el contexto clínico en que se apliquen, y se resalta también la importancia de evaluarla para identificar su presencia e incluirla en el plan individualizado de tratamiento y cuidados que mejor se adapte a cada paciente." @default.
• W2893089239 created "2018-10-05" @default.
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• W2893089239 date "2019-01-01" @default.
• W2893089239 modified "2023-10-18" @default.
• W2893089239 title "Recommendations of the Geriatric Cardiology Section of the Spanish Society of Cardiology for the Assessment of Frailty in Elderly Patients With Heart Disease" @default.
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• W2893089239 doi "https://doi.org/10.1016/j.rec.2018.06.035" @default.
• W2893089239 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/30269913" @default.
• W2893089239 hasPublicationYear "2019" @default.
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