Prevalencia de la fragilidad en pacientes incidentes en hemodiálisis.
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| Title: | Prevalencia de la fragilidad en pacientes incidentes en hemodiálisis. |
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| Alternate Title: | Prevalence of frailty in incident haemodialysis patients. |
| Authors: | Cirera-Segura, Francisco1 francisco.cirera.sspa@juntadeandalucia.es, Manzano-Angüa, María del Rocío1, Martín-Carrasco, María Adelaida1 |
| Source: | Enfermería Nefrológica. oct-dic2025, Vol. 28 Issue 4, p327-332. 6p. |
| Subjects: | WEIGHT loss, FRAIL elderly, STATISTICAL sampling, FATIGUE (Physiology), HEMODIALYSIS, DISEASE prevalence, DESCRIPTIVE statistics, LONGITUDINAL method, RESEARCH methodology, EARLY diagnosis, DIABETES |
| Geographic Terms: | SPAIN |
| Abstract (English): | Introduction: Frailty is a syndrome characterised by reduced physiological reserve and increased vulnerability to complications, falls, and mortality. In Spain, the elderly haemodialysis population is increasing, with reported frailty prevalence ranging from 26% to 73%, depending on the assessment instrument used. Objective: To assess the prevalence of frailty in incident haemodialysis patients using the FRAIL scale. Materials and Method: We conducted a prospective descriptive study from November 2024 through March 2025 using convenience sampling. Fifty-one incident haemodialysis patients were included. Demographic data, renal disease aetiology, diabetes mellitus, and vascular access were collected. Frailty was assessed using the FRAIL scale (five items: fatigue, resistance, ambulation, comorbidity, and weight loss), classifying patients as frail (>3 points), pre-frail (1-2 points), or non-frail (0 points). Results: Mean age was 68.76±12.18 years; 74.5% were men. The most frequent aetiology was unknown (25%). Overall, 64.7% of patients were frail, 29.7% pre-frail, and 5.9% nonfrail. The most frequent impairments were reduced resistance (76.5%), fatigue (64.7%), and weight loss (58.8%). Diabetes mellitus was significantly associated with frailty (p=0.012). No significant differences were found according to age, sex, body mass index, place of origin, vascular access, or urgent dialysis initiation. Conclusions: The combined prevalence of frailty and prefrailty reached 94.4%. The FRAIL scale proved to be a rapid and useful tool for early detection, facilitating the implementation of preventive interventions. Multicentre studies with larger sample sizes are needed to confirm these findings. [ABSTRACT FROM AUTHOR] |
| Abstract (Spanish): | Introducción: La fragilidad es un síndrome caracterizado por la disminución de la reserva fisiológica y mayor vulnerabilidad a complicaciones, caídas y mortalidad. En España, la población anciana en hemodiálisis está en aumento, con prevalencias de fragilidad del 26-73% según el instrumento de medida. Objetivo: El objetivo fue evaluar la prevalencia de fragilidad en pacientes incidentes en he-modiálisis mediante la escala FRAIL. Material y Método: Estudio descriptivo prospectivo realizado entre noviembre de 2024 y marzo de 2025, con muestreo incidental. Se incluyeron 51 pacientes incidentes en hemodiá- lisis. Se recogieron datos demográficos, etiología de la enfermedad renal, diabetes mellitus y acceso vascular. La fragilidad se evaluó con la escala FRAIL (cinco ítems: fatigabilidad, resistencia, deambulación, comorbilidad y pérdida de peso), clasificando a los pacientes como frágiles (>3 puntos), prefrágiles (1-2) o no frágiles (0). Resultados: Edad media: 68,76±12,18 años; 74,5% hombres. La etiología más frecuente fue no filiada (25%). El 64,7% fueron frágiles, el 29,7%, prefrágiles, y el 5,9%, no frágiles. Las alteraciones más frecuentes fueron problemas de resistencia (76,5%), fatigabilidad (64,7%) y pérdida de peso (58,8%). La diabetes mellitus se asoció significativamente con fragilidad (p=0,012). No se hallaron diferencias con edad, género, índice de masa corporal, procedencia, acceso vascular o inicio urgente. Conclusiones: La prevalencia combinada de fragilidad y prefragilidad alcanzó el 94,4%. La escala FRAIL demostró ser un instrumento rápido y útil para la detección precoz, lo que facilita la implementación de intervenciones preventivas. Se precisan estudios multicéntricos y con mayor tamaño muestral para confirmar estos resultados. [ABSTRACT FROM AUTHOR] |
| Copyright of Enfermería Nefrológica is the property of Sociedad Espanola de Enfermeria Nefrologica and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | MedicLatina |
| FullText | Links: – Type: pdflink Text: Availability: 0 |
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| Header | DbId: lth DbLabel: MedicLatina An: 191474352 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
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| Items | – Name: Title Label: Title Group: Ti Data: Prevalencia de la fragilidad en pacientes incidentes en hemodiálisis. – Name: TitleAlt Label: Alternate Title Group: TiAlt Data: Prevalence of frailty in incident haemodialysis patients. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Cirera-Segura%2C+Francisco%22">Cirera-Segura, Francisco</searchLink><relatesTo>1</relatesTo><i> francisco.cirera.sspa@juntadeandalucia.es</i><br /><searchLink fieldCode="AR" term="%22Manzano-Angüa%2C+María+del+Rocío%22">Manzano-Angüa, María del Rocío</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Martín-Carrasco%2C+María+Adelaida%22">Martín-Carrasco, María Adelaida</searchLink><relatesTo>1</relatesTo> – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22Enfermería+Nefrológica%22">Enfermería Nefrológica</searchLink>. oct-dic2025, Vol. 28 Issue 4, p327-332. 6p. – Name: Subject Label: Subjects Group: Su Data: <searchLink fieldCode="DE" term="%22WEIGHT+loss%22">WEIGHT loss</searchLink><br /><searchLink fieldCode="DE" term="%22FRAIL+elderly%22">FRAIL elderly</searchLink><br /><searchLink fieldCode="DE" term="%22STATISTICAL+sampling%22">STATISTICAL sampling</searchLink><br /><searchLink fieldCode="DE" term="%22FATIGUE+%28Physiology%29%22">FATIGUE (Physiology)</searchLink><br /><searchLink fieldCode="DE" term="%22HEMODIALYSIS%22">HEMODIALYSIS</searchLink><br /><searchLink fieldCode="DE" term="%22DISEASE+prevalence%22">DISEASE prevalence</searchLink><br /><searchLink fieldCode="DE" term="%22DESCRIPTIVE+statistics%22">DESCRIPTIVE statistics</searchLink><br /><searchLink fieldCode="DE" term="%22LONGITUDINAL+method%22">LONGITUDINAL method</searchLink><br /><searchLink fieldCode="DE" term="%22RESEARCH+methodology%22">RESEARCH methodology</searchLink><br /><searchLink fieldCode="DE" term="%22EARLY+diagnosis%22">EARLY diagnosis</searchLink><br /><searchLink fieldCode="DE" term="%22DIABETES%22">DIABETES</searchLink> – Name: SubjectGeographic Label: Geographic Terms Group: Su Data: <searchLink fieldCode="DE" term="%22SPAIN%22">SPAIN</searchLink> – Name: Abstract Label: Abstract (English) Group: Ab Data: Introduction: Frailty is a syndrome characterised by reduced physiological reserve and increased vulnerability to complications, falls, and mortality. In Spain, the elderly haemodialysis population is increasing, with reported frailty prevalence ranging from 26% to 73%, depending on the assessment instrument used. Objective: To assess the prevalence of frailty in incident haemodialysis patients using the FRAIL scale. Materials and Method: We conducted a prospective descriptive study from November 2024 through March 2025 using convenience sampling. Fifty-one incident haemodialysis patients were included. Demographic data, renal disease aetiology, diabetes mellitus, and vascular access were collected. Frailty was assessed using the FRAIL scale (five items: fatigue, resistance, ambulation, comorbidity, and weight loss), classifying patients as frail (>3 points), pre-frail (1-2 points), or non-frail (0 points). Results: Mean age was 68.76±12.18 years; 74.5% were men. The most frequent aetiology was unknown (25%). Overall, 64.7% of patients were frail, 29.7% pre-frail, and 5.9% nonfrail. The most frequent impairments were reduced resistance (76.5%), fatigue (64.7%), and weight loss (58.8%). Diabetes mellitus was significantly associated with frailty (p=0.012). No significant differences were found according to age, sex, body mass index, place of origin, vascular access, or urgent dialysis initiation. Conclusions: The combined prevalence of frailty and prefrailty reached 94.4%. The FRAIL scale proved to be a rapid and useful tool for early detection, facilitating the implementation of preventive interventions. Multicentre studies with larger sample sizes are needed to confirm these findings. [ABSTRACT FROM AUTHOR] – Name: Abstract Label: Abstract (Spanish) Group: Ab Data: Introducción: La fragilidad es un síndrome caracterizado por la disminución de la reserva fisiológica y mayor vulnerabilidad a complicaciones, caídas y mortalidad. En España, la población anciana en hemodiálisis está en aumento, con prevalencias de fragilidad del 26-73% según el instrumento de medida. Objetivo: El objetivo fue evaluar la prevalencia de fragilidad en pacientes incidentes en he-modiálisis mediante la escala FRAIL. Material y Método: Estudio descriptivo prospectivo realizado entre noviembre de 2024 y marzo de 2025, con muestreo incidental. Se incluyeron 51 pacientes incidentes en hemodiá- lisis. Se recogieron datos demográficos, etiología de la enfermedad renal, diabetes mellitus y acceso vascular. La fragilidad se evaluó con la escala FRAIL (cinco ítems: fatigabilidad, resistencia, deambulación, comorbilidad y pérdida de peso), clasificando a los pacientes como frágiles (>3 puntos), prefrágiles (1-2) o no frágiles (0). Resultados: Edad media: 68,76±12,18 años; 74,5% hombres. La etiología más frecuente fue no filiada (25%). El 64,7% fueron frágiles, el 29,7%, prefrágiles, y el 5,9%, no frágiles. Las alteraciones más frecuentes fueron problemas de resistencia (76,5%), fatigabilidad (64,7%) y pérdida de peso (58,8%). La diabetes mellitus se asoció significativamente con fragilidad (p=0,012). No se hallaron diferencias con edad, género, índice de masa corporal, procedencia, acceso vascular o inicio urgente. Conclusiones: La prevalencia combinada de fragilidad y prefragilidad alcanzó el 94,4%. La escala FRAIL demostró ser un instrumento rápido y útil para la detección precoz, lo que facilita la implementación de intervenciones preventivas. Se precisan estudios multicéntricos y con mayor tamaño muestral para confirmar estos resultados. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of Enfermería Nefrológica is the property of Sociedad Espanola de Enfermeria Nefrologica and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
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| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.37551/S2254-28842025033 Languages: – Code: spa Text: Spanish PhysicalDescription: Pagination: PageCount: 6 StartPage: 327 Subjects: – SubjectFull: WEIGHT loss Type: general – SubjectFull: FRAIL elderly Type: general – SubjectFull: STATISTICAL sampling Type: general – SubjectFull: FATIGUE (Physiology) Type: general – SubjectFull: HEMODIALYSIS Type: general – SubjectFull: DISEASE prevalence Type: general – SubjectFull: DESCRIPTIVE statistics Type: general – SubjectFull: LONGITUDINAL method Type: general – SubjectFull: RESEARCH methodology Type: general – SubjectFull: EARLY diagnosis Type: general – SubjectFull: DIABETES Type: general – SubjectFull: SPAIN Type: general Titles: – TitleFull: Prevalencia de la fragilidad en pacientes incidentes en hemodiálisis. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Cirera-Segura, Francisco – PersonEntity: Name: NameFull: Manzano-Angüa, María del Rocío – PersonEntity: Name: NameFull: Martín-Carrasco, María Adelaida IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 10 Text: oct-dic2025 Type: published Y: 2025 Identifiers: – Type: issn-print Value: 22542884 Numbering: – Type: volume Value: 28 – Type: issue Value: 4 Titles: – TitleFull: Enfermería Nefrológica Type: main |
| ResultId | 1 |
