Anestesia en pacientes con síndrome de fragilidad

Fragility syndrome is defined as a state of decreased physiological reserves and a limited ability to compensate and recover easily. (1) Due to an ageing population, the prevalence of fragility syndrome is increasing. This concept is used in anesthesia as a predictor of complications, transoperatives or post operatives and can guide better decision-making. Frailty is also associated with decreased quality of life, higher number of hospitalizations, increased hospital stay, increased risk of postoperative complications, and higher mortality. However, although several frailty assessment tools are available, routine evaluation is not commonly performed prior to elective surgery and there is also no standardized method of how it should be measured. This review aims to provide an overview of what is discussed in the literature regarding fragility syndrome and its impact on anesthesia.