<?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>2254-2884</journal-id>
<journal-title><![CDATA[Enfermería Nefrológica]]></journal-title>
<abbrev-journal-title><![CDATA[Enferm Nefrol]]></abbrev-journal-title>
<issn>2254-2884</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Española de Enfermería Nefrológica]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2254-28842022000100029</article-id>
<article-id pub-id-type="doi">10.37551/s2254-28842022003</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Clasificación funcional del paciente anciano en hemodiálisis y su influencia en la individualización del tratamiento]]></article-title>
<article-title xml:lang="en"><![CDATA[Functional classification of the elderly haemodialysis patient and its influence on individualisation of treatment]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Sánchez-Tocino]]></surname>
<given-names><![CDATA[Mª Luz]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Miranda-Serrano]]></surname>
<given-names><![CDATA[Blanca]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Villoria-González]]></surname>
<given-names><![CDATA[Silvia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pereira-García]]></surname>
<given-names><![CDATA[Mónica]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[López-González]]></surname>
<given-names><![CDATA[Antonio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[González-Parra]]></surname>
<given-names><![CDATA[Emilio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Fundación Renal Íñigo Álvarez de Toledo  ]]></institution>
<addr-line><![CDATA[Salamanca ]]></addr-line>
<country>España</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Fundación Renal Íñigo Álvarez de Toledo  ]]></institution>
<addr-line><![CDATA[Madrid ]]></addr-line>
<country>España</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Complejo Hospitalario Universitario A Coruña  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>España</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Fundación Jiménez Díaz Servicio de Nefrología e Hipertensión ]]></institution>
<addr-line><![CDATA[Madrid ]]></addr-line>
<country>España</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>03</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>03</month>
<year>2022</year>
</pub-date>
<volume>25</volume>
<numero>1</numero>
<fpage>29</fpage>
<lpage>38</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_arttext&amp;pid=S2254-28842022000100029&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_abstract&amp;pid=S2254-28842022000100029&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_pdf&amp;pid=S2254-28842022000100029&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción: La edad de los pacientes en hemodiálisis está aumentando, presentando mayor deterioro.  Objetivos: Conocer la situación del paciente anciano en he modiálisis categorizando nuestra población. Analizar la relación entre las escalas de funcionalidad, desnutrición y comorbilidad.  Material y Método: Estudio descriptivo transversal, pacientes 75-95 años. Se midieron: a) Comorbilidad-CHARLSON: alta (&gt;6 puntos). b) Nutrición-MISS: extremadamente desnutrido (&lt;10 puntos.); desnutrición muy severa (&gt;7-10 puntos); moderada-se vera (&gt;5-7 puntos); leve-moderada (&gt;2-5 puntos); normonutrido (&lt;2 puntos); c) Dependencia-BARTHEL, independiente (100 puntos); dependencia leve (91-99 puntos); moderada (61-90 puntos.); severa (21-60 puntos.); total (&lt;20 puntos). d) Fragili dad-FRAIL, no fragilidad (0 puntos); prefrágil (1-2 puntos); frágil (&gt;3 puntos).  Resultados: 60 pacientes, 68% (41) hombres, edad me dia 81,85±5,58 años y tiempo HD 49,88±40,29 meses. Etiología más prevalente, diabetes mellitus (28%). MIS: 6,01±3,80 puntos. clasificándose 8 (13%) normonutridos, 24 (40%) desnutrición leve-moderada, 10 (17%) desnutrición moderada-severa, 13 (22%) desnutrición muy severa y 5 (8%) extremadamente desnutridos. BARTHEL: 88,16±18,59 puntos, clasificó 32 (53%) independientes, 6 (10%) dependencia leve, 17 (28%) dependencia moderada, 4 (7%) dependencia severa, 1 (2%) dependencia total. FRAIL: 1,98±1,32 puntos, clasificó 10 (17%) no frágiles, 31 (51%) prefrágiles y 19 (32%) frágiles. CHARLSON: 10,01±2,20 puntos. Presentando 60 (100%) alta comorbilidad. CHARLSON presentó diferencias entre sexo, mayor en hombres (p=0,002). Se encontró alta correlación entre Barthel y Frail (r=0,647, p&lt;0,001), moderada entre MIS y Barthel (r=0,556, p&lt;0,001) y MIS y Frail (r=0,455, p&lt;0,001). Charlson obtuvo peor correlación.  Conclusiones: Se evidenció gran deterioro general del paciente añoso en diálisis, alertando sobre la necesidad de realizar tratamientos individualizados enfocados en su recuperación, incluida la propia diálisis.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction: The age of patients on hemodialysis is increasing, presenting greater deterioration.  Objectives: To know the situation of the elderly patient on hemodialysis, categorizing our population. Analyze the relationship between the scales of functionality, malnutrition and comorbidity.  Method: Cross-sectional descriptive study, patients 75-95 years old. Were measured: a) Comorbidity-CHARLSON: high (&gt;6 points). b) Nutrition-MISS: extremely malnourished (&lt;10 points); very severe malnutrition (&gt;7-10 points); mo derate-severe (&gt;5-7 points); mild-moderate (&gt;2-5 points); normonourished (&lt;2 points); c) Dependence-BARTHEL, independent (100 points); dependency level (91-99 points); moderate (61-90 points); severe (21-60 points); totals (&lt;20 points). d) Frailty-FRAIL, without frailty (0 points); prefragile (1-2 points); fragile (&gt;3 points).  Results: 60 patients, 68% (41) men, mean age 81.85±5.58 years and HD time 49.88±40.29 months. Most prevalent etiology, diabetes mellitus (28%). MIS: 6.01±3.80 points. classifying 8 (13%) as normonourished, 24 (40%) as mild-moderate mal nutrition, 10 (17%) as moderate-severe malnutrition, 13 (22%) as very severe malnutrition, and 5 (8%) as extremely malnourished. BARTHEL: 88.16±18.59 points, classified 32 (53%) independent, 6 (10%) mild dependence, 17 (28%) moderate de pendence, 4 (7%) severe dependence, 1 (2%) dependence total. FRAGILE: 1.98±1.32pts, classified 10 (17%) non-frail, 31 (51%) pre-frail and 19 (32%) frail. CHARLSON: 10.01±2.20 points. Presenting 60 (100%) high comorbidity. CHARLSON presented differences between sex, higher in men (p=0.002). High coincidence was found between Barthel and Frail (r=0.647, p&lt;0.001), moderate between MIS and Barthel (r=0.556, p&lt;0.001) and MIS and Frail (r=0.455, p&lt;0.001). Charlson was the scale with the worst correlation.  Conclusions: The results showed a great general deterioration of elderly patients on dialysis, highlighting the need for individualised treatments focused on their recovery, including the dialysis technique itself.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[hemodiálisis]]></kwd>
<kwd lng="es"><![CDATA[anciano]]></kwd>
<kwd lng="es"><![CDATA[desnutrición]]></kwd>
<kwd lng="es"><![CDATA[depen dencia]]></kwd>
<kwd lng="es"><![CDATA[fragilidad]]></kwd>
<kwd lng="es"><![CDATA[comorbilidad]]></kwd>
<kwd lng="en"><![CDATA[haemodialysis]]></kwd>
<kwd lng="en"><![CDATA[elderly]]></kwd>
<kwd lng="en"><![CDATA[malnutrition]]></kwd>
<kwd lng="en"><![CDATA[dependen cy]]></kwd>
<kwd lng="en"><![CDATA[frailty]]></kwd>
<kwd lng="en"><![CDATA[comorbidity]]></kwd>
</kwd-group>
</article-meta>
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