{"id":6754,"date":"2023-12-09T08:22:31","date_gmt":"2023-12-09T08:22:31","guid":{"rendered":"https:\/\/neuropediatoolkit.org\/?p=6754"},"modified":"2023-12-27T13:19:07","modified_gmt":"2023-12-27T13:19:07","slug":"paciente-cronico-complejo","status":"publish","type":"post","link":"https:\/\/neuropediatoolkit.org\/en\/paciente-cronico-complejo\/","title":{"rendered":"Paciente cr\u00f3nico complejo."},"content":{"rendered":"\n<div id=\"wp-block-themeisle-blocks-accordion-1ef2be14\" class=\"wp-block-themeisle-blocks-accordion exclusive\">\n<details class=\"wp-block-themeisle-blocks-accordion-item\"><summary class=\"wp-block-themeisle-blocks-accordion-item__title\"><div>Identificaci\u00f3n.<\/div><\/summary><div class=\"wp-block-themeisle-blocks-accordion-item__content\">\n<div class=\"formbox-wrapper\"><form action=\"https:\/\/neuropediatoolkit.org\/en\/paciente-cronico-complejo\/\" name=\"formbox\" class=\"formbox formbox-4\" id=\"calculator_4\">\n\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<fieldset class=\"formbox__container\"><div class=\"formbox__title is-title-only\" style=\"font-size: 12px;font-weight: normal;box-shadow: none\">El \u00edtem a evaluar debe haber durado o preveerse que va a durar al menos 12 meses salvo otra especificaci\u00f3n.<\/div> <\/fieldset><fieldset class=\"formbox__container\"><div class=\"formbox__title\" style=\"box-shadow: none\">1. Atenci\u00f3n especializada, al menos una revisi\u00f3n al a\u00f1o. <\/div><div class=\"formbox__body\"><div class=\"formbox__field\" style=\"box-shadow: none\"><label class=\"formbox__field-lable\" for=\"formbox-field-1\">1. Atenci\u00f3n especializada, al menos una revisi\u00f3n al a\u00f1o. <\/label><select class=\"formbox__field-select\" name=\"formbox-field-1\" id=\"formbox-field-1\"><option value=\"1\">Menos de cuatro especialidades<\/option><option value=\"2\">M\u00e1s de cuatro especialidades o seguimiento en unidad de pacientes cr\u00f3nicos complejos o unidad de cuidados paliativos<\/option><\/select><\/div><\/div> <\/fieldset><fieldset class=\"formbox__container\"><div class=\"formbox__title\">2. Medicaci\u00f3n de uso cr\u00f3nico, prescrita por atenci\u00f3n primaria o hospitalaria.<\/div><div class=\"formbox__body\"><div class=\"formbox__field\" style=\"box-shadow: none\"><label class=\"formbox__field-lable\" for=\"formbox-field-2\">2. Medicaci\u00f3n de uso cr\u00f3nico, prescrita por atenci\u00f3n primaria o hospitalaria.<\/label><select class=\"formbox__field-select\" name=\"formbox-field-2\" id=\"formbox-field-2\"><option value=\"1\">Menos de cinco medicamentos al menos tres dias a la semana<\/option><option value=\"2\">Cinco o m\u00e1s medicamentos al menos tres dias a la semana<\/option><option value=\"2\">Medicaci\u00f3n de administraci\u00f3n hospitalaria o inmunosupresora, incluida quimitoerapia oral y biol\u00f3gicos<\/option><option value=\"3\">Medicaci\u00f3n intravenosa domiciliaria, transfusiones peri\u00f3dicas o antibioterapia dos o m\u00e1s ciclos en los \u00faltimos doce meses<\/option><\/select><\/div><\/div> <\/fieldset><fieldset class=\"formbox__container\"><div class=\"formbox__title\">3. Hospitalizaciones en los \u00faltimos 12 meses. <\/div><div class=\"formbox__body\"><div class=\"formbox__field\"><label class=\"formbox__field-lable\" for=\"formbox-field-3\">3. Hospitalizaciones en los \u00faltimos 12 meses. <\/label><select class=\"formbox__field-select\" name=\"formbox-field-3\" id=\"formbox-field-3\"><option value=\"0\">Ninguna<\/option><option value=\"1\">Dos hospitalizaciones no programadas o una hospitalizaci\u00f3n mayor a un mes<\/option><option value=\"2\">Tres o m\u00e1s hospitalizaciones no programadas o dos hospitalizacines mayores a un mes<\/option><\/select><\/div><\/div> <\/fieldset><fieldset class=\"formbox__container\"><div class=\"formbox__title\">4. Necesidades espec\u00edficas de alimentaci\u00f3n<\/div><div class=\"formbox__body\"><div class=\"formbox__field\"><label class=\"formbox__field-lable\" for=\"formbox-field-4\">4. Necesidades espec\u00edficas de alimentaci\u00f3n<\/label><select class=\"formbox__field-select\" name=\"formbox-field-4\" id=\"formbox-field-4\"><option value=\"0\">Ninguna<\/option><option value=\"1\">Dieta adaptada o de exclusi\u00f3n extensa<\/option><option value=\"2\">Alimentaci\u00f3n mediante dispositivo de nutrici\u00f3n enteral con posibilidad de fraccionar alimentaci\u00f3n<\/option><option value=\"3\">Alimentaci\u00f3n mediante dispositivo de nutrici\u00f3n enteral sin posibilidad de fraccionar alimentaci\u00f3n<\/option><option value=\"4\">Nutrici\u00f3n parenteral<\/option><\/select><\/div><\/div> <\/fieldset><fieldset class=\"formbox__container\"><div class=\"formbox__title\">5. Necesidad de cuidados respiratorios espec\u00edficos.<\/div><div class=\"formbox__body\"><div class=\"formbox__field\"><label class=\"formbox__field-lable\" for=\"formbox-field-5\">5. Necesidad de cuidados respiratorios espec\u00edficos.<\/label><select class=\"formbox__field-select\" name=\"formbox-field-5\" id=\"formbox-field-5\"><option value=\"0\">Ninguno<\/option><option value=\"1\">Necesidad de monitorizaci\u00f3n no invasiva, pulsioximetr\u00eda o monitor cardiorrespiratorio<\/option><option value=\"1\">Necesidad de aspiraci\u00f3n diaria de secreciones<\/option><option value=\"1\">Oxigenodependencia, uso continuado o durante el sue\u00f1o<\/option><option value=\"3\">Ventilaci\u00f3n no invasiva que permita desconexi\u00f3nes<\/option><option value=\"4\">Ventilaci\u00f3n no invasiva que no permita desconexiones, m\u00e1s de diecis\u00e9is horas al d\u00eda<\/option><option value=\"3\">Traqueostom\u00eda<\/option><option value=\"3\">Ventilaci\u00f3n invasiva por traqueostom\u00eda que permite desconexiones<\/option><option value=\"4\">Ventilaci\u00f3n invasiva por traqueostom\u00eda que no permite desconexiones, m\u00e1s de diecis\u00e9is horas al d\u00eda<\/option><\/select><\/div><\/div> <\/fieldset><fieldset class=\"formbox__container\"><div class=\"formbox__title\">6. Desarrollo psicomotor, problemas de movilidad, limitaciones funcionales<\/div><div class=\"formbox__body\"><div class=\"formbox__field\"><label class=\"formbox__field-lable\" for=\"formbox-field-6\">6. Desarrollo psicomotor, problemas de movilidad, limitaciones funcionales<\/label><select class=\"formbox__field-select\" name=\"formbox-field-6\" id=\"formbox-field-6\"><option value=\"0\">Normal<\/option><option value=\"1\">Retraso psicomotor o limitaciones funcionales leves, excluye paraplej\u00eda<\/option><option value=\"2\">Retraso psicomotor moderado o limitaciones funcionales moderadas, incluye paraplej\u00eda<\/option><option value=\"3\">Retraso psicomotor grave o limitaciones funcionales graves con dependencia completa del cuidador en todas las \u00e1reas<\/option><\/select><\/div><\/div> <\/fieldset><fieldset class=\"formbox__container\"><div class=\"formbox__title\">7. Patolog\u00eda visual o alteraci\u00f3n de la agudeza visual con repercusi\u00f3n en la vida diaria<\/div><div class=\"formbox__body\"><div class=\"formbox__field\"><div class=\"formbox__field-radio\"><input type=\"radio\" value=\"1\" name=\"formbox-field-7\" id=\"formbox-field-7_1\"><label for=\"formbox-field-7_1\">Presente, no apilable con otros d\u00e9ficits neurol\u00f3gicos<\/label><\/div><div class=\"formbox__field-radio\"><input type=\"radio\" value=\"0\" checked=\"checked\" name=\"formbox-field-7\" id=\"formbox-field-7_2\"><label for=\"formbox-field-7_2\">No presente<\/label><\/div><\/div><\/div> <\/fieldset><fieldset class=\"formbox__container\"><div class=\"formbox__title\">8. Otros dispositivos o t\u00e9cnicas. <\/div><div class=\"formbox__body\"><div class=\"formbox__field\"><div class=\"formbox__field-checkbox\"><input type=\"checkbox\" value=\"1\" name=\"formbox-field-8\" id=\"formbox-field-8\"><label for=\"formbox-field-8\">Pr\u00f3tesis mec\u00e1nica valvular o marcapasos o desfibrilador implantable<\/label><\/div><\/div><div class=\"formbox__field\"><div class=\"formbox__field-checkbox\"><input type=\"checkbox\" value=\"1\" name=\"formbox-field-9\" id=\"formbox-field-9\"><label for=\"formbox-field-9\">Pr\u00f3tesis auditiva o implante coclear<\/label><\/div><\/div><div class=\"formbox__field\"><div class=\"formbox__field-checkbox\"><input type=\"checkbox\" value=\"1\" name=\"formbox-field-10\" id=\"formbox-field-10\"><label for=\"formbox-field-10\">V\u00e1lvula de derivaci\u00f3n ventr\u00edculoperitoneal<\/label><\/div><\/div><div class=\"formbox__field\"><div class=\"formbox__field-checkbox\"><input type=\"checkbox\" value=\"1\" name=\"formbox-field-11\" id=\"formbox-field-11\"><label for=\"formbox-field-11\">Reservorio o cat\u00e9ter central, incluido hemodi\u00e1lisis<\/label><\/div><\/div><div class=\"formbox__field\" style=\"box-shadow: none\"><div class=\"formbox__field-checkbox\"><input type=\"checkbox\" value=\"2\" name=\"formbox-field-12\" id=\"formbox-field-12\"><label for=\"formbox-field-12\">Colostom\u00eda o ileostom\u00eda, al menos seis meses<\/label><\/div><\/div><div class=\"formbox__field\" style=\"box-shadow: none\"><div class=\"formbox__field-checkbox\"><input type=\"checkbox\" value=\"1\" name=\"formbox-field-13\" id=\"formbox-field-13\"><label for=\"formbox-field-13\">Vesicostom\u00eda o ureterostom\u00eda, al menos seis meses<\/label><\/div><\/div><div class=\"formbox__field\" style=\"box-shadow: none\"><div class=\"formbox__field-checkbox\"><input type=\"checkbox\" value=\"1\" name=\"formbox-field-14\" id=\"formbox-field-14\"><label for=\"formbox-field-14\">Ostom\u00eda no valorada en otro apartado<\/label><\/div><\/div><div class=\"formbox__field\" style=\"box-shadow: none\"><div class=\"formbox__field-checkbox\"><input type=\"checkbox\" value=\"1\" name=\"formbox-field-15\" id=\"formbox-field-15\"><label for=\"formbox-field-15\">Sonda vesical intermitente o permanente, al menos seis meses<\/label><\/div><\/div><div class=\"formbox__field\" style=\"box-shadow: none\"><div class=\"formbox__field-checkbox\"><input type=\"checkbox\" value=\"1\" name=\"formbox-field-16\" id=\"formbox-field-16\"><label for=\"formbox-field-16\">Necesidad de irrigaci\u00f3n rectal al menos tres veces por semana, al menos seis meses<\/label><\/div><\/div><div class=\"formbox__field\" style=\"box-shadow: none\"><div class=\"formbox__field-checkbox\"><input type=\"checkbox\" value=\"2\" name=\"formbox-field-17\" id=\"formbox-field-17\"><label for=\"formbox-field-17\">Necesidad de hemodi\u00e1lisis, al menos seis meses o en espera de trasplante<\/label><\/div><\/div><div class=\"formbox__field\" style=\"box-shadow: none\"><div class=\"formbox__field-checkbox\"><input type=\"checkbox\" value=\"4\" name=\"formbox-field-18\" id=\"formbox-field-18\"><label for=\"formbox-field-18\">Necesidad de di\u00e1lisis peritoneal, al menos seis meses o en espera de trasplante<\/label><\/div><\/div><\/div> <\/fieldset><fieldset class=\"formbox__container\"><div class=\"formbox__title\">9. Necesidad de terapias espec\u00edficas.<\/div><div class=\"formbox__body\"><div class=\"formbox__field\" style=\"box-shadow: none\"><label class=\"formbox__field-lable\" for=\"formbox-field-19\">9. Necesidad de terapias espec\u00edficas.<\/label><select class=\"formbox__field-select\" name=\"formbox-field-19\" id=\"formbox-field-19\"><option value=\"0\">Ninguno<\/option><option value=\"1\">Necesidad de seguimiento en atenci\u00f3n temprana, terapia ocupacional o fisioterapia motora<\/option><option value=\"1\">Necesidad de terapia con logopeda de degluci\u00f3n o lenguaje o terapia de lenguaje<\/option><option value=\"1\">Necesidad de fisioterapia respiratoria o uso de dispositivo cough assist<\/option><option value=\"1\">Necesidad de terapia psicol\u00f3gica o necesidad de seguimiento por Equipo de Salud Mental<\/option><\/select><\/div><\/div> <\/fieldset><fieldset class=\"formbox__container\"><div class=\"formbox__title\">10. Necesidades educativas especiales<\/div><div class=\"formbox__body\"><div class=\"formbox__field\" style=\"box-shadow: none\"><label class=\"formbox__field-lable\" for=\"formbox-field-20\">10. Necesidades educativas especiales<\/label><select class=\"formbox__field-select\" name=\"formbox-field-20\" id=\"formbox-field-20\"><option value=\"0\">Ninguna<\/option><option value=\"1\">Centro ordinario en aula espec\u00edfica o necesidad de Maestro de Pedagog\u00eda Terap\u00e9utica o Audici\u00f3n y Lenguaje<\/option><option value=\"1\">Centro espec\u00edfico de educaci\u00f3n especial<\/option><option value=\"2\">Imposibilidad para acudir a centro escolar o necesidad de escolarizaci\u00f3n a domicilio<\/option><option value=\"2\">Imposibilidad para acudir a guarder\u00eda o necesidad de adaptaci\u00f3n o formaci\u00f3n espec\u00edfica en los profesionales para acudir a la misma<\/option><\/select><\/div><\/div> <\/fieldset><fieldset class=\"formbox__container\"><div class=\"formbox__title\">11. Esperanza de vida menor a 1 a\u00f1o o paciente en el que pueda preveerse el fallecimiento en los siguientes 12 meses. <\/div><div class=\"formbox__body\"><div class=\"formbox__field\" style=\"box-shadow: none\"><div class=\"formbox__field-radio\"><input type=\"radio\" value=\"3\" name=\"formbox-field-21\" id=\"formbox-field-21_1\"><label for=\"formbox-field-21_1\">Presente<\/label><\/div><div class=\"formbox__field-radio\"><input type=\"radio\" value=\"0\" checked=\"checked\" name=\"formbox-field-21\" id=\"formbox-field-21_2\"><label for=\"formbox-field-21_2\">No presente<\/label><\/div><\/div><\/div> <\/fieldset><fieldset class=\"formbox__container has-result is-hidden\"><div class=\"formbox__title\">Total<\/div><div class=\"formbox__body\"><div class=\"formbox__field is-result\" style=\"box-shadow: none\"><label class=\"formbox__field-lable\" for=\"formbox-field-22\">Total<\/label><input type=\"text\" class=\"formbox__field-result\" readonly=\"\" name=\"formbox-field-22\" id=\"formbox-field-22\"><\/div><\/div> <\/fieldset>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<fieldset class=\"formbox__container\"><div class=\"formbox__title\"><\/div><div class=\"formbox__body\"><div class=\"formbox__btn\"><button class=\"formbox__btn-calc\">Calcular<\/button><button type=\"reset\" class=\"formbox__btn-reset\">Limpiar campos<\/button><\/div><\/div> <\/fieldset>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input type=\"hidden\" class=\"calc-only-click\"><input type=\"hidden\" class=\"calc-not-change\"><\/form><\/div>\n\n\n\n<p>El punto de corte para considerar a un paciente como PCC se estableci\u00f3 en 6,5 puntos, con el que se obtuvo una sensibilidad del 98% y especificidad del 94%.<\/p>\n\n\n\n<div data-wp-interactive=\"core\/file\" class=\"wp-block-file\"><object data-wp-bind--hidden=\"!state.hasPdfPreview\" hidden class=\"wp-block-file__embed\" data=\"https:\/\/neuropediatoolkit.org\/wp-content\/uploads\/2023\/12\/1-s2.0-S1695403321003775-mmc1.pdf\" type=\"application\/pdf\" style=\"width:100%;height:600px\" aria-label=\"Embed of 1-s2.0-S1695403321003775-mmc1.\"><\/object><a id=\"wp-block-file--media-5dc02745-81e2-4d92-9c06-1dd44788ab3e\" href=\"https:\/\/neuropediatoolkit.org\/wp-content\/uploads\/2023\/12\/1-s2.0-S1695403321003775-mmc1.pdf\">1-s2.0-S1695403321003775-mmc1<\/a><a href=\"https:\/\/neuropediatoolkit.org\/wp-content\/uploads\/2023\/12\/1-s2.0-S1695403321003775-mmc1.pdf\" class=\"wp-block-file__button wp-element-button\" download aria-describedby=\"wp-block-file--media-5dc02745-81e2-4d92-9c06-1dd44788ab3e\">Descarga<\/a><\/div>\n\n\n<div id=\"zotpress-5e63bce3e66a22fed846c2dd95c3bbce\" class=\"zp-Zotpress zp-Zotpress-Bib wp-block-group\">\n\n\t\t<span class=\"ZP_API_USER_ID ZP_ATTR\">332710<\/span>\n\t\t<span class=\"ZP_ITEM_KEY ZP_ATTR\">{332710:KMIQ9PXP}<\/span>\n\t\t<span class=\"ZP_COLLECTION_ID ZP_ATTR\"><\/span>\n\t\t<span class=\"ZP_TAG_ID ZP_ATTR\"><\/span>\n\t\t<span class=\"ZP_AUTHOR ZP_ATTR\"><\/span>\n\t\t<span class=\"ZP_YEAR ZP_ATTR\"><\/span>\n        <span class=\"ZP_ITEMTYPE ZP_ATTR\"><\/span>\n\t\t<span class=\"ZP_INCLUSIVE ZP_ATTR\">1<\/span>\n\t\t<span class=\"ZP_STYLE ZP_ATTR\">vancouver<\/span>\n\t\t<span class=\"ZP_LIMIT ZP_ATTR\">50<\/span>\n\t\t<span class=\"ZP_SORTBY ZP_ATTR\">default<\/span>\n\t\t<span class=\"ZP_ORDER ZP_ATTR\"><\/span>\n\t\t<span class=\"ZP_TITLE ZP_ATTR\"><\/span>\n\t\t<span class=\"ZP_SHOWIMAGE ZP_ATTR\"><\/span>\n\t\t<span class=\"ZP_SHOWTAGS ZP_ATTR\"><\/span>\n\t\t<span class=\"ZP_DOWNLOADABLE ZP_ATTR\"><\/span>\n\t\t<span class=\"ZP_NOTES ZP_ATTR\"><\/span>\n\t\t<span class=\"ZP_ABSTRACT ZP_ATTR\"><\/span>\n\t\t<span class=\"ZP_CITEABLE ZP_ATTR\"><\/span>\n\t\t<span class=\"ZP_TARGET ZP_ATTR\"><\/span>\n\t\t<span class=\"ZP_URLWRAP ZP_ATTR\"><\/span>\n\t\t<span class=\"ZP_FORCENUM ZP_ATTR\"><\/span>\n        <span class=\"ZP_HIGHLIGHT ZP_ATTR\"><\/span>\n        <span class=\"ZP_POSTID ZP_ATTR\">6754<\/span>\n\t\t<span class=\"ZOTPRESS_PLUGIN_URL ZP_ATTR\">https:\/\/neuropediatoolkit.org\/wp-content\/plugins\/zotpress\/<\/span>\n\n\t\t<div class=\"zp-List loading\">\n\t\t\t<div class=\"zp-SEO-Content\">\n\t\t\t\t<span class=\"ZP_JSON ZP_ATTR\">%7B%22status%22%3A%22success%22%2C%22updateneeded%22%3Afalse%2C%22instance%22%3Afalse%2C%22meta%22%3A%7B%22request_last%22%3A0%2C%22request_next%22%3A0%2C%22used_cache%22%3Atrue%7D%2C%22data%22%3A%5B%7B%22key%22%3A%22KMIQ9PXP%22%2C%22library%22%3A%7B%22id%22%3A332710%7D%2C%22meta%22%3A%7B%22creatorSummary%22%3A%22Godoy-Molina%20et%20al.%22%2C%22parsedDate%22%3A%222022-09-01%22%2C%22numChildren%22%3A1%7D%2C%22bib%22%3A%22%26lt%3Bdiv%20class%3D%26quot%3Bcsl-bib-body%26quot%3B%20style%3D%26quot%3Bline-height%3A%201.35%3B%20%26quot%3B%26gt%3B%5Cn%20%20%26lt%3Bdiv%20class%3D%26quot%3Bcsl-entry%26quot%3B%20style%3D%26quot%3Bclear%3A%20left%3B%20%26quot%3B%26gt%3B%5Cn%20%20%20%20%26lt%3Bdiv%20class%3D%26quot%3Bcsl-left-margin%26quot%3B%20style%3D%26quot%3Bfloat%3A%20left%3B%20padding-right%3A%200.5em%3B%20text-align%3A%20right%3B%20width%3A%201em%3B%26quot%3B%26gt%3B1.%26lt%3B%5C%2Fdiv%26gt%3B%26lt%3Bdiv%20class%3D%26quot%3Bcsl-right-inline%26quot%3B%20style%3D%26quot%3Bmargin%3A%200%20.4em%200%201.5em%3B%26quot%3B%26gt%3BGodoy-Molina%20E%2C%20Fern%26%23xE1%3Bndez-Ferr%26%23xE1%3Bndez%20T%2C%20Ruiz-S%26%23xE1%3Bnchez%20JM%2C%20Cord%26%23xF3%3Bn-Mart%26%23xED%3Bnez%20A%2C%20P%26%23xE9%3Brez-Fr%26%23xED%3Bas%20J%2C%20Navas-L%26%23xF3%3Bpez%20VM%2C%20et%20al.%20Escala%20para%20la%20identificaci%26%23xF3%3Bn%20del%20paciente%20pedi%26%23xE1%3Btrico%20cr%26%23xF3%3Bnico%20complejo%20%28Escala%20PedCom%29.%20Estudio%20piloto.%20An%20Pediatr%20%28Barc%29%20%5BInternet%5D.%202022%20Sept%201%20%5Bcited%202023%20Dec%2010%5D%3B97%283%29%3A155%26%23x2013%3B60.%20Available%20from%3A%20%26lt%3Ba%20class%3D%26%23039%3Bzp-ItemURL%26%23039%3B%20href%3D%26%23039%3Bhttp%3A%5C%2F%5C%2Fwww.analesdepediatria.org%5C%2Fes-escala-identificacion-del-paciente-pediatrico-articulo-S1695403321003775%26%23039%3B%26gt%3Bhttp%3A%5C%2F%5C%2Fwww.analesdepediatria.org%5C%2Fes-escala-identificacion-del-paciente-pediatrico-articulo-S1695403321003775%26lt%3B%5C%2Fa%26gt%3B%26lt%3B%5C%2Fdiv%26gt%3B%5Cn%20%20%26lt%3B%5C%2Fdiv%26gt%3B%5Cn%26lt%3B%5C%2Fdiv%26gt%3B%22%2C%22data%22%3A%7B%22itemType%22%3A%22journalArticle%22%2C%22title%22%3A%22Escala%20para%20la%20identificaci%5Cu00f3n%20del%20paciente%20pedi%5Cu00e1trico%20cr%5Cu00f3nico%20complejo%20%28Escala%20PedCom%29.%20Estudio%20piloto%22%2C%22creators%22%3A%5B%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Elena%22%2C%22lastName%22%3A%22Godoy-Molina%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Tamara%22%2C%22lastName%22%3A%22Fern%5Cu00e1ndez-Ferr%5Cu00e1ndez%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Jos%5Cu00e9%20Mar%5Cu00eda%22%2C%22lastName%22%3A%22Ruiz-S%5Cu00e1nchez%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Ana%22%2C%22lastName%22%3A%22Cord%5Cu00f3n-Mart%5Cu00ednez%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Javier%22%2C%22lastName%22%3A%22P%5Cu00e9rez-Fr%5Cu00edas%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22V%5Cu00edctor%20Manuel%22%2C%22lastName%22%3A%22Navas-L%5Cu00f3pez%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Esmeralda%22%2C%22lastName%22%3A%22Nu%5Cu00f1ez-Cuadros%22%7D%5D%2C%22abstractNote%22%3A%22Introducci%5Cu00f3n%20y%20objetivosLa%20condici%5Cu00f3n%20cr%5Cu00f3nica%20compleja%20%28CCC%29%20es%20una%20realidad%22%2C%22date%22%3A%222022%5C%2F09%5C%2F01%22%2C%22section%22%3A%22%22%2C%22partNumber%22%3A%22%22%2C%22partTitle%22%3A%22%22%2C%22DOI%22%3A%2210.1016%5C%2Fj.anpedi.2021.10.005%22%2C%22citationKey%22%3A%22%22%2C%22url%22%3A%22http%3A%5C%2F%5C%2Fwww.analesdepediatria.org%5C%2Fes-escala-identificacion-del-paciente-pediatrico-articulo-S1695403321003775%22%2C%22PMID%22%3A%22%22%2C%22PMCID%22%3A%22%22%2C%22ISSN%22%3A%221695-4033%22%2C%22language%22%3A%22es%22%2C%22collections%22%3A%5B%225T2XMP93%22%5D%2C%22dateModified%22%3A%222025-09-04T16%3A49%3A03Z%22%7D%7D%5D%7D<\/span>\n\n\t\t\t\t<div id=\"zp-ID-6754-332710-KMIQ9PXP\" data-zp-author-date='Godoy-Molina-et-al.-2022-09-01' data-zp-date-author='2022-09-01-Godoy-Molina-et-al.' data-zp-date='2022-09-01' data-zp-year='2022' data-zp-itemtype='journalArticle' class=\"zp-Entry zpSearchResultsItem\">\n<div class=\"csl-bib-body\" style=\"line-height: 1.35; \">\n  <div class=\"csl-entry\" style=\"clear: left; \">\n    <div class=\"csl-left-margin\" style=\"float: left; padding-right: 0.5em; text-align: right; width: 1em;\">1.<\/div><div class=\"csl-right-inline\" style=\"margin: 0 .4em 0 1.5em;\">Godoy-Molina E, Fern\u00e1ndez-Ferr\u00e1ndez T, Ruiz-S\u00e1nchez JM, Cord\u00f3n-Mart\u00ednez A, P\u00e9rez-Fr\u00edas J, Navas-L\u00f3pez VM, et al. Escala para la identificaci\u00f3n del paciente pedi\u00e1trico cr\u00f3nico complejo (Escala PedCom). Estudio piloto. An Pediatr (Barc) [Internet]. 2022 Sept 1 [cited 2023 Dec 10];97(3):155\u201360. Available from: <a class='zp-ItemURL' href='http:\/\/www.analesdepediatria.org\/es-escala-identificacion-del-paciente-pediatrico-articulo-S1695403321003775'>http:\/\/www.analesdepediatria.org\/es-escala-identificacion-del-paciente-pediatrico-articulo-S1695403321003775<\/a><\/div>\n  <\/div>\n<\/div>\n\t\t\t\t<\/div><!-- .zp-Entry .zpSearchResultsItem -->\n\t\t\t<\/div><!-- .zp-zp-SEO-Content -->\n\t\t<\/div><!-- .zp-List -->\n\t<\/div><!--.zp-Zotpress-->\n\n\n<\/div><\/details>\n\n\n\n<details class=\"wp-block-themeisle-blocks-accordion-item\"><summary class=\"wp-block-themeisle-blocks-accordion-item__title\"><div>Clasificaci\u00f3n.<\/div><\/summary><div class=\"wp-block-themeisle-blocks-accordion-item__content\">\n<p><a href=\"https:\/\/www.3m.com.es\/3M\/es_ES\/health-information-systems-es\/gestion-basada-en-valor\/sistemas-de-clasificacion-de-pacientes\/crgs\/\" title=\"\">3M Clinical Risk Groups. <\/a><\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><img fetchpriority=\"high\" decoding=\"async\" width=\"850\" height=\"589\" src=\"https:\/\/neuropediatoolkit.org\/wp-content\/uploads\/2023\/12\/image-1.png\" alt=\"\" class=\"wp-image-6756\" srcset=\"https:\/\/neuropediatoolkit.org\/wp-content\/uploads\/2023\/12\/image-1.png 850w, https:\/\/neuropediatoolkit.org\/wp-content\/uploads\/2023\/12\/image-1-300x208.png 300w, https:\/\/neuropediatoolkit.org\/wp-content\/uploads\/2023\/12\/image-1-768x532.png 768w, https:\/\/neuropediatoolkit.org\/wp-content\/uploads\/2023\/12\/image-1-18x12.png 18w\" sizes=\"(max-width: 850px) 100vw, 850px\" \/><\/figure>\n\n\n\n<p>Paciente cr\u00f3nico complejo de 6 a 9 (excluyendo 8, pacientes oncol\u00f3gicos). <\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" width=\"1024\" height=\"544\" src=\"https:\/\/neuropediatoolkit.org\/wp-content\/uploads\/2023\/12\/image-3-1024x544.png\" alt=\"\" class=\"wp-image-6775\" srcset=\"https:\/\/neuropediatoolkit.org\/wp-content\/uploads\/2023\/12\/image-3-1024x544.png 1024w, https:\/\/neuropediatoolkit.org\/wp-content\/uploads\/2023\/12\/image-3-300x159.png 300w, https:\/\/neuropediatoolkit.org\/wp-content\/uploads\/2023\/12\/image-3-768x408.png 768w, https:\/\/neuropediatoolkit.org\/wp-content\/uploads\/2023\/12\/image-3-18x10.png 18w, https:\/\/neuropediatoolkit.org\/wp-content\/uploads\/2023\/12\/image-3.png 1078w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n<\/div><\/details>\n\n\n\n<details class=\"wp-block-themeisle-blocks-accordion-item\"><summary class=\"wp-block-themeisle-blocks-accordion-item__title\"><div>Planificaci\u00f3n de cuidados. Plan de atenci\u00f3n individualizado. <\/div><\/summary><div class=\"wp-block-themeisle-blocks-accordion-item__content\">\n<figure class=\"wp-block-image size-full\"><img decoding=\"async\" width=\"567\" height=\"366\" src=\"https:\/\/neuropediatoolkit.org\/wp-content\/uploads\/2023\/12\/image-2.png\" alt=\"\" class=\"wp-image-6772\" srcset=\"https:\/\/neuropediatoolkit.org\/wp-content\/uploads\/2023\/12\/image-2.png 567w, https:\/\/neuropediatoolkit.org\/wp-content\/uploads\/2023\/12\/image-2-300x194.png 300w, https:\/\/neuropediatoolkit.org\/wp-content\/uploads\/2023\/12\/image-2-18x12.png 18w\" sizes=\"(max-width: 567px) 100vw, 567px\" \/><\/figure>\n\n\n\n<p>Estratificaci\u00f3n de casos de <a href=\"https:\/\/en.wikipedia.org\/wiki\/Kaiser_Permanente\" title=\"\">Kaiser Permanente<\/a>. <\/p>\n\n\n\n<div data-wp-interactive=\"core\/file\" class=\"wp-block-file\"><object data-wp-bind--hidden=\"!state.hasPdfPreview\" hidden class=\"wp-block-file__embed\" data=\"https:\/\/neuropediatoolkit.org\/wp-content\/uploads\/2023\/12\/programa-cronicidad-menores-ESP.pdf\" type=\"application\/pdf\" style=\"width:100%;height:600px\" aria-label=\"Embed of programa-cronicidad-menores-ESP.\"><\/object><a id=\"wp-block-file--media-c325ed7f-ff96-4f99-8265-d7988f82049b\" href=\"https:\/\/neuropediatoolkit.org\/wp-content\/uploads\/2023\/12\/programa-cronicidad-menores-ESP.pdf\">programa-cronicidad-menores-ESP<\/a><a href=\"https:\/\/neuropediatoolkit.org\/wp-content\/uploads\/2023\/12\/programa-cronicidad-menores-ESP.pdf\" class=\"wp-block-file__button wp-element-button\" download aria-describedby=\"wp-block-file--media-c325ed7f-ff96-4f99-8265-d7988f82049b\">Descarga<\/a><\/div>\n\n\n\n<div id=\"wp-block-themeisle-blocks-accordion-96f88813\" class=\"wp-block-themeisle-blocks-accordion exclusive\">\n<details class=\"wp-block-themeisle-blocks-accordion-item\"><summary class=\"wp-block-themeisle-blocks-accordion-item__title\"><div>Vacunaci\u00f3n.<\/div><\/summary><div class=\"wp-block-themeisle-blocks-accordion-item__content\">\n<p>Vacunas estacionales. Gripe y SARSCoV2. <\/p>\n\n\n\n<p>VNP23.<\/p>\n<\/div><\/details>\n\n\n\n<details class=\"wp-block-themeisle-blocks-accordion-item\"><summary class=\"wp-block-themeisle-blocks-accordion-item__title\"><div>Neurol\u00f3gico.<\/div><\/summary><div class=\"wp-block-themeisle-blocks-accordion-item__content\">\n<p>Conducta. <\/p>\n\n\n\n<p>Epilepsia.<\/p>\n\n\n\n<p>Sue\u00f1o.<\/p>\n\n\n\n<p><a href=\"https:\/\/neuropediatoolkit.org\/becas-y-ayudas-meyfp\/\" title=\"\">Escolarizaci\u00f3n y discapacidad. <\/a><\/p>\n\n\n\n<p><a href=\"https:\/\/neuropediatoolkit.org\/tecnologias-aumentativas-y-alternativas-de-comunicacion\/\" title=\"\">Ayudas t\u00e9cnicas para la comunicaci\u00f3n y cognici\u00f3n. IRISBOND.<\/a><\/p>\n<\/div><\/details>\n\n\n\n<details class=\"wp-block-themeisle-blocks-accordion-item\"><summary class=\"wp-block-themeisle-blocks-accordion-item__title\"><div>Digestivo.<\/div><\/summary><div class=\"wp-block-themeisle-blocks-accordion-item__content\">\n<p><a href=\"https:\/\/neuropediatoolkit.org\/valoracion-nutricional\/\" title=\"\">Valoraci\u00f3n nutricional.<\/a><\/p>\n\n\n\n<p>Gastrostom\u00eda. <\/p>\n\n\n\n<p>Estre\u00f1imiento.<\/p>\n<\/div><\/details>\n\n\n\n<details class=\"wp-block-themeisle-blocks-accordion-item\"><summary class=\"wp-block-themeisle-blocks-accordion-item__title\"><div>Respiratorio.<\/div><\/summary><div class=\"wp-block-themeisle-blocks-accordion-item__content\">\n<p>Cough-assist. <\/p>\n\n\n\n<p>Soporte respiratorio. <\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>VNI. <\/li>\n\n\n\n<li>Ventilaci\u00f3n mec\u00e1nica. <\/li>\n<\/ul>\n\n\n\n<p>Criterios para la obtenci\u00f3n de muestras respiratorias. <\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Pacientes con necesidad de ventilaci\u00f3n invasiva.<\/li>\n\n\n\n<li>Pacientes con bronquiectasias o infecciones respiratorias graves de repetici\u00f3n. <\/li>\n<\/ul>\n<\/div><\/details>\n\n\n\n<details class=\"wp-block-themeisle-blocks-accordion-item\"><summary class=\"wp-block-themeisle-blocks-accordion-item__title\"><div>Rehabilitaci\u00f3n.<\/div><\/summary><div class=\"wp-block-themeisle-blocks-accordion-item__content\">\n<p>Toxina botul\u00ednica. <\/p>\n\n\n\n<p>Ortesis, sillas motorizadas, y otro material ortoprot\u00e9sico. <\/p>\n<\/div><\/details>\n\n\n\n<details class=\"wp-block-themeisle-blocks-accordion-item\"><summary class=\"wp-block-themeisle-blocks-accordion-item__title\"><div>Familiar. <\/div><\/summary><div class=\"wp-block-themeisle-blocks-accordion-item__content\">\n<p>Plan de atenci\u00f3n al cuidador principal. <\/p>\n\n\n\n<p>Plan de atenci\u00f3n a los hermanos. <\/p>\n<\/div><\/details>\n\n\n\n<details class=\"wp-block-themeisle-blocks-accordion-item\"><summary class=\"wp-block-themeisle-blocks-accordion-item__title\"><div>Social.<\/div><\/summary><div class=\"wp-block-themeisle-blocks-accordion-item__content\">\n<p>Discapacidad. <\/p>\n\n\n\n<p>Dependencia. <\/p>\n\n\n\n<p><a href=\"https:\/\/neuropediatoolkit.org\/pati-asistente-personal\/\" title=\"\">PATI (asistente personal).<\/a><\/p>\n\n\n\n<p><a href=\"https:\/\/neuropediatoolkit.org\/subsidio-cume-cuidado-de-menores-con-cancer-o-enfermedad-grave\/\" title=\"\">CUME (menor con enfermedad grave).<\/a><\/p>\n<\/div><\/details>\n\n\n\n<details class=\"wp-block-themeisle-blocks-accordion-item\"><summary class=\"wp-block-themeisle-blocks-accordion-item__title\"><div>Espiritual.<\/div><\/summary><div class=\"wp-block-themeisle-blocks-accordion-item__content\">\n<p>Preguntar sobre la religiosidad. <\/p>\n<\/div><\/details>\n\n\n\n<details class=\"wp-block-themeisle-blocks-accordion-item\"><summary class=\"wp-block-themeisle-blocks-accordion-item__title\"><div>Hospitalizaci\u00f3n domiciliaria y cuidados paliativos.<\/div><\/summary><div class=\"wp-block-themeisle-blocks-accordion-item__content\">\n<p>Dolor. <\/p>\n\n\n\n<p>Manejo de secreciones. <\/p>\n<\/div><\/details>\n\n\n\n<details class=\"wp-block-themeisle-blocks-accordion-item\"><summary class=\"wp-block-themeisle-blocks-accordion-item__title\"><div>Planificaci\u00f3n anticipada de decisiones.<\/div><\/summary><div class=\"wp-block-themeisle-blocks-accordion-item__content\">\n<p>Ni\u00f1o intensivable y no intensivable. Plan de actuaci\u00f3n ante un deterioro progresivo que amenaza la independencia de las funciones vitales. <\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Necesidad de administrar l\u00edquidos y\/o alimentos tras perder la capacidad de tragar.\n<ul class=\"wp-block-list\">\n<li>A trav\u00e9s de una sonda por la nariz.<\/li>\n\n\n\n<li>A trav\u00e9s de una via intravenosa. <\/li>\n\n\n\n<li>A trav\u00e9s de una gastrostom\u00eda en caso de irreversibilidad a la situaci\u00f3n funcional previa. <\/li>\n<\/ul>\n<\/li>\n\n\n\n<li>Necesidad de utilizar una sonda urinaria. <\/li>\n\n\n\n<li>Necesidad de respirar con ayuda de una m\u00e1quina. \n<ul class=\"wp-block-list\">\n<li>Mediante una mascarilla que impide la comunicaci\u00f3n oral pero permite la consciencia. <\/li>\n\n\n\n<li>Mediante un tubo endotraqueal que impide la comunicaci\u00f3n oral y la consciencia (sedaci\u00f3n). <\/li>\n\n\n\n<li>Mediante la realizaci\u00f3n de una traqueostom\u00eda permanente en caso de irreversibilidad a la situaci\u00f3n funcional previa. <\/li>\n<\/ul>\n<\/li>\n\n\n\n<li>Necesidad de utilizar medicamentos de administraci\u00f3n cont\u00ednua (bomba) para mantener la funci\u00f3n cardiocirculatoria (inotropos). <\/li>\n\n\n\n<li>Duraci\u00f3n de los tratamientos avanzados en el tiempo si se produce una situaci\u00f3n de ausencia de consciencia y irreversibilidad a la situaci\u00f3n funcional previa. <\/li>\n\n\n\n<li>Voluntad de donaci\u00f3n de \u00f3rganos. <\/li>\n\n\n\n<li>Lugar deseado de fallecimiento y acompa\u00f1amiento, planificaci\u00f3n espiritual. <\/li>\n\n\n\n<li>Dolor, consciencia y cuidados paliativos al final de la vida (utilizaci\u00f3n de dispositivos de aspiraci\u00f3n de secreciones y otras t\u00e9cnicas). <\/li>\n<\/ul>\n\n\n\n<p>Ni\u00f1o reanimable y no reanimable. Plan de actuaci\u00f3n anticipado ante eventos s\u00fabitos que detengan las funciones vitales. <\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Ante la duda, el equipo de atenci\u00f3n urgente siempre inicia una reanimaci\u00f3n. La decisi\u00f3n  de parar la reanimaci\u00f3n una vez empezada es equivalente a la decisi\u00f3n de no reanimar. <\/li>\n<\/ul>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Necesidad de reanudar las funciones cardiol\u00f3gicas. Masaje card\u00edaco. \n<ul class=\"wp-block-list\">\n<li>Necesidad de utilizar medicamentos de administraci\u00f3n cont\u00ednua (bomba) para mantener la funci\u00f3n cardiocirculatoria (inotropos). <\/li>\n<\/ul>\n<\/li>\n\n\n\n<li>Necesidad de reanudar las funciones respiratorias. Ventilaci\u00f3n. \n<ul class=\"wp-block-list\">\n<li>Necesidad de mantener la recuperaci\u00f3n mediante la respiraci\u00f3n con ayuda de una m\u00e1quina.\n<ul class=\"wp-block-list\">\n<li>Mediante una mascarilla que impide la comunicaci\u00f3n oral pero permite la consciencia. <\/li>\n\n\n\n<li>Mediante un tubo endotraqueal que impide la comunicaci\u00f3n oral y la consciencia (sedaci\u00f3n). <\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n\n\n\n<p><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC7844190\/\">https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC7844190\/<\/a><\/p>\n\n\n\n<p><a href=\"https:\/\/theconversationproject.org\/wp-content\/uploads\/2020\/12\/PediatricGuide.pdf\">https:\/\/theconversationproject.org\/wp-content\/uploads\/2020\/12\/PediatricGuide.pdf<\/a><\/p>\n\n\n\n<figure class=\"wp-block-embed is-type-wp-embed is-provider-coda-alliance wp-block-embed-coda-alliance\"><div class=\"wp-block-embed__wrapper\">\n<blockquote class=\"wp-embedded-content\" data-secret=\"OET6LE3UO0\"><a href=\"https:\/\/codaalliance.org\/gowish-spanish\/\">GoWish Spanish<\/a><\/blockquote><iframe class=\"wp-embedded-content\" sandbox=\"allow-scripts\" security=\"restricted\" style=\"position: absolute; clip: rect(1px, 1px, 1px, 1px);\" title=\"&#8220;GoWish Spanish&#8221; &#8212; Coda Alliance\" src=\"https:\/\/codaalliance.org\/gowish-spanish\/embed\/#?secret=Y2cYWa2RL8#?secret=OET6LE3UO0\" data-secret=\"OET6LE3UO0\" width=\"600\" height=\"338\" frameborder=\"0\" marginwidth=\"0\" marginheight=\"0\" scrolling=\"no\"><\/iframe>\n<\/div><\/figure>\n\n\n<div id=\"zotpress-968b432d7201cee0dc145d1816db1907\" class=\"zp-Zotpress zp-Zotpress-Bib wp-block-group\">\n\n\t\t<span class=\"ZP_API_USER_ID ZP_ATTR\">332710<\/span>\n\t\t<span class=\"ZP_ITEM_KEY ZP_ATTR\">{332710:7VE6FGRI}<\/span>\n\t\t<span class=\"ZP_COLLECTION_ID ZP_ATTR\"><\/span>\n\t\t<span class=\"ZP_TAG_ID ZP_ATTR\"><\/span>\n\t\t<span class=\"ZP_AUTHOR ZP_ATTR\"><\/span>\n\t\t<span class=\"ZP_YEAR ZP_ATTR\"><\/span>\n        <span class=\"ZP_ITEMTYPE ZP_ATTR\"><\/span>\n\t\t<span class=\"ZP_INCLUSIVE ZP_ATTR\">1<\/span>\n\t\t<span class=\"ZP_STYLE ZP_ATTR\">vancouver<\/span>\n\t\t<span class=\"ZP_LIMIT ZP_ATTR\">50<\/span>\n\t\t<span class=\"ZP_SORTBY ZP_ATTR\">default<\/span>\n\t\t<span class=\"ZP_ORDER ZP_ATTR\"><\/span>\n\t\t<span class=\"ZP_TITLE ZP_ATTR\"><\/span>\n\t\t<span class=\"ZP_SHOWIMAGE ZP_ATTR\"><\/span>\n\t\t<span class=\"ZP_SHOWTAGS ZP_ATTR\"><\/span>\n\t\t<span class=\"ZP_DOWNLOADABLE ZP_ATTR\"><\/span>\n\t\t<span class=\"ZP_NOTES ZP_ATTR\"><\/span>\n\t\t<span class=\"ZP_ABSTRACT ZP_ATTR\"><\/span>\n\t\t<span class=\"ZP_CITEABLE ZP_ATTR\"><\/span>\n\t\t<span class=\"ZP_TARGET ZP_ATTR\"><\/span>\n\t\t<span class=\"ZP_URLWRAP ZP_ATTR\"><\/span>\n\t\t<span class=\"ZP_FORCENUM ZP_ATTR\"><\/span>\n        <span class=\"ZP_HIGHLIGHT ZP_ATTR\"><\/span>\n        <span class=\"ZP_POSTID ZP_ATTR\">6754<\/span>\n\t\t<span class=\"ZOTPRESS_PLUGIN_URL ZP_ATTR\">https:\/\/neuropediatoolkit.org\/wp-content\/plugins\/zotpress\/<\/span>\n\n\t\t<div class=\"zp-List loading\">\n\t\t\t<div class=\"zp-SEO-Content\">\n\t\t\t\t<span class=\"ZP_JSON ZP_ATTR\">%7B%22status%22%3A%22success%22%2C%22updateneeded%22%3Afalse%2C%22instance%22%3Afalse%2C%22meta%22%3A%7B%22request_last%22%3A0%2C%22request_next%22%3A0%2C%22used_cache%22%3Atrue%7D%2C%22data%22%3A%5B%7B%22key%22%3A%227VE6FGRI%22%2C%22library%22%3A%7B%22id%22%3A332710%7D%2C%22meta%22%3A%7B%22creatorSummary%22%3A%22Trenchs%20S%5Cu00e1inz%20de%20la%20Maza%20et%20al.%22%2C%22parsedDate%22%3A%222002-12-01%22%2C%22numChildren%22%3A1%7D%2C%22bib%22%3A%22%26lt%3Bdiv%20class%3D%26quot%3Bcsl-bib-body%26quot%3B%20style%3D%26quot%3Bline-height%3A%201.35%3B%20%26quot%3B%26gt%3B%5Cn%20%20%26lt%3Bdiv%20class%3D%26quot%3Bcsl-entry%26quot%3B%20style%3D%26quot%3Bclear%3A%20left%3B%20%26quot%3B%26gt%3B%5Cn%20%20%20%20%26lt%3Bdiv%20class%3D%26quot%3Bcsl-left-margin%26quot%3B%20style%3D%26quot%3Bfloat%3A%20left%3B%20padding-right%3A%200.5em%3B%20text-align%3A%20right%3B%20width%3A%201em%3B%26quot%3B%26gt%3B1.%26lt%3B%5C%2Fdiv%26gt%3B%26lt%3Bdiv%20class%3D%26quot%3Bcsl-right-inline%26quot%3B%20style%3D%26quot%3Bmargin%3A%200%20.4em%200%201.5em%3B%26quot%3B%26gt%3BTrenchs%20S%26%23xE1%3Binz%20de%20la%20Maza%20V%2C%20Cambra%20Lasaosa%20FJ%2C%20Palomeque%20Rico%20A%2C%20Balcells%20Ram%26%23xED%3Brez%20J%2C%20Seri%26%23xF1%3B%26%23xE1%3B%20Ram%26%23xED%3Brez%20C%2C%20Hermana%20Tezanos%20M%20aT.%20Limitaci%26%23xF3%3Bn%20terap%26%23xE9%3Butica%20en%20cuidados%20intensivos.%20An%20Pediatr%20%28Barc%29%20%5BInternet%5D.%202002%20Dec%201%20%5Bcited%202023%20Dec%2010%5D%3B57%286%29%3A511%26%23x2013%3B7.%20Available%20from%3A%20%26lt%3Ba%20class%3D%26%23039%3Bzp-ItemURL%26%23039%3B%20href%3D%26%23039%3Bhttp%3A%5C%2F%5C%2Fwww.analesdepediatria.org%5C%2Fes-limitacion-terapeutica-cuidados-intensivos-articulo-S1695403302787080%26%23039%3B%26gt%3Bhttp%3A%5C%2F%5C%2Fwww.analesdepediatria.org%5C%2Fes-limitacion-terapeutica-cuidados-intensivos-articulo-S1695403302787080%26lt%3B%5C%2Fa%26gt%3B%26lt%3B%5C%2Fdiv%26gt%3B%5Cn%20%20%26lt%3B%5C%2Fdiv%26gt%3B%5Cn%26lt%3B%5C%2Fdiv%26gt%3B%22%2C%22data%22%3A%7B%22itemType%22%3A%22journalArticle%22%2C%22title%22%3A%22Limitaci%5Cu00f3n%20terap%5Cu00e9utica%20en%20cuidados%20intensivos%22%2C%22creators%22%3A%5B%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22V.%22%2C%22lastName%22%3A%22Trenchs%20S%5Cu00e1inz%20de%20la%20Maza%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22F.%20J.%22%2C%22lastName%22%3A%22Cambra%20Lasaosa%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22A.%22%2C%22lastName%22%3A%22Palomeque%20Rico%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22J.%22%2C%22lastName%22%3A%22Balcells%20Ram%5Cu00edrez%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22C.%22%2C%22lastName%22%3A%22Seri%5Cu00f1%5Cu00e1%20Ram%5Cu00edrez%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22M.%20aT%22%2C%22lastName%22%3A%22Hermana%20Tezanos%22%7D%5D%2C%22abstractNote%22%3A%22Introducci%5Cu00f3nEl%20planteamiento%20de%20limitaci%5Cu00f3n%20terap%5Cu00e9utica%20es%20una%20opci%5Cu00f3n%20presente%20en%22%2C%22date%22%3A%222002%5C%2F12%5C%2F01%22%2C%22section%22%3A%22%22%2C%22partNumber%22%3A%22%22%2C%22partTitle%22%3A%22%22%2C%22DOI%22%3A%2210.1016%5C%2FS1695-4033%2802%2978708-0%22%2C%22citationKey%22%3A%22%22%2C%22url%22%3A%22http%3A%5C%2F%5C%2Fwww.analesdepediatria.org%5C%2Fes-limitacion-terapeutica-cuidados-intensivos-articulo-S1695403302787080%22%2C%22PMID%22%3A%22%22%2C%22PMCID%22%3A%22%22%2C%22ISSN%22%3A%221695-4033%22%2C%22language%22%3A%22es%22%2C%22collections%22%3A%5B%225T2XMP93%22%5D%2C%22dateModified%22%3A%222025-09-27T17%3A49%3A10Z%22%7D%7D%5D%7D<\/span>\n\n\t\t\t\t<div id=\"zp-ID-6754-332710-7VE6FGRI\" data-zp-author-date='Trenchs-S\u00e1inz-de-la-Maza-et-al.-2002-12-01' data-zp-date-author='2002-12-01-Trenchs-S\u00e1inz-de-la-Maza-et-al.' data-zp-date='2002-12-01' data-zp-year='2002' data-zp-itemtype='journalArticle' class=\"zp-Entry zpSearchResultsItem\">\n<div class=\"csl-bib-body\" style=\"line-height: 1.35; \">\n  <div class=\"csl-entry\" style=\"clear: left; \">\n    <div class=\"csl-left-margin\" style=\"float: left; padding-right: 0.5em; text-align: right; width: 1em;\">1.<\/div><div class=\"csl-right-inline\" style=\"margin: 0 .4em 0 1.5em;\">Trenchs S\u00e1inz de la Maza V, Cambra Lasaosa FJ, Palomeque Rico A, Balcells Ram\u00edrez J, Seri\u00f1\u00e1 Ram\u00edrez C, Hermana Tezanos M aT. Limitaci\u00f3n terap\u00e9utica en cuidados intensivos. An Pediatr (Barc) [Internet]. 2002 Dec 1 [cited 2023 Dec 10];57(6):511\u20137. Available from: <a class='zp-ItemURL' href='http:\/\/www.analesdepediatria.org\/es-limitacion-terapeutica-cuidados-intensivos-articulo-S1695403302787080'>http:\/\/www.analesdepediatria.org\/es-limitacion-terapeutica-cuidados-intensivos-articulo-S1695403302787080<\/a><\/div>\n  <\/div>\n<\/div>\n\t\t\t\t<\/div><!-- .zp-Entry .zpSearchResultsItem -->\n\t\t\t<\/div><!-- .zp-zp-SEO-Content -->\n\t\t<\/div><!-- .zp-List -->\n\t<\/div><!--.zp-Zotpress-->\n\n\n\n\n\n<p><a href=\"https:\/\/www.analesdepediatria.org\/es-etica-reanimacion-cardiopulmonar-pediatrica-articulo-13097359\">https:\/\/www.analesdepediatria.org\/es-etica-reanimacion-cardiopulmonar-pediatrica-articulo-13097359<\/a><\/p>\n<\/div><\/details>\n<\/div>\n<\/div><\/details>\n\n\n\n<details class=\"wp-block-themeisle-blocks-accordion-item\"><summary class=\"wp-block-themeisle-blocks-accordion-item__title\"><div>Protocolos de cuidados m\u00e9dicos.<\/div><\/summary><div class=\"wp-block-themeisle-blocks-accordion-item__content\">\n<div id=\"wp-block-themeisle-blocks-accordion-43bf5d95\" class=\"wp-block-themeisle-blocks-accordion exclusive\">\n<details class=\"wp-block-themeisle-blocks-accordion-item\"><summary class=\"wp-block-themeisle-blocks-accordion-item__title\"><div>Atenci\u00f3n primaria.<\/div><\/summary><div class=\"wp-block-themeisle-blocks-accordion-item__content\">\n<div data-wp-interactive=\"core\/file\" class=\"wp-block-file\"><object data-wp-bind--hidden=\"!state.hasPdfPreview\" hidden class=\"wp-block-file__embed\" data=\"https:\/\/neuropediatoolkit.org\/wp-content\/uploads\/2023\/12\/n4-216-225_MartaGarciaFdez.pdf\" type=\"application\/pdf\" style=\"width:100%;height:600px\" aria-label=\"Embed of n4-216-225_MartaGarciaFdez.\"><\/object><a id=\"wp-block-file--media-fabad6d5-4e8c-4d38-a900-683e6051be64\" href=\"https:\/\/neuropediatoolkit.org\/wp-content\/uploads\/2023\/12\/n4-216-225_MartaGarciaFdez.pdf\">n4-216-225_MartaGarciaFdez<\/a><a href=\"https:\/\/neuropediatoolkit.org\/wp-content\/uploads\/2023\/12\/n4-216-225_MartaGarciaFdez.pdf\" class=\"wp-block-file__button wp-element-button\" download aria-describedby=\"wp-block-file--media-fabad6d5-4e8c-4d38-a900-683e6051be64\">Descarga<\/a><\/div>\n<\/div><\/details>\n\n\n\n<details class=\"wp-block-themeisle-blocks-accordion-item\"><summary class=\"wp-block-themeisle-blocks-accordion-item__title\"><div>Hospitalizaci\u00f3n. <\/div><\/summary><div class=\"wp-block-themeisle-blocks-accordion-item__content\">\n<div data-wp-interactive=\"core\/file\" class=\"wp-block-file\"><object data-wp-bind--hidden=\"!state.hasPdfPreview\" hidden class=\"wp-block-file__embed\" data=\"https:\/\/neuropediatoolkit.org\/wp-content\/uploads\/2023\/12\/protocolo-sepih-25-evaluacion-y-tratamiento-general-del-nino-con-pci-hospitalizado-2.pdf\" type=\"application\/pdf\" style=\"width:100%;height:600px\" aria-label=\"Embed of protocolo-sepih-25-evaluacion-y-tratamiento-general-del-nino-con-pci-hospitalizado-2.\"><\/object><a id=\"wp-block-file--media-b0fef812-fe6b-41d0-a811-d8f498c572d7\" href=\"https:\/\/neuropediatoolkit.org\/wp-content\/uploads\/2023\/12\/protocolo-sepih-25-evaluacion-y-tratamiento-general-del-nino-con-pci-hospitalizado-2.pdf\">protocolo-sepih-25-evaluacion-y-tratamiento-general-del-nino-con-pci-hospitalizado-2<\/a><a href=\"https:\/\/neuropediatoolkit.org\/wp-content\/uploads\/2023\/12\/protocolo-sepih-25-evaluacion-y-tratamiento-general-del-nino-con-pci-hospitalizado-2.pdf\" class=\"wp-block-file__button wp-element-button\" download aria-describedby=\"wp-block-file--media-b0fef812-fe6b-41d0-a811-d8f498c572d7\">Descarga<\/a><\/div>\n\n\n\n<div data-wp-interactive=\"core\/file\" class=\"wp-block-file\"><object data-wp-bind--hidden=\"!state.hasPdfPreview\" hidden class=\"wp-block-file__embed\" data=\"https:\/\/neuropediatoolkit.org\/wp-content\/uploads\/2023\/12\/protocolo-sepih-26-atencion-al-nino-con-complejidad-medica-o-patologia-cronica-compleja-1.pdf\" type=\"application\/pdf\" style=\"width:100%;height:600px\" aria-label=\"Embed of protocolo-sepih-26-atencion-al-nino-con-complejidad-medica-o-patologia-cronica-compleja-1.\"><\/object><a id=\"wp-block-file--media-2def7687-d315-4fd4-9a47-3a4928c6f039\" href=\"https:\/\/neuropediatoolkit.org\/wp-content\/uploads\/2023\/12\/protocolo-sepih-26-atencion-al-nino-con-complejidad-medica-o-patologia-cronica-compleja-1.pdf\">protocolo-sepih-26-atencion-al-nino-con-complejidad-medica-o-patologia-cronica-compleja-1<\/a><a href=\"https:\/\/neuropediatoolkit.org\/wp-content\/uploads\/2023\/12\/protocolo-sepih-26-atencion-al-nino-con-complejidad-medica-o-patologia-cronica-compleja-1.pdf\" class=\"wp-block-file__button wp-element-button\" download aria-describedby=\"wp-block-file--media-2def7687-d315-4fd4-9a47-3a4928c6f039\">Descarga<\/a><\/div>\n\n\n\n<div data-wp-interactive=\"core\/file\" class=\"wp-block-file\"><object data-wp-bind--hidden=\"!state.hasPdfPreview\" hidden class=\"wp-block-file__embed\" data=\"https:\/\/neuropediatoolkit.org\/wp-content\/uploads\/2023\/12\/2016_02_NEUMONIA-EN-ENCEFALOPATIAS.pdf\" type=\"application\/pdf\" style=\"width:100%;height:600px\" aria-label=\"Embed of 2016_02_NEUMONIA-EN-ENCEFALOPATIAS.\"><\/object><a id=\"wp-block-file--media-5c93ee5a-c9e6-4f63-9bcc-a727d8f906a5\" href=\"https:\/\/neuropediatoolkit.org\/wp-content\/uploads\/2023\/12\/2016_02_NEUMONIA-EN-ENCEFALOPATIAS.pdf\">2016_02_NEUMONIA-EN-ENCEFALOPATIAS<\/a><a href=\"https:\/\/neuropediatoolkit.org\/wp-content\/uploads\/2023\/12\/2016_02_NEUMONIA-EN-ENCEFALOPATIAS.pdf\" class=\"wp-block-file__button wp-element-button\" download aria-describedby=\"wp-block-file--media-5c93ee5a-c9e6-4f63-9bcc-a727d8f906a5\">Descarga<\/a><\/div>\n<\/div><\/details>\n<\/div>\n<\/div><\/details>\n<\/div>\n\n\n\n<div data-wp-interactive=\"core\/file\" class=\"wp-block-file\"><object data-wp-bind--hidden=\"!state.hasPdfPreview\" hidden class=\"wp-block-file__embed\" data=\"https:\/\/neuropediatoolkit.org\/wp-content\/uploads\/2023\/12\/2019_10_ENFERMEDAD-CRONICA-COMPLEJA-EN-PEDIATRIA.pdf\" type=\"application\/pdf\" style=\"width:100%;height:600px\" aria-label=\"Embed of 2019_10_ENFERMEDAD-CRONICA-COMPLEJA-EN-PEDIATRIA.\"><\/object><a id=\"wp-block-file--media-6a5417f8-d939-4537-b58a-7373dbf1ce9d\" href=\"https:\/\/neuropediatoolkit.org\/wp-content\/uploads\/2023\/12\/2019_10_ENFERMEDAD-CRONICA-COMPLEJA-EN-PEDIATRIA.pdf\">2019_10_ENFERMEDAD-CRONICA-COMPLEJA-EN-PEDIATRIA<\/a><a href=\"https:\/\/neuropediatoolkit.org\/wp-content\/uploads\/2023\/12\/2019_10_ENFERMEDAD-CRONICA-COMPLEJA-EN-PEDIATRIA.pdf\" class=\"wp-block-file__button wp-element-button\" download aria-describedby=\"wp-block-file--media-6a5417f8-d939-4537-b58a-7373dbf1ce9d\">Descarga<\/a><\/div>\n\n\n\n<figure class=\"wp-block-embed is-type-video is-provider-youtube wp-block-embed-youtube wp-embed-aspect-16-9 wp-has-aspect-ratio\"><div class=\"wp-block-embed__wrapper\">\n<iframe title=\"Sesi\u00f3n General: Los ni\u00f1os con patolog\u00eda cr\u00f3nica compleja, un nuevo reto para el pediatra. (14\/04\/21)\" width=\"640\" height=\"360\" src=\"https:\/\/www.youtube.com\/embed\/56vGHamGpR4?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe>\n<\/div><\/figure>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":6755,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_themeisle_gutenberg_block_has_review":false,"footnotes":""},"categories":[2],"tags":[],"class_list":["post-6754","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-aspectos-pediatricos","entry"],"_links":{"self":[{"href":"https:\/\/neuropediatoolkit.org\/en\/wp-json\/wp\/v2\/posts\/6754","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/neuropediatoolkit.org\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/neuropediatoolkit.org\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/neuropediatoolkit.org\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/neuropediatoolkit.org\/en\/wp-json\/wp\/v2\/comments?post=6754"}],"version-history":[{"count":46,"href":"https:\/\/neuropediatoolkit.org\/en\/wp-json\/wp\/v2\/posts\/6754\/revisions"}],"predecessor-version":[{"id":6856,"href":"https:\/\/neuropediatoolkit.org\/en\/wp-json\/wp\/v2\/posts\/6754\/revisions\/6856"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/neuropediatoolkit.org\/en\/wp-json\/wp\/v2\/media\/6755"}],"wp:attachment":[{"href":"https:\/\/neuropediatoolkit.org\/en\/wp-json\/wp\/v2\/media?parent=6754"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/neuropediatoolkit.org\/en\/wp-json\/wp\/v2\/categories?post=6754"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/neuropediatoolkit.org\/en\/wp-json\/wp\/v2\/tags?post=6754"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}