{"id":2394,"date":"2012-08-27T13:01:53","date_gmt":"2012-08-27T13:01:53","guid":{"rendered":"https:\/\/medicalcriteria.com\/web\/neuadc\/"},"modified":"2025-05-13T20:28:20","modified_gmt":"2025-05-13T20:28:20","slug":"neuadc","status":"publish","type":"post","link":"https:\/\/medicalcriteria.com\/web\/es\/neuadc\/","title":{"rendered":"Criterios Diagn\u00f3stico de Asma de Dif\u00edcil Control"},"content":{"rendered":"<div class=\"7ca9444b8380138fe077da07353677a4\" data-index=\"1\" style=\"float: none; margin:0px 0 0px 0; text-align:center;\">\n<script async src=\"https:\/\/pagead2.googlesyndication.com\/pagead\/js\/adsbygoogle.js\"><\/script>\r\n<!-- MC 2019- Horizontal -->\r\n<ins class=\"adsbygoogle\"\r\n     style=\"display:block\"\r\n     data-ad-client=\"ca-pub-0127150553352455\"\r\n     data-ad-slot=\"3806776041\"\r\n     data-ad-format=\"auto\"\r\n     data-full-width-responsive=\"true\"><\/ins>\r\n<script>\r\n     (adsbygoogle = window.adsbygoogle || []).push({});\r\n<\/script>\n<\/div>\n<p><span class=\"hps\">El<\/span>\u00a0<span class=\"hps\">asma<\/span>\u00a0<span class=\"hps\">de dif\u00edcil<\/span>\u00a0<span class=\"hps\">control puede definirse<\/span>\u00a0<span class=\"hps\">como aquel que <\/span><span class=\"hps\">es<\/span>\u00a0<span class=\"hps\">inadecuada<\/span>mente\u00a0<span class=\"hps\">o pobremente controlado<\/span>\u00a0<span class=\"hps\">a pesar de<\/span>\u00a0<span class=\"hps\">una estrategia terap\u00e9utica<\/span><span class=\"hps\">\u00a0apropiada<\/span>\u00a0<span class=\"hps\">que<\/span>\u00a0<span class=\"hps\">se ajusta<\/span>\u00a0<span class=\"hps\">a<\/span>\u00a0<span class=\"hps\">la severidad cl\u00ednica<\/span>.<br \/>\n<!--more--><br \/>\n<strong><span class=\"hps\">Criterios Diagn\u00f3stico de Asma de Dif\u00edcil Control<\/span><\/strong><br \/>\n<span class=\"hps\">El diagn\u00f3stico de<\/span>\u00a0<span class=\"hps\">asma<\/span>\u00a0<span class=\"hps\">de dif\u00edcil<\/span>\u00a0<span class=\"hps\">control se establece<\/span><span class=\"hps\">,<\/span>\u00a0<span class=\"hps\">una vez<\/span>\u00a0que el\u00a0<span class=\"hps\">falso<\/span>\u00a0asma de\u00a0<span class=\"hps\">dif\u00edcil<\/span>\u00a0<span class=\"hps\">control<\/span><span class=\"hps\">\u00a0ha<\/span>\u00a0<span class=\"hps\">sido descartado,<\/span>\u00a0y 2 criterios mayores\u00a0<span class=\"hps\">o<\/span>\u00a0<span class=\"hps\">1 criterio<\/span>\u00a0<span class=\"hps\">mayor y<\/span>\u00a0<span class=\"hps\">2<\/span>\u00a0<span class=\"hps\">menores<\/span>\u00a0<span class=\"hps\">son encontrados.<\/span>\u00a0<span class=\"hps\">Los criterios<\/span>\u00a0<span class=\"hps\">son modificados,<\/span>\u00a0<span class=\"hps\">en parte<\/span>, de la propuesta\u00a0<span class=\"hps\">de la\u00a0<\/span>American Thoracic Society Workshop<span class=\"hps\">\u00a0de<\/span>\u00a0<span class=\"hps\">Asma<\/span>\u00a0<span class=\"hps\">refractaria<\/span><\/p>\n<p><strong><span class=\"hps\">Criterios mayores<\/span><\/strong><\/p>\n<ul>\n<li><span class=\"hps\">Uso de<\/span>\u00a0<span class=\"hps\">corticoides<\/span>\u00a0<span class=\"hps\">orales<\/span>\u00a0<span class=\"hps\">de forma continua o<\/span>\u00a0<span class=\"hps\">por m\u00e1s de 6<\/span>\u00a0<span class=\"hps\">meses en<\/span>\u00a0<span class=\"hps\">el \u00faltimo a\u00f1o<\/span><\/li>\n<li>Uso continuo de corticosteroides inhalados en dosis altas (budesonida o equivalente &gt;1200 ug\/d\u00eda o fluticasona &gt;880 ug\/d\u00eda) conjuntamente a otro f\u00e1rmaco antiasm\u00e1tico, generalmente un B2-adren\u00e9rgico de acci\u00f3n prolongada<\/li>\n<\/ul>\n<p><strong><span class=\"hps\">Criterios menores<\/span><\/strong><\/p>\n<ul>\n<li><span class=\"hps\">Requerimiento diario<\/span>\u00a0<span class=\"hps\">de<\/span>\u00a0B<span class=\"hps\">2-adren\u00e9rgicos de\u00a0<\/span><span class=\"hps\">acci\u00f3n corta como<\/span>\u00a0<span class=\"hps\">medicaci\u00f3n de rescate<\/span><\/li>\n<li><span class=\"hps\">FEV1 inferior al<\/span>\u00a0<span class=\"hps\">80<\/span>% del\u00a0<span class=\"hps\">valor te\u00f3rico o<\/span>\u00a0<span class=\"hps\">20<\/span>%\u00a0<span class=\"hps\">mayor que<\/span>\u00a0<span class=\"hps\">la variabilidad<\/span>\u00a0<span class=\"hps\">de<\/span>\u00a0<span class=\"hps\">PEF<\/span><\/li>\n<li><span class=\"hps\">Una o<\/span>\u00a0<span class=\"hps\">m\u00e1s<\/span>\u00a0<span class=\"hps\">visitas al<\/span>\u00a0<span class=\"hps\">servicio de urgencias<\/span>\u00a0<span class=\"hps\">en el \u00faltimo a\u00f1o<\/span><\/li>\n<li><span class=\"hps\">Tres o m\u00e1s<\/span>\u00a0<span class=\"hps\">ciclos de corticosteroides<\/span>\u00a0<span class=\"hps\">orales en<\/span>\u00a0<span class=\"hps\">el \u00faltimo a\u00f1o<\/span><\/li>\n<li><span class=\"hps\">E<\/span><span class=\"hps\">pisodio<\/span>\u00a0previo\u00a0<span class=\"hps\">de<\/span>\u00a0<span class=\"hps\">asma casi fatal<\/span><\/li>\n<li><span class=\"hps\">R\u00e1pido deterioro<\/span>\u00a0<span class=\"hps\">de la funci\u00f3n pulmonar<\/span><\/li>\n<\/ul>\n<p><span class=\"hps\">*FEV1:<\/span>\u00a0<span class=\"hps\">volumen<\/span>\u00a0<span class=\"hps\">espiratorio forzado en<\/span>\u00a0<span class=\"hps\">el primer segundo;<\/span>\u00a0<span class=\"hps\">PEF,<\/span>\u00a0<span class=\"hps\">flujo<\/span>\u00a0<span class=\"hps\">espiratorio m\u00e1ximo.<\/span><\/p>\n<p>&nbsp;<\/p>\n<p><strong>Bibliograf\u00eda:<\/strong><\/p>\n<ol>\n<li>L\u00f3pez-Vi\u00f1a A, Ag\u00fcero-Balb\u00edn R, Aller-Alvarez JL, Baz\u00fas-Gonz\u00e1lez T, Cosio BG, de Diego-Dami\u00e1 A, Mart\u00ednez-Morag\u00f3n E, Pereira-Vega A, Plaza-Moral V, Rodr\u00edguez-Trigo G, Villa-Asensi JR; Area de Asma-SEPAR. Guidelines for the diagnosis and management of difficult-to-control asthma. Arch Bronconeumol. 2005 Sep;41(9):513-23.\u00a0<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/16194515\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<li>Le AV, Simon RA. The Difficult-to-Control Asthmatic: A Systematic Approach. Allergy Asthma Clin Immunol. 2006 Sep 15;2(3):109-16.\u00a0<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/20525155\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<p>Creado Ago 27, 2012.<\/p>\n\n<div style=\"font-size: 0px; height: 0px; line-height: 0px; margin: 0; padding: 0; clear: both;\"><\/div>","protected":false},"excerpt":{"rendered":"<p>El\u00a0asma\u00a0de dif\u00edcil\u00a0control puede definirse\u00a0como aquel que es\u00a0inadecuadamente\u00a0o pobremente controlado\u00a0a pesar de\u00a0una estrategia terap\u00e9utica\u00a0apropiada\u00a0que\u00a0se ajusta\u00a0a\u00a0la severidad cl\u00ednica.<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"no","_lmt_disable":"no","_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[233],"tags":[962,961,1090,16,15,14,13,1089,1091],"class_list":["post-2394","post","type-post","status-publish","format-standard","hentry","category-pulmonary","tag-asma","tag-asthma","tag-control","tag-criteria","tag-criterios","tag-diagnostic","tag-diagnostico","tag-difficult","tag-dificil"],"modified_by":"Guillermo Firman","_links":{"self":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/2394","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/comments?post=2394"}],"version-history":[{"count":3,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/2394\/revisions"}],"predecessor-version":[{"id":9315,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/2394\/revisions\/9315"}],"wp:attachment":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/media?parent=2394"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/categories?post=2394"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/tags?post=2394"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}