{"id":2402,"date":"2011-12-30T11:52:43","date_gmt":"2011-12-30T11:52:43","guid":{"rendered":"https:\/\/medicalcriteria.com\/web\/onck\/"},"modified":"2025-05-13T20:28:25","modified_gmt":"2025-05-13T20:28:25","slug":"onck","status":"publish","type":"post","link":"https:\/\/medicalcriteria.com\/web\/es\/onck\/","title":{"rendered":"Escala de Performance de Karnofsky"},"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>La escala de performance de Karnofsky (KPS) fue dise\u00f1ada para medir el nivel de actividad del paciente y las necesidades de atenci\u00f3n m\u00e9dica. Se trata de una medida general de la autonom\u00eda del paciente y ha sido ampliamente utilizado como una evaluaci\u00f3n general del paciente con c\u00e1ncer.<br \/>\n<!--more--><br \/>\n<strong>Escala de Performance de Karnofsky<\/strong><\/p>\n<table style=\"border-collapse: collapse; width: 100%; height: 570px;\" border=\"1\">\n<tbody>\n<tr style=\"height: 24px;\">\n<td style=\"width: 7.84615%; text-align: center; height: 24px;\"><strong>\u00a0Valor<\/strong><\/td>\n<td style=\"width: 52.1876%; height: 24px;\"><strong><span class=\"hps\">Nivel<\/span>\u00a0<span class=\"hps\">de<\/span>\u00a0<span class=\"hps\">capacidad funcional<\/span><\/strong><\/td>\n<td style=\"width: 39.9663%; height: 24px;\"><strong>Definici\u00f3n<\/strong><\/td>\n<\/tr>\n<tr style=\"height: 48px;\">\n<td style=\"width: 7.84615%; text-align: center; height: 48px;\">\u00a0100<\/td>\n<td style=\"width: 52.1876%; height: 48px;\"><span class=\"hps\">Normal, sin quejas<\/span>,\u00a0<span class=\"hps\">sin evidencia de enfermedad<\/span><\/td>\n<td style=\"width: 39.9663%; height: 144px;\" rowspan=\"3\">Capaz de realizar una actividad y trabajo normal; no necesita cuidados especiales<\/td>\n<\/tr>\n<tr style=\"height: 48px;\">\n<td style=\"width: 7.84615%; text-align: center; height: 48px;\">\u00a090<\/td>\n<td style=\"width: 52.1876%; height: 48px;\"><span class=\"hps\">Capaz<\/span>\u00a0<span class=\"hps\">de realizar una actividad<\/span>\u00a0<span class=\"hps\">normal<\/span>, signos\u00a0<span class=\"hps\">o s\u00edntomas menores de<\/span>\u00a0<span class=\"hps\">enfermedad<\/span><\/td>\n<\/tr>\n<tr style=\"height: 48px;\">\n<td style=\"width: 7.84615%; text-align: center; height: 48px;\">\u00a080<\/td>\n<td style=\"width: 52.1876%; height: 48px;\"><span class=\"hps\">Actividad normal con esfuerzo<\/span>, algunos\u00a0<span class=\"hps\">signos o <\/span><span class=\"hps\">s\u00edntomas de enfermedad<\/span><\/td>\n<\/tr>\n<tr style=\"height: 72px;\">\n<td style=\"width: 7.84615%; text-align: center; height: 72px;\">\u00a070<\/td>\n<td style=\"width: 52.1876%; height: 72px;\"><span class=\"hps\">Se preocupa por<\/span>\u00a0<span class=\"hps\">s\u00ed mismo<\/span>, incapaz de\u00a0<span class=\"hps\">llevar una actividad normal<\/span>\u00a0<span class=\"hps\">o<\/span>\u00a0<span class=\"hps\">realizar un trabajo<\/span>\u00a0<span class=\"hps\">activo<\/span><\/td>\n<td style=\"width: 39.9663%; height: 162px;\" rowspan=\"3\">Incapaz de trabajar,\u00a0capaz de vivir\u00a0en el hogar\u00a0y atender\u00a0la mayor\u00eda de\u00a0las necesidades personales,\u00a0requiere diversos grados\u00a0de asistencia<\/td>\n<\/tr>\n<tr style=\"height: 48px;\">\n<td style=\"width: 7.84615%; text-align: center; height: 42px;\">\u00a060<\/td>\n<td style=\"width: 52.1876%; height: 42px;\"><span class=\"hps\">Requiere asistencia ocasional<\/span>,\u00a0<span class=\"hps\">pero es capaz de <\/span><span class=\"hps\">atender<\/span>\u00a0<span class=\"hps\">la mayor\u00eda<\/span><span class=\"hps\">\u00a0de sus<\/span><span class=\"hps\">\u00a0necesidades<\/span><\/td>\n<\/tr>\n<tr style=\"height: 48px;\">\n<td style=\"width: 7.84615%; text-align: center; height: 48px;\">\u00a050<\/td>\n<td style=\"width: 52.1876%; height: 48px;\"><span class=\"hps\">Requiere<\/span>\u00a0<span class=\"hps\">asistencia<\/span>\u00a0<span class=\"hps\">considerable<\/span>\u00a0<span class=\"hps\">y cuidados m\u00e9dicos<\/span>\u00a0<span class=\"hps\">frecuentes<\/span><\/td>\n<\/tr>\n<tr style=\"height: 48px;\">\n<td style=\"width: 7.84615%; text-align: center; height: 48px;\">\u00a040<\/td>\n<td style=\"width: 52.1876%; height: 48px;\"><span class=\"hps\">Incapacitado,<\/span>\u00a0<span class=\"hps\">requiere<\/span>\u00a0<span class=\"hps\">cuidados y asistencia especial<\/span><\/td>\n<td style=\"width: 39.9663%; height: 240px;\" rowspan=\"5\">Imposibilidad de cuidarse a s\u00ed mismo, requiere de atenci\u00f3n institucional u hospitalaria equivalente, la enfermedad puede progresar r\u00e1pidamente<\/td>\n<\/tr>\n<tr style=\"height: 72px;\">\n<td style=\"width: 7.84615%; text-align: center; height: 72px;\">\u00a030<\/td>\n<td style=\"width: 52.1876%; height: 72px;\"><span class=\"hps\">Severamente <\/span><span class=\"hps\">incapacitado<\/span>, la hospitalizaci\u00f3n\u00a0<span class=\"hps\">est\u00e1 indicada<\/span>\u00a0<span class=\"hps\">aunque la muerte<\/span>\u00a0<span class=\"hps\">no es inminente<\/span><\/td>\n<\/tr>\n<tr style=\"height: 48px;\">\n<td style=\"width: 7.84615%; text-align: center; height: 48px;\">\u00a020<\/td>\n<td style=\"width: 52.1876%; height: 48px;\"><span class=\"hps\">Es necesaria la hospitalizaci\u00f3n<\/span>,\u00a0<span class=\"hps\">muy enfermo<\/span>, tratamiento activo\u00a0<span class=\"hps\">de soporte es necesario<\/span><\/td>\n<\/tr>\n<tr style=\"height: 48px;\">\n<td style=\"width: 7.84615%; text-align: center; height: 48px;\">\u00a010<\/td>\n<td style=\"width: 52.1876%; height: 48px;\"><span class=\"hps\">M<\/span><span class=\"hps\">oribundo<\/span>,\u00a0proceso\u00a0<span class=\"hps\">fatal<\/span>\u00a0<span class=\"hps\">progresando r\u00e1pidamente<\/span><\/td>\n<\/tr>\n<tr style=\"height: 24px;\">\n<td style=\"width: 7.84615%; text-align: center; height: 24px;\">\u00a00<\/td>\n<td style=\"width: 52.1876%; height: 24px;\">\u00a0Muerte<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p><span class=\"hps\">La puntuaci\u00f3n de<\/span>\u00a0<span class=\"hps\">Karnofsky<\/span>\u00a0<span class=\"hps\">va de<\/span>\u00a0<span class=\"hps\">100 a 0<\/span>,\u00a0<span class=\"hps\">donde 100 es<\/span>\u00a0<span class=\"hps\">\u00abperfecto\u00bb<\/span>\u00a0<span class=\"hps\">de salud<\/span>\u00a0<span class=\"hps\">y 0<\/span>\u00a0<span class=\"hps\">es la muerte.<\/span>\u00a0Es un elemento predictor independiente de mortalidad, tanto en patolog\u00edas oncol\u00f3gicas y no oncol\u00f3gicas. Sirve para la toma de decisiones cl\u00ednicas y valorar el impacto de un tratamiento y la progresi\u00f3n de la enfermedad del paciente. Un Karnofsky de 50 o inferior indica elevado riesgo de muerte durante los 6 meses siguientes.<\/p>\n<p>&nbsp;<\/p>\n<p><strong>Bibliograf\u00eca:<\/strong><\/p>\n<ol>\n<li>Yates JW, Chalmer B, McKegney FP. Evaluation of patients with advanced cancer using the Karnofsky performance status. Cancer. 1980 Apr 15;45(8):2220-4. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/7370963\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<li>Schag CC, Heinrich RL, Ganz PA. Karnofsky performance status revisited: reliability, validity, and guidelines. J Clin Oncol. 1984 Mar;2(3):187-93. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/6699671\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<li>Kelly CM, Shahrokni A. Moving beyond Karnofsky and ECOG Performance Status Assessments with New Technologies. J Oncol. 2016;2016:6186543. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/27066075\/\" target=\"_blank\" rel=\"noopener\">[Medline]<\/a><\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<p>Creado: Ene 25, 2012<br \/>\nActualizado: Mar 25. 2025<\/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>La escala de performance de Karnofsky (KPS) fue dise\u00f1ada para medir el nivel de actividad del paciente y las necesidades de atenci\u00f3n m\u00e9dica. Se trata de una medida general de la autonom\u00eda del paciente y ha sido ampliamente utilizado como una evaluaci\u00f3n general del paciente con c\u00e1ncer.<\/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":[272],"tags":[452,543,1128,1129,1130,457,547],"class_list":["post-2402","post","type-post","status-publish","format-standard","hentry","category-oncology","tag-escala","tag-estado","tag-karnofsky","tag-kps","tag-performance","tag-scale","tag-status"],"modified_by":"Guillermo Firman","_links":{"self":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/2402","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=2402"}],"version-history":[{"count":7,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/2402\/revisions"}],"predecessor-version":[{"id":10492,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/2402\/revisions\/10492"}],"wp:attachment":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/media?parent=2402"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/categories?post=2402"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/tags?post=2402"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}