<?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>1688-1249</journal-id>
<journal-title><![CDATA[Archivos de Pediatría del Uruguay]]></journal-title>
<abbrev-journal-title><![CDATA[Arch. Pediatr. Urug.]]></abbrev-journal-title>
<issn>1688-1249</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Uruguaya de Pediatría]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1688-12492025000101204</article-id>
<article-id pub-id-type="doi">10.31134/ap.96.4</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Niveles de complejidad clínica de adolescentes pasibles de cuidados paliativos asistidos en un centro de referencia de Uruguay]]></article-title>
<article-title xml:lang="en"><![CDATA[Levels of clinical complexity of adolescents eligible for palliative care assisted in a reference center in Uruguay]]></article-title>
<article-title xml:lang="pt"><![CDATA[Níveis de complexidade clínica de adolescentes elegíveis para cuidados paliativos atendidos em um centro de referência no Uruguai]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Notejane]]></surname>
<given-names><![CDATA[Martin]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Chaves]]></surname>
<given-names><![CDATA[Macarena]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Correa]]></surname>
<given-names><![CDATA[Florencia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Paula]]></surname>
<given-names><![CDATA[Ma. Eugenia De]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ferreira]]></surname>
<given-names><![CDATA[Hugo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[González]]></surname>
<given-names><![CDATA[Ma. Belén]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Román]]></surname>
<given-names><![CDATA[Matías]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,UDELAR Facultad de Medicina Unidad Académica Pediatría B]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Uruguay</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,UDELAR Facultad de Medicina ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Uruguay</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2025</year>
</pub-date>
<volume>96</volume>
<numero>1</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_arttext&amp;pid=S1688-12492025000101204&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_abstract&amp;pid=S1688-12492025000101204&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_pdf&amp;pid=S1688-12492025000101204&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen:  Introducción:  el aumento de adolescentes con enfermedades que amenazan o limitan la vida hace necesario caracterizarlos con el objetivo de identificar sus necesidades, priorizar la asistencia, definir el mejor escenario y equipo de seguimiento.  Objetivo:  describir las características y niveles de complejidad clínica de los adolescentes asistidos por la Unidad de Cuidados Paliativos Pediátricos del Centro Hospitalario Pereira Rossell entre 2022 y 2023.  Metodología:  estudio retrospectivo mediante revisión de historias clínicas. Se incluyeron todos los adolescentes de 10 a 19 años en asistencia activa. Se indagaron variables sociodemográficas, enfermedad que amenaza la vida y necesidades especiales agrupadas en 8 categorías: atención por especialistas; necesidad crónica de fármacos; alimentación especial para vivir; asistencia tecnológica; rehabilitación; educación especial; fragilidad y complejidad social. Para categorizar el nivel de complejidad se utilizó el modelo de atención y clasificación de Niños y Adolescentes con Necesidades Especiales de Atención en Salud modificado.  Resultados:  se incluyeron 94 adolescentes, 51% de sexo femenino, mediana de edad 13,4 años, portadores de encefalopatías crónicas no evolutivas 70,2%. Asistieron a consultas continuas con especialistas 97%; utilizaron: fármacos en forma crónica 90,4%; fórmulas nutricionales especiales 33%, y tecnología médica 60%. Realizaban terapias de rehabilitación 65% y concurrían a centros educativos 79%. Requirieron en el último año al menos un ingreso hospitalario 89,4% y presentaban complejidad social 15%. Se clasificaron de baja complejidad clínica 75% y media 26%.  Conclusiones:  la mayoría de los adolescentes se catalogaron de baja complejidad clínica. Conocer el nivel de complejidad permitirá mejorar la gestión clínica del cuidado optimizando los recursos disponibles.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Summary:  Introduction:  the increase in life-limiting conditions in adolescents requires their characterization, so as to be able to identify their needs, prioritize their care, define the best-case scenario and follow-up the teams.  Objective:  to describe the characteristics and levels of clinical complexity of adolescents assisted by the Pediatric Palliative Care Unit of the Pereira Rossell Hospital Center between 2022 and 2023.  Methodology:  retrospective study reviewing medical records. All adolescents from 10 to 19 years of age in active care were included. We researched sociodemographic variables, life-limiting conditions and special needs grouped into 8 categories: care by specialists; chronic need for medication; special food to live; technological assistance; rehabilitation; special education; fragility and social complexity. In order to categorize the level of complexity, we used the modified care and classification model for Children and Adolescents with Special Health Care Needs.  Results:  94 adolescents were included, 51% female, median age 13,4 years, 70,2% with chronic non-evolving encephalopathies; 97% attended continuous consultations with specialists; 90,4% used drugs chronically; 33% used special nutritional formulas; and 60% used medical technology; 65% underwent rehabilitation therapies and 79% attended educational centers; 89,4% required at least one hospital admission in the last year and 15% had social complexity. 75% were classified as having low clinical complexity and 26% as having medium clinical complexity.  Conclusions:  most adolescents were classified as having low clinical complexity. Understanding the level of complexity will allow improving the clinical management of care by optimizing available resources.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo:  Introdução:  o aumento de adolescentes com doenças ameaçadoras e/ou limitantes torna necessário caracterizá-los com o objetivo de identificar suas necessidades, priorizar o seu atendimento, definir o melhor cenário e acompanhar as equipes.  Objetivo: descrever as características e os níveis de complexidade clínica dos adolescentes atendidos pela Unidade de Cuidados Paliativos Pediátricos do Centro Hospitalar Pereira Rossell entre 2022 e 2023.  Metodologia:  estudo retrospectivo realizado utilizando a revisão de prontuários. Foram incluídos todos os adolescentes de 10 a 19 anos em cuidados ativos. Foram investigadas variáveis sociodemográficas, doenças ameaçadoras à vida e necessidades especiais agrupadas em 8 categorias: atendimento por especialistas; necessidade crônica de medicamentos; alimentação especial para viver; assistência tecnológica; reabilitação; educação especial; fragilidade e complexidade social. Para categorizar o nível de complexidade foi utilizado o modelo modificado de atenção e classificação para Crianças e Adolescentes com Necessidades Especiais de Saúde.  Resultados: foram incluídos 94 adolescentes, 51% do sexo feminino, mediana de idade 13,4 anos, 70,2% portadores de encefalopatias crônicas não evolutivas. 97% realizaram consultas contínuas com especialistas; foram utilizados: medicamentos cronicamente 90,4%; fórmulas nutricionais especiais 33% e tecnologia médica 60%. 65% realizaram terapias de reabilitação e 79% frequentaram centros educativos. 89,4% necessitaram de pelo menos uma internação hospitalar no último ano e 15% apresentaram complexidade social. 75% foram classificados como com baixa complexidade clínica e 26% como média.  Conclusões:  a maioria dos adolescentes foi classificada como de baixa complexidade clínica. Conhecer o nível de complexidade permitirá melhorar a gestão clínica dos cuidados, otimizando os recursos disponíveis.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Cuidados Paliativos]]></kwd>
<kwd lng="es"><![CDATA[Adolescente]]></kwd>
<kwd lng="en"><![CDATA[Palliative Care]]></kwd>
<kwd lng="en"><![CDATA[Adolescent]]></kwd>
<kwd lng="pt"><![CDATA[Cuidados Paliativos]]></kwd>
<kwd lng="pt"><![CDATA[Adolescente]]></kwd>
</kwd-group>
</article-meta>
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