{"id":6429,"date":"2015-04-01T18:07:00","date_gmt":"2015-04-01T16:07:00","guid":{"rendered":"https:\/\/www.osatzen.com\/blogs\/duracion-de-los-corticoides-sistemicos-en-la-exacerbacion-de-la-epoc\/"},"modified":"2021-06-07T13:16:32","modified_gmt":"2021-06-07T11:16:32","slug":"duracion-de-los-corticoides-sistemicos-en-la-exacerbacion-de-la-epoc","status":"publish","type":"post","link":"https:\/\/www.osatzen.com\/eu\/blogs\/duracion-de-los-corticoides-sistemicos-en-la-exacerbacion-de-la-epoc\/","title":{"rendered":"Duraci\u00f3n de los corticoides sist\u00e9micos en la exacerbaci\u00f3n de la EPOC"},"content":{"rendered":"<p><span style=\"font-family: Arial,Helvetica,sans-serif;\"> <\/span><span style=\"font-family: Arial,Helvetica,sans-serif;\"><\/span><\/p>\n<table border=\"0\" cellpadding=\"0\" cellspacing=\"0\" style=\"border-collapse: collapse; margin-left: 1.15pt; mso-padding-alt: 0cm 0cm 0cm 0cm; mso-table-layout-alt: fixed;\">\n<tbody>\n<tr style=\"height: 45.1pt; mso-yfti-irow: 0; mso-yfti-lastrow: yes;\">\n<td style=\"border: ridge windowtext 2.25pt; height: 45.1pt; mso-border-alt: three-d-emboss windowtext 2.25pt; padding: 0cm 0cm 0cm 0cm; width: 471.95pt;\" width=\"629\">\n<div align=\"center\" style=\"text-align: center;\"><span style=\"font-family: Arial,Helvetica,sans-serif;\"><span style=\"font-family: Calibri; font-size: 14.0pt; mso-ansi-language: ES;\">EN LAS EXACERBACIONES DEL   EPOC NO HAY DIFERENCIA ENTRE LA&nbsp; PAUTA   DE CORTICOIDES SIST\u00c9MICOS CORTA (\u2264 7 D\u00cdAS) Y&nbsp;   LARGA( &gt; 7 D\u00cdAS)<o:p><\/o:p><\/span><\/span><\/div>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<div style=\"text-align: justify; text-justify: inter-ideograph;\"><span style=\"font-family: Arial,Helvetica,sans-serif;\"><br \/><\/span><\/div>\n<div style=\"text-align: justify; text-justify: inter-ideograph;\"><span style=\"font-family: Arial,Helvetica,sans-serif;\"><b><span style=\"font-family: Calibri; mso-ansi-language: ES;\">Referencia: <\/span><\/b><span style=\"font-family: Calibri; mso-ansi-language: ES;\">Walters JAE, Tan DJ, White CJ, Wood-Baker R. Different durations of corticosteroid therapy for exacerbations of chronic obstructive pulmonary disease. Cochrane Database of Systematic Reviews 2014, Issue 12. Art. No.: CD006897. DOI:10.1002\/14651858.CD006897.pub3.<b><o:p><\/o:p><\/b><\/span><\/span><\/div>\n<div style=\"text-align: justify; text-justify: inter-ideograph;\"><span style=\"font-family: Arial,Helvetica,sans-serif;\"><span style=\"font-family: Calibri; mso-ansi-language: ES;\"><br \/><b>Correo electr\u00f3nico de la autora principal<\/b>:<b> <\/b><\/span><span style=\"color: blue; font-family: Calibri; font-size: 9.0pt; layout-grid-mode: both; mso-ansi-language: ES; mso-bidi-font-family: AGaramond-Regular;\">Julia.Walters@utas.edu.au<\/span><span style=\"font-size: 9pt;\">.<\/span><span style=\"font-family: Calibri; mso-ansi-language: ES;\"><o:p><\/o:p><\/span><\/span><\/div>\n<div style=\"text-align: justify; text-justify: inter-ideograph;\"><span style=\"font-family: Arial,Helvetica,sans-serif;\"><b><span style=\"font-family: Calibri; mso-ansi-language: ES;\">La pregunta con sus 3 componentes:<\/span><\/b><span style=\"font-family: Calibri; mso-ansi-language: ES;\"> <o:p><\/o:p><\/span><\/span><\/div>\n<ul style=\"margin-top: 0cm;\" type=\"square\">\n<li style=\"mso-list: l2 level1 lfo1; tab-stops: list 36.0pt; text-align: justify; text-justify: inter-ideograph;\"><span style=\"font-family: Arial,Helvetica,sans-serif;\"><b><u><span style=\"font-family: Calibri; mso-ansi-language: ES;\">Poblaci\u00f3n:<\/span><\/u><\/b><span style=\"font-family: Calibri; mso-ansi-language: ES;\"> EPOC descompensado      (aumento de disnea, cantidad de esputo, purulencia o tos).<o:p><\/o:p><\/span><\/span><\/li>\n<li style=\"mso-list: l2 level1 lfo1; tab-stops: list 36.0pt; text-align: justify; text-justify: inter-ideograph;\"><span style=\"font-family: Arial,Helvetica,sans-serif;\"><b><u><span style=\"font-family: Calibri; mso-ansi-language: ES;\">Intervenci\u00f3n:<\/span><\/u><\/b><span style=\"font-family: Calibri; mso-ansi-language: ES;\"> Corticoides sist\u00e9micos,      7 d\u00edas de duraci\u00f3n o menos vs 7 d\u00edas o m\u00e1s.<o:p><\/o:p><\/span><\/span><\/li>\n<li style=\"mso-list: l2 level1 lfo1; tab-stops: list 36.0pt; text-align: justify; text-justify: inter-ideograph;\"><span style=\"font-family: Arial,Helvetica,sans-serif;\"><b><u><span style=\"font-family: Calibri; mso-ansi-language: ES;\">Resultados:<o:p><\/o:p><\/span><\/u><\/b><\/span><\/li>\n<\/ul>\n<div style=\"margin-left: 72.0pt; mso-list: l2 level2 lfo1; tab-stops: list 72.0pt; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;\"><span style=\"font-family: Arial,Helvetica,sans-serif;\">&#8211;<span dir=\"LTR\"><span style=\"font-family: Calibri; mso-ansi-language: ES;\">Principales:<o:p><\/o:p><\/span><\/span><\/span><\/div>\n<ul>\n<li><!--[if !supportLists]--><span style=\"font-family: Arial,Helvetica,sans-serif;\"><span dir=\"LTR\"><span style=\"font-family: Calibri; mso-ansi-language: ES;\">Fallo de tratamiento.<o:p><\/o:p><\/span><\/span><\/span><\/li>\n<li><!--[if !supportLists]--><!--[endif]--><span style=\"font-family: Arial,Helvetica,sans-serif;\"><span dir=\"LTR\"><span style=\"font-family: Calibri; mso-ansi-language: ES;\">Recidiva tras tratamiento<o:p><\/o:p><\/span><\/span><\/span><\/li>\n<li><!--[if !supportLists]--><!--[endif]--><span style=\"font-family: Arial,Helvetica,sans-serif;\"><span dir=\"LTR\"><span style=\"font-family: Calibri; mso-ansi-language: ES;\">Efectos adversos.<o:p><\/o:p><\/span><\/span><\/span><\/li>\n<\/ul>\n<div style=\"margin-left: 72.0pt; mso-list: l2 level2 lfo1; tab-stops: list 72.0pt; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;\"><!--[if !supportLists]--><span style=\"font-family: Arial,Helvetica,sans-serif;\">&#8211;<span dir=\"LTR\"><span style=\"font-family: Calibri; mso-ansi-language: ES;\">Secundarios:<o:p><\/o:p><\/span><\/span><\/span><\/div>\n<ul>\n<li><!--[if !supportLists]--><span style=\"font-family: Arial,Helvetica,sans-serif;\"><span dir=\"LTR\"><span style=\"font-family: Calibri; mso-ansi-language: ES;\">Mortalidad.<o:p><\/o:p><\/span><\/span><\/span><\/li>\n<li><!--[if !supportLists]--><span style=\"font-family: Arial,Helvetica,sans-serif;\"><span dir=\"LTR\"><span style=\"font-family: Calibri; mso-ansi-language: ES;\">Funci\u00f3n pulmonar.<o:p><\/o:p><\/span><\/span><\/span><\/li>\n<li><!--[if !supportLists]--><span style=\"font-family: Arial,Helvetica,sans-serif;\"><span dir=\"LTR\"><span style=\"font-family: Calibri; mso-ansi-language: ES;\">Duraci\u00f3n de la estancia hospitalaria.<o:p><\/o:p><\/span><\/span><\/span><\/li>\n<li><!--[if !supportLists]--><span style=\"font-family: Arial,Helvetica,sans-serif;\"><span dir=\"LTR\"><span style=\"font-family: Calibri; mso-ansi-language: ES;\">Gases arteriales.<o:p><\/o:p><\/span><\/span><\/span><\/li>\n<li><!--[if !supportLists]--><span style=\"font-family: Arial,Helvetica,sans-serif;\"><span dir=\"LTR\"><span style=\"font-family: Calibri; mso-ansi-language: ES;\">Puntuaci\u00f3n de s\u00edntomas.<o:p><\/o:p><\/span><\/span><\/span><\/li>\n<li><!--[if !supportLists]--><span style=\"font-family: Arial,Helvetica,sans-serif;\"><span dir=\"LTR\"><span style=\"font-family: Calibri; mso-ansi-language: ES;\">Calidad de vida.<o:p><\/o:p><\/span><\/span><\/span><\/li>\n<\/ul>\n<div style=\"text-align: justify; text-justify: inter-ideograph;\"><span style=\"font-family: Arial,Helvetica,sans-serif;\"><span style=\"font-family: Calibri; mso-ansi-language: ES;\"><b>Palabras clave de la b\u00fasqueda: \u201c<\/b>adrenal cortex hormones\u201d AND \u201cpulmonary disease, chronic obstructive\u201d<b><o:p><\/o:p><\/b><\/span><\/span><\/div>\n<div style=\"margin-bottom: .0001pt; margin: 0cm; mso-layout-grid-align: none; mso-pagination: widow-orphan; text-align: justify; text-autospace: none; text-justify: inter-ideograph;\"><span style=\"font-family: Arial,Helvetica,sans-serif;\"><br \/><\/span><\/div>\n<div style=\"text-align: justify; text-justify: inter-ideograph;\"><span style=\"font-family: Arial,Helvetica,sans-serif;\"><b><span style=\"font-family: Calibri; mso-ansi-language: ES;\">LA REVISI\u00d3N SISTEM\u00c1TICA:<o:p><\/o:p><\/span><\/b><\/span><\/div>\n<div style=\"text-align: justify; text-justify: inter-ideograph;\"><span style=\"font-family: Arial,Helvetica,sans-serif;\"><b><span style=\"font-family: Calibri; mso-ansi-language: ES;\">Bases de datos consultadas<\/span><\/b><span style=\"font-family: Calibri; mso-ansi-language: ES;\">: <o:p><\/o:p><\/span><\/span><\/div>\n<ul style=\"margin-top: 0cm;\" type=\"square\">\n<li style=\"mso-list: l3 level1 lfo2; tab-stops: list 36.0pt; text-align: justify; text-justify: inter-ideograph;\"><span style=\"font-family: Arial,Helvetica,sans-serif;\"><span style=\"font-family: Calibri; mso-ansi-language: ES;\">Cochrane Central.<o:p><\/o:p><\/span><\/span><\/li>\n<li style=\"mso-list: l3 level1 lfo2; tab-stops: list 36.0pt; text-align: justify; text-justify: inter-ideograph;\"><span style=\"font-family: Arial,Helvetica,sans-serif;\"><span style=\"font-family: Calibri; mso-ansi-language: ES;\">Medline.<o:p><\/o:p><\/span><\/span><\/li>\n<li style=\"mso-list: l3 level1 lfo2; tab-stops: list 36.0pt; text-align: justify; text-justify: inter-ideograph;\"><span style=\"font-family: Arial,Helvetica,sans-serif;\"><span style=\"font-family: Calibri; mso-ansi-language: ES;\">Embase.<o:p><\/o:p><\/span><\/span><\/li>\n<li style=\"mso-list: l3 level1 lfo2; tab-stops: list 36.0pt; text-align: justify; text-justify: inter-ideograph;\"><span style=\"font-family: Arial,Helvetica,sans-serif;\"><span style=\"font-family: Calibri; mso-ansi-language: ES;\">Amed.<o:p><\/o:p><\/span><\/span><\/li>\n<li style=\"mso-list: l3 level1 lfo2; tab-stops: list 36.0pt; text-align: justify; text-justify: inter-ideograph;\"><span style=\"font-family: Arial,Helvetica,sans-serif;\"><span style=\"font-family: Calibri; mso-ansi-language: ES;\">Cinahl.<o:p><\/o:p><\/span><\/span><\/li>\n<li style=\"mso-list: l3 level1 lfo2; tab-stops: list 36.0pt; text-align: justify; text-justify: inter-ideograph;\"><span style=\"font-family: Arial,Helvetica,sans-serif;\"><span style=\"font-family: Calibri; mso-ansi-language: ES;\">PsycInfo.<o:p><\/o:p><\/span><\/span><\/li>\n<li style=\"mso-list: l3 level1 lfo2; tab-stops: list 36.0pt; text-align: justify; text-justify: inter-ideograph;\"><span style=\"font-family: Arial,Helvetica,sans-serif;\"><span style=\"font-family: Calibri; mso-ansi-language: ES;\">B\u00fasqueda manual de revistas de neumolog\u00eda y      res\u00famenes de congresos.<o:p><\/o:p><\/span><\/span><\/li>\n<li style=\"mso-list: l3 level1 lfo2; tab-stops: list 36.0pt; text-align: justify; text-justify: inter-ideograph;\"><span style=\"font-family: Arial,Helvetica,sans-serif;\"><span style=\"font-family: Calibri; mso-ansi-language: ES;\">Seguimiento de referencias de los ensayos      cl\u00ednicos.<o:p><\/o:p><\/span><\/span><\/li>\n<li style=\"mso-list: l3 level1 lfo2; tab-stops: list 36.0pt; text-align: justify; text-justify: inter-ideograph;\"><span style=\"font-family: Arial,Helvetica,sans-serif;\"><span style=\"font-family: Calibri; mso-ansi-language: ES;\">B\u00fasqueda en clinicaltrial.gov y en la p\u00e1gina      de la&nbsp; OMS.<o:p><\/o:p><\/span><\/span><\/li>\n<li style=\"mso-list: l3 level1 lfo2; tab-stops: list 36.0pt; text-align: justify; text-justify: inter-ideograph;\"><span style=\"font-family: Arial,Helvetica,sans-serif;\"><span style=\"font-family: Calibri; mso-ansi-language: ES;\">Contacto con expertos.<o:p><\/o:p><\/span><\/span><\/li>\n<\/ul>\n<div style=\"text-align: justify; text-justify: inter-ideograph;\"><span style=\"font-family: Arial,Helvetica,sans-serif;\"><b><span style=\"font-family: Calibri; mso-ansi-language: ES;\">Estudios elegidos<\/span><\/b><span style=\"font-family: Calibri; mso-ansi-language: ES;\">: &nbsp;Ensayos cl\u00ednicos aleatorizados. Valoran los siguientes aspectos de la calidad: <o:p><\/o:p><\/span><\/span><\/div>\n<ul style=\"margin-top: 0cm;\" type=\"square\">\n<li style=\"mso-list: l1 level2 lfo3; tab-stops: list 72.0pt; text-align: justify; text-justify: inter-ideograph;\"><span style=\"font-family: Arial,Helvetica,sans-serif;\"><span style=\"font-family: Calibri; mso-ansi-language: ES;\">Aleatorizaci\u00f3n.<o:p><\/o:p><\/span><\/span><\/li>\n<li style=\"mso-list: l1 level2 lfo3; tab-stops: list 72.0pt; text-align: justify; text-justify: inter-ideograph;\"><span style=\"font-family: Arial,Helvetica,sans-serif;\"><span style=\"font-family: Calibri; mso-ansi-language: ES;\">OSA.<o:p><\/o:p><\/span><\/span><\/li>\n<li style=\"mso-list: l1 level2 lfo3; tab-stops: list 72.0pt; text-align: justify; text-justify: inter-ideograph;\"><span style=\"font-family: Arial,Helvetica,sans-serif;\"><span style=\"font-family: Calibri; mso-ansi-language: ES;\">Cegamiento de participantes y personal.<o:p><\/o:p><\/span><\/span><\/li>\n<li style=\"mso-list: l1 level2 lfo3; tab-stops: list 72.0pt; text-align: justify; text-justify: inter-ideograph;\"><span style=\"font-family: Arial,Helvetica,sans-serif;\"><span style=\"font-family: Calibri; mso-ansi-language: ES;\">Cegamiento de los evaluadores de       resultados.<o:p><\/o:p><\/span><\/span><\/li>\n<li style=\"mso-list: l1 level2 lfo3; tab-stops: list 72.0pt; text-align: justify; text-justify: inter-ideograph;\"><span style=\"font-family: Arial,Helvetica,sans-serif;\"><span style=\"font-family: Calibri; mso-ansi-language: ES;\">Datos incompletos de resultado.<o:p><\/o:p><\/span><\/span><\/li>\n<li style=\"mso-list: l1 level2 lfo3; tab-stops: list 72.0pt; text-align: justify; text-justify: inter-ideograph;\"><span style=\"font-family: Arial,Helvetica,sans-serif;\"><span style=\"font-family: Calibri; mso-ansi-language: ES;\">Informe selectivo de resultados.<o:p><\/o:p><\/span><\/span><\/li>\n<li style=\"mso-list: l1 level2 lfo3; tab-stops: list 72.0pt; text-align: justify; text-justify: inter-ideograph;\"><span style=\"font-family: Arial,Helvetica,sans-serif;\"><span style=\"font-family: Calibri; mso-ansi-language: ES;\">Presencia de otros sesgos.<o:p><\/o:p><\/span><\/span><\/li>\n<li style=\"mso-list: l1 level2 lfo3; tab-stops: list 72.0pt; text-align: justify; text-justify: inter-ideograph;\"><span style=\"font-family: Arial,Helvetica,sans-serif;\"><span style=\"font-family: Calibri; mso-ansi-language: ES;\">Eval\u00faan la heterogeneidad cl\u00ednica y       estad\u00edstica. Se analizan las causas de heterogeneidad (si existe), se       realizan an\u00e1lisis de subgrupos y an\u00e1lisis de sensibilidad.<o:p><\/o:p><\/span><\/span><\/li>\n<\/ul>\n<div style=\"text-align: justify; text-justify: inter-ideograph;\"><span style=\"font-family: Arial,Helvetica,sans-serif;\"><b><u><span style=\"font-family: Calibri; mso-ansi-language: ES;\">RESULTADOS<\/span><\/u><\/b><b><span style=\"font-family: Calibri; mso-ansi-language: ES;\">:<o:p><\/o:p><\/span><\/b><\/span><\/div>\n<div style=\"text-align: justify; text-indent: 18.0pt; text-justify: inter-ideograph;\"><span style=\"font-family: Arial,Helvetica,sans-serif;\"><span style=\"font-family: Calibri; mso-ansi-language: ES;\">Localizan 8 ensayos cl\u00ednicos (5 se metanalizan). Los estudios son de \u00e1mbito hospitalario aunque con seguimiento ambulatorio. Utilizan prednisolona <\/span><span style=\"font-family: Calibri; mso-ansi-language: ES; mso-bidi-font-size: 12.0pt;\">(30-40 mg al d\u00eda) <\/span><span style=\"font-family: Calibri; mso-ansi-language: ES;\">oral y metilprednisolona IV <\/span><span style=\"font-family: Calibri; mso-ansi-language: ES; mso-bidi-font-size: 12.0pt;\">(40 mg al d\u00eda o 0,5 mg\/kg cada 6 horas)<\/span><span style=\"font-family: Calibri; mso-ansi-language: ES;\"> como f\u00e1rmacos a estudio. La duraci\u00f3n de las pautas de corticoides son 3,5,7 d\u00edas en la pauta corta y&nbsp; 10,14,15 d\u00edas en la pauta larga. La calidad es buena en general aunque los estudios son peque\u00f1os.<o:p><\/o:p><\/span><\/span><\/div>\n<div style=\"margin-left: 54.0pt; mso-list: l0 level1 lfo4; tab-stops: list 54.0pt; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;\"><!--[if !supportLists]--><span style=\"font-family: Arial,Helvetica,sans-serif;\"><span style=\"font-family: Symbol; mso-ansi-language: ES; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;\">\u00b7<span style=\"font-size: 7pt; font-stretch: normal;\">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <\/span><\/span><span dir=\"LTR\"><u><span style=\"font-family: Calibri; mso-ansi-language: ES;\">Fallo del tratamiento:<\/span><\/u><\/span><span style=\"font-family: Calibri; mso-ansi-language: ES;\"> OR 0,72 <\/span><span style=\"font-family: Calibri; mso-ansi-language: ES; mso-bidi-font-size: 12.0pt;\">(0,36-1,46)<\/span><span style=\"font-family: Calibri; mso-ansi-language: ES;\"><o:p><\/o:p><\/span><\/span><!--[endif]--><\/div>\n<div style=\"margin-left: 54.0pt; mso-list: l0 level1 lfo4; tab-stops: list 54.0pt; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;\"><!--[if !supportLists]--><span style=\"font-family: Arial,Helvetica,sans-serif;\"><span style=\"font-family: Symbol; mso-ansi-language: ES; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;\">\u00b7<span style=\"font-size: 7pt; font-stretch: normal;\">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <\/span><\/span><span dir=\"LTR\"><u><span style=\"font-family: Calibri; mso-ansi-language: ES;\">Recidiva tras el tratamiento:<\/span><\/u><\/span><span style=\"font-family: Calibri; mso-ansi-language: ES;\"> OR 1,04 (0,7-1,56)<o:p><\/o:p><\/span><\/span><!--[endif]--><\/div>\n<div style=\"margin-left: 14.2pt; tab-stops: 14.2pt 35.45pt; text-align: justify; text-indent: 14.2pt; text-justify: inter-ideograph;\"><span style=\"font-family: Arial,Helvetica,sans-serif;\"><span style=\"font-family: Calibri; mso-ansi-language: ES;\">Ni en los efectos adversos ni en las variables secundarias (mortalidad, funci\u00f3n pulmonar, estancia hospitalaria, calidad de vida) tampoco se han encontrado diferencias estad\u00edsticamente significativas.<o:p><\/o:p><\/span><\/span><\/div>\n<div style=\"text-align: justify; text-justify: inter-ideograph;\"><span style=\"font-family: Arial,Helvetica,sans-serif;\"><br \/><\/span><\/div>\n<div style=\"text-align: justify; text-justify: inter-ideograph;\"><span style=\"font-family: Arial,Helvetica,sans-serif;\"><b><span style=\"font-family: Calibri; mso-ansi-language: ES;\">Comentarios.<o:p><\/o:p><\/span><\/b><\/span><\/div>\n<div><span style=\"font-family: Arial,Helvetica,sans-serif;\"><span style=\"font-family: Calibri; mso-ansi-language: ES;\">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Se trata de estudios de peque\u00f1o tama\u00f1o. <\/span><span style=\"font-family: Calibri; mso-ansi-language: ES; mso-bidi-font-size: 12.0pt;\">Los autores de la revisi\u00f3n califican la calidad como moderada seg\u00fan el sistema GRADE por la imprecisi\u00f3n.<o:p><\/o:p><\/span><\/span><\/div>\n<div style=\"text-align: justify; text-justify: inter-ideograph;\"><span style=\"font-family: Arial,Helvetica,sans-serif;\"><br \/><\/span><\/div>\n<div style=\"text-align: justify; text-justify: inter-ideograph;\"><span style=\"font-family: Arial,Helvetica,sans-serif;\"><b><span style=\"font-family: Calibri; mso-ansi-language: ES;\">Recomendaciones.<o:p><\/o:p><\/span><\/b><\/span><\/div>\n<div style=\"text-align: justify; text-justify: inter-ideograph;\"><span style=\"font-family: Arial,Helvetica,sans-serif;\"><b><span style=\"font-family: Calibri; mso-ansi-language: ES;\">SE SUGIERE UTILIZAR LA PAUTA CORTA DE CORTICOIDES SIST\u00c9MICOS EN LAS EXACERBACIONES DE LA EPOC. EVIDENCIA DEBIL A FAVOR. <o:p><\/o:p><\/span><\/b><\/span><\/div>\n<div style=\"text-align: justify; text-justify: inter-ideograph;\"><span style=\"font-family: Arial,Helvetica,sans-serif;\"><span style=\"font-family: Calibri; mso-ansi-language: ES;\">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <o:p><\/o:p><\/span><\/span><\/div>\n<p><span style=\"font-family: Arial,Helvetica,sans-serif;\"><b><span style=\"font-family: Calibri; mso-ansi-language: ES;\">Evaluado por<\/span><\/b><span style=\"font-family: Calibri; mso-ansi-language: ES;\">: <\/span><st1:personname><span style=\"font-family: Calibri; mso-ansi-language: ES;\">Mikel Moreno<\/span><\/st1:personname><span style=\"font-family: Calibri; mso-ansi-language: ES;\"> (<a href=\"mailto:mmorenob@cfnavarra.es\">mmorenob@cfnavarra.es<\/a>) <br \/><b>Fecha:<\/b>30\/3\/2015<\/span><\/span><br \/><span style=\"font-family: Arial,Helvetica,sans-serif;\"><br \/><\/span><span style=\"font-family: Arial,Helvetica,sans-serif;\"><span style=\"font-family: Calibri; mso-ansi-language: ES;\">Para saber m\u00e1s sobre revisiones sistem\u00e1ticas:<\/span><\/span><br \/><span style=\"font-family: Arial,Helvetica,sans-serif;\"><br \/><\/span><span style=\"font-family: Arial,Helvetica,sans-serif;\"><span style=\"font-family: Calibri; mso-ansi-language: ES;\"><a href=\"http:\/\/www.revespcardiol.org\/es\/revisiones-sistematicas-metaanalisis-bases-conceptuales\/articulo\/90024424\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-size: x-small;\">Ferreira,I;Urrutia,G;Alonso-Coello-P.Revisiones sistem\u00e1ticas y metaan\u00e1lisis:bases conceptuales e interpretaci\u00f3n. Rev Esp Cardiol.2011;64:688-96<\/span><\/a><\/span><\/span><br \/><span style=\"font-family: Arial,Helvetica,sans-serif;\"><br \/><\/span><\/p>\n<div is_mini=\"true\" style=\"left: 477px; opacity: 0; top: 126px;\"><link href=\"chrome:\/\/s3gt\/skin\/s3gt_tooltip.css\" rel=\"stylesheet\" type=\"text\/css\"><\/link><\/div>\n<div is_bottom=\"true\" is_mini=\"true\" style=\"left: 667px; top: 31px;\"><link href=\"chrome:\/\/s3gt\/skin\/s3gt_tooltip.css\" rel=\"stylesheet\" type=\"text\/css\"><\/link><\/div>\n<div is_mini=\"true\" style=\"left: 595px; top: 1645px;\"><link href=\"chrome:\/\/s3gt\/skin\/s3gt_tooltip.css\" rel=\"stylesheet\" type=\"text\/css\"><\/link><\/div>\n<p><span style=\"font-family: Arial,Helvetica,sans-serif;\"><iframe allowfullscreen=\"\" frameborder=\"0\" height=\"355\" marginheight=\"0\" marginwidth=\"0\" scrolling=\"no\" src=\"\/\/www.slideshare.net\/slideshow\/embed_code\/46604250\" style=\"border-width: 1px; border: 1px solid #CCC; margin-bottom: 5px; max-width: 100%;\" width=\"425\"> <\/iframe><\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>EN LAS EXACERBACIONES DEL EPOC NO HAY DIFERENCIA ENTRE LA&nbsp; PAUTA DE CORTICOIDES SIST\u00c9MICOS CORTA (\u2264 7 D\u00cdAS) Y&nbsp; LARGA( &gt; 7 D\u00cdAS) Referencia: Walters JAE, Tan DJ, White CJ, Wood-Baker R. Different durations of  [&#8230;]<\/p>\n","protected":false},"author":8,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_eb_attr":"","footnotes":""},"categories":[624,580,619,618],"tags":[],"class_list":["post-6429","post","type-post","status-publish","format-standard","hentry","category-blog-salabardo-mbe","category-cat","category-corticoides","category-epoc"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v25.3 (Yoast SEO v25.3) - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Duraci\u00f3n de los corticoides sist\u00e9micos en la exacerbaci\u00f3n de la EPOC - Osatzen<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.osatzen.com\/eu\/blogs\/duracion-de-los-corticoides-sistemicos-en-la-exacerbacion-de-la-epoc\/\" \/>\n<meta property=\"og:locale\" content=\"eu_ES\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Duraci\u00f3n de los corticoides sist\u00e9micos en la exacerbaci\u00f3n de la EPOC\" \/>\n<meta property=\"og:description\" content=\"EN LAS EXACERBACIONES DEL EPOC NO HAY DIFERENCIA ENTRE LA&nbsp; PAUTA DE CORTICOIDES SIST\u00c9MICOS CORTA (\u2264 7 D\u00cdAS) Y&nbsp; LARGA( &gt; 7 D\u00cdAS) Referencia: Walters JAE, Tan DJ, White CJ, Wood-Baker R. 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