{"ok":true,"nota":{"id":"ac9ee80d18525fd5","slug":"el-dolor-despues-de-una-lesion-de-medula-espinal-no-siempre-sigue-un-p-ac9ee8","titulo":"El dolor después de una lesión de médula espinal no siempre sigue un patrón simple","resumen":"Investigadores siguieron a 140 personas con lesión medular durante el primer año. Registraron hasta tres dolores por entrevista, en lugar de clasificar a cada paciente como 'con dolor neuropático' o no, y observaron cómo cambiaban en el tiempo.","fuente":"medrxiv","fuenteNombre":"medRxiv · preprints","color":"#1f7a4d","autor":"Gumbel, J. H., Mendoza, E., Arellano, M., Huie, J. R., Hemmerle, D. D., Pascual, L. U., Singh, V., Keller, A. V., Bradfi","url":"https://www.medrxiv.org/content/10.64898/2026.10.21.26366160v1?rss=1","imagen":"/hoy/portada/ac9ee80d18525fd5","tema":"salud","subtemas":["lesion medular","dolor cronico","dolor neuropatico","rehabilitacion","pronostico"],"entidades":["TRACK-SCI"],"formato":"dato","entretenimiento":false,"pubTs":"2026-10-24T00:00:00.000Z","indexTs":"2026-10-24T17:39:23.297Z","hash":"e223d2675593ee377eecde95c2a5895f8cb7d6f45c4dadcb08357a086bf28655","tsa":{"time":"Oct 24 17:39:57 2026 GMT","provider":"freetsa.org","sobre":"sello"},"stats":{"views":0,"likes":0,"clicks":0,"dwell":0},"tipo":"normal","registro":"hallazgo","porQueImporta":"Para quien convive con una lesión medular, el dolor puede aparecer enseguida y mezclarse con otros dolores que cambian de forma. Si el diagnóstico se reduce a una etiqueta única, se pierden matices que importan para el tratamiento. El estudio es un preprint sin revisión externa, así que sus conclusiones todavía deben confirmarse.","quienFirma":"TRACK-SCI (estudio multicéntrico de lesión medular)","confianza":"preprint","consulta":null},"sello":{"hash":"e223d2675593ee377eecde95c2a5895f8cb7d6f45c4dadcb08357a086bf28655","sello":"df05ac7f76ae7322e9de516b2d56ac2a4bd4bd3886e3c212d904520eb697b1ac","beacon":{"drand":{"cadena":"8990e7a9aaed2ffed73dbd7092123d6f289930540d7651336225dc172e51b2ce","ronda":6581085,"aleatorio":"5b865f7af2191a181b92c4c4ab9fd35f643326bc2ed067db2612852f0ae4996e","tiempo":"2026-10-24T17:39:30.000Z"},"nist":{"cadena":2,"pulso":1997736,"salida":"FC410DB31A7510C007E12A13FA60BB017FD018E8D7A8F997D064784DE6DE8152F12BD532D1109184B573A519C46C35BE2929E1AD4C35C12237D4B53C3B1E21E0","tiempo":"2026-10-24T17:39:00.000Z"},"noAntes":"2026-10-24T17:39:30.000Z"},"verificacion":{"drand":true,"nist":true},"tsa":{"time":"Oct 24 17:39:57 2026 GMT","provider":"freetsa.org","sobre":"sello"},"original":{"titulo":"Trajectories and characteristics of pain in the first year after spinal cord injury: a TRACK-SCI study","descripcion":"Chronic pain affects most individuals with spinal cord injury (SCI) and frequently impairs daily function, and nearly half experience neuropathic pain. Neuropathic pain is commonly thought to develop months after injury and to persist once established. These views rest on classifying each patient as having neuropathic pain or not, although patients often report several pains. The same binary label is the usual target of prognostic and biomarker studies that aim to predict life-limiting pain. We tracked up to three of the worst pains per interview from injury to one year in 140 TRACK-SCI participants, using the DN4 interview (DN4i, threshold 3). Within three days of injury, half of all pain a","pubDate":"2026-10-24","url":"https://www.medrxiv.org/content/10.64898/2026.10.21.26366160v1?rss=1"},"indexado":"2026-10-24T17:39:23.297Z"}}