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Table 1 Classification of the Children’s Hospital Association

From: The child with medical complexity

 

NON-CHRONIC

(CRG 1,2)

EPISODIC

CHRONIC

(CRG 3,4)

LIFELONG CHRONIC

(CRG 5a,5b)

COMPLEX CHRONIC

(CRG 6,7,9)

MALIGNANCIES

(CRG 8)

Description

- Acute pathological condition lasting less than one year

- Pathological condition lasting more than one year that manifests itself in an episodic manner;

- potentially treatable with adequate treatment;

- likely not to manifest in adulthood

- Severe primary pathological condition, involving an entire apparatus and more likely to cause long-term damage

- Severe chronic pathological condition involving two or more apparatuses or

- chronic pathological condition with progressive deterioration or

- technology-dependent pathological condition

- Highly malignancy pathological condition that requires timely treatment

Examples

- Head trauma, peritonitis, UTI

- Asthma, major depression

- Congenital heart disease, short bowel syndrome

-Cerebral palsy,

intellectual disability

- Neuroblastoma, acute myeloid leukaemia

  1. Taken from “Children and Young Adults with Medical Complexity: Serving an Emerging Population”, Edwin F. Simpser et al. Modified [5].