{"id":14231,"date":"2024-04-02T13:07:34","date_gmt":"2024-04-02T11:07:34","guid":{"rendered":"https:\/\/www.tauli.cat\/institut\/?page_id=14231"},"modified":"2025-01-16T12:32:49","modified_gmt":"2025-01-16T11:32:49","slug":"acmecat","status":"publish","type":"page","link":"https:\/\/www.tauli.cat\/institut\/projectes-i-xarxes\/projectes-financats\/acmecat\/","title":{"rendered":"ACMECat"},"content":{"rendered":"<div class=\"wpb-content-wrapper\">[vc_row][vc_column][vc_column_text]\n<h2>ACMECat<\/h2>\n<h5><span style=\"font-size: 16px;\">Avaluaci\u00f3 de la resposta a volum en el xoc s\u00e8ptic: An\u00e0lisi de Cl\u00fasters MEtab\u00f2lics<\/span><\/h5>\n[\/vc_column_text][vc_empty_space][vc_tta_tour][vc_tta_section title=&#8221;Presentaci\u00f3&#8221; tab_id=&#8221;presentacio&#8221;][vc_column_text]\n<h2>Benvinguts a ACMECat<\/h2>\n<p>El projecte <strong>ACMECat<\/strong> aborda l&#8217;estudi de la <strong>detecci\u00f3 d&#8217;hip\u00f2xia tissular<\/strong> en les hores inicials del maneig de <strong>pacients cr\u00edtics<\/strong> amb insufici\u00e8ncia cardiovascular provocada per un <strong>proc\u00e9s infecci\u00f3s<\/strong> <strong>greu<\/strong>.<\/p>\n<p>La pres\u00e8ncia i\/o persist\u00e8ncia en el temps d&#8217;<strong>hip\u00f2xia de causa cardiovascular als teixits<\/strong> est\u00e0 directament lligada a un <strong>increment en la morbi-mortalitat dels pacients<\/strong> i, per tant, la seva detecci\u00f3 i realitzaci\u00f3 d&#8217;accions per revertir-la s\u00f3n fonamentals.<\/p>\n<p>A dia d&#8217;avui, disposem de diferents marcadors en sang informatius sobre l&#8217;estat metab\u00f2lic global de l&#8217;organisme. Cadascun d&#8217;aquests marcadors ha demostrat el seu valor en la detecci\u00f3 i maneig de la hip\u00f2xia tissular, per\u00f2 tots ells tenen les seves pr\u00f2pies limitacions.<\/p>\n<p>El <a href=\"https:\/\/www.tauli.cat\/institut\/recerca\/arees\/infeccions-i-immunologia\/#miTOCrit\">grup de recerca d\u2019Hemodin\u00e0mica, microcirculaci\u00f3 i oxigenaci\u00f3 tissular al pacient cr\u00edtic<\/a> (MiTOCrit) ha treballat pr\u00e8viament en la <strong>integraci\u00f3 dels marcadors cl\u00e0ssics <\/strong>i en la <strong>incorporaci\u00f3 de nous<\/strong> <strong>per millorar la capacitat de detecci\u00f3<\/strong>, i ha descrit de forma preliminar l&#8217;exist\u00e8ncia d&#8217;uns <strong>determinats patrons<\/strong> que permeten<strong> establir amb major precisi\u00f3 la pres\u00e8ncia d&#8217;hip\u00f2xia tissular<\/strong>, aix\u00ed com la <strong>detecci\u00f3 d&#8217;estats de dis\u00f2xia<\/strong>, on els teixits presenten una incapacitat per la utilitzaci\u00f3 de l&#8217;oxigen que els arriba. Aquesta situaci\u00f3 \u00e9s d&#8217;especial inter\u00e8s pel fet que la realitzaci\u00f3 d&#8217;intervencions hemodin\u00e0miques destinades a millorar l&#8217;aportaci\u00f3 d&#8217;oxigen als teixits no tindria beneficis metab\u00f2lics, i s\u00ed aniria lligada a efectes deleteris dels tractaments.<\/p>\n<p>El projecte ACMECat, amb el seu car\u00e0cter multic\u00e8ntric, i la inclusi\u00f3 d&#8217;un nombre elevat de pacients, pret\u00e9n<strong> aprofundir en la capacitat de discriminar entre aquests estats metab\u00f2lics patol\u00f2gics, ajudant aix\u00ed a millorar l&#8217;abordatge terap\u00e8utic dels pacients cr\u00edtics<\/strong>.[\/vc_column_text]<div class=\"eut-element eut-image eut-align-center\" style=\"\"><img width=\"1080\" height=\"582\" src=\"https:\/\/www.tauli.cat\/institut\/wp-content\/uploads\/2024\/07\/ACMEcat2verdclar.png\" class=\"attachment-large size-large\" alt=\"\" decoding=\"async\" loading=\"lazy\" srcset=\"https:\/\/www.tauli.cat\/institut\/wp-content\/uploads\/2024\/07\/ACMEcat2verdclar.png 1146w, https:\/\/www.tauli.cat\/institut\/wp-content\/uploads\/2024\/07\/ACMEcat2verdclar-300x162.png 300w, https:\/\/www.tauli.cat\/institut\/wp-content\/uploads\/2024\/07\/ACMEcat2verdclar-768x414.png 768w, https:\/\/www.tauli.cat\/institut\/wp-content\/uploads\/2024\/07\/ACMEcat2verdclar-600x324.png 600w\" sizes=\"(max-width: 1080px) 100vw, 1080px\" \/><\/div>[vc_column_text]<strong>Finan\u00e7ament:<\/strong> Societat Catalana de Medicina Intensiva i Cr\u00edtica (SOCMIC)[\/vc_column_text][vc_column_text]<strong>N\u00famero de registre de l&#8217;estudi:<\/strong> ClinicalTrials.gov NCT06500156[\/vc_column_text]<div class=\"eut-element eut-hr \" style=\"\"><div class=\"eut-line-divider\"><\/div><\/div><div class=\"eut-element eut-box-icon eut-align-left eut-small\" style=\"\"><a href=\"https:\/\/www.tauli.cat\/institut\/actualitat\/noticies\/2024\/12\/sinicia-el-projecte-acmecat-per-millorar-el-diagnostic-dhipoxia-tissular-en-pacients-critics\/\" target=\"_blank\">  <div class=\"eut-wrapper-icon eut-no-shape eut-color-grey\"><i class=\"far fa-newspaper eut-color-primary-1\"><\/i><\/div><\/a>  <div class=\"eut-box-content\"><a href=\"https:\/\/www.tauli.cat\/institut\/actualitat\/noticies\/2024\/12\/sinicia-el-projecte-acmecat-per-millorar-el-diagnostic-dhipoxia-tissular-en-pacients-critics\/\" target=\"_blank\">      <h5 class=\"eut-box-title\">Consulta la not\u00edcia<\/h5><\/a>  <\/div><\/div><div class=\"eut-element eut-box-icon eut-align-left eut-small\" style=\"\"><a href=\"https:\/\/www.youtube.com\/watch?v=l8Li7Tz-bok&#038;list=LL\" target=\"_blank\">  <div class=\"eut-wrapper-icon eut-no-shape eut-color-grey\"><i class=\"fab fa-youtube eut-color-primary-1\"><\/i><\/div><\/a>  <div class=\"eut-box-content\"><a href=\"https:\/\/www.youtube.com\/watch?v=l8Li7Tz-bok&#038;list=LL\" target=\"_blank\">      <h5 class=\"eut-box-title\">Consulta el v\u00eddeo<\/h5><\/a>  <\/div><\/div>[\/vc_tta_section][vc_tta_section title=&#8221;Centres participants&#8221; tab_id=&#8221;centres&#8221;][vc_column_text]\n<h2>Centres coordinadors<\/h2>\n[\/vc_column_text][vc_row_inner][vc_column_inner width=&#8221;1\/2&#8243;][vc_column_text]\n<h6>Hospital Universitari Parc Taul\u00ed<\/h6>\n<div class=\"wp-block-image\"><img decoding=\"async\" loading=\"lazy\" class=\"wpa-warning wpa-image-missing-alt alignnone wp-image-11880\" src=\"https:\/\/www.tauli.cat\/institut\/wp-content\/uploads\/2023\/11\/marca_hospital_color-300x70.png\" alt=\"\" width=\"240\" height=\"56\" data-warning=\"Missing alt text\" srcset=\"https:\/\/www.tauli.cat\/institut\/wp-content\/uploads\/2023\/11\/marca_hospital_color-300x70.png 300w, https:\/\/www.tauli.cat\/institut\/wp-content\/uploads\/2023\/11\/marca_hospital_color-768x180.png 768w, https:\/\/www.tauli.cat\/institut\/wp-content\/uploads\/2023\/11\/marca_hospital_color-600x141.png 600w, https:\/\/www.tauli.cat\/institut\/wp-content\/uploads\/2023\/11\/marca_hospital_color.png 1013w\" sizes=\"(max-width: 240px) 100vw, 240px\" \/><\/div>\n[\/vc_column_text][\/vc_column_inner][vc_column_inner width=&#8221;1\/2&#8243;][vc_column_text]\n<h6>Institut d&#8217;Investigaci\u00f3 i Innovaci\u00f3 Parc Taul\u00ed (I3PT)<\/h6>\n<p><img decoding=\"async\" loading=\"lazy\" class=\"wpa-warning wpa-image-missing-alt alignnone wp-image-12535\" src=\"https:\/\/www.tauli.cat\/institut\/wp-content\/uploads\/2024\/01\/I3PT.png\" alt=\"\" width=\"234\" height=\"64\" data-warning=\"Missing alt text\" \/>[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_empty_space height=&#8221;47px&#8221;][vc_column_text]\n<h3>Investigadors principals<\/h3>\n<ul>\n<li><strong>Jaume Mesquida Febrer<\/strong><br \/>\nMetge intensivista del Parc Taul\u00ed i cap de grup de recerca d\u2019Hemodin\u00e0mica, microcirculaci\u00f3 i oxigenaci\u00f3 tissular al pacient cr\u00edtic (MiTOCrit) de l&#8217;I3PT<\/li>\n<li><strong>Ferran Oller S\u00e1nchez<\/strong><br \/>\nMetge intensivista en formaci\u00f3 del Parc Taul\u00ed i investigador de grup de recerca MiTOCrit de l&#8217;I3PT<\/li>\n<\/ul>\n[\/vc_column_text][vc_empty_space height=&#8221;56px&#8221;][vc_column_text]\n<h2>Centres participants<\/h2>\n[\/vc_column_text][vc_empty_space height=&#8221;42px&#8221;]<div class=\"eut-element eut-image eut-align-center\" style=\"\"><img width=\"1280\" height=\"720\" src=\"https:\/\/www.tauli.cat\/institut\/wp-content\/uploads\/2024\/11\/multicentric-clusters-SOCMIC-1.png\" class=\"attachment-full size-full\" alt=\"\" decoding=\"async\" loading=\"lazy\" srcset=\"https:\/\/www.tauli.cat\/institut\/wp-content\/uploads\/2024\/11\/multicentric-clusters-SOCMIC-1.png 1280w, https:\/\/www.tauli.cat\/institut\/wp-content\/uploads\/2024\/11\/multicentric-clusters-SOCMIC-1-300x169.png 300w, https:\/\/www.tauli.cat\/institut\/wp-content\/uploads\/2024\/11\/multicentric-clusters-SOCMIC-1-1200x675.png 1200w, https:\/\/www.tauli.cat\/institut\/wp-content\/uploads\/2024\/11\/multicentric-clusters-SOCMIC-1-768x432.png 768w, https:\/\/www.tauli.cat\/institut\/wp-content\/uploads\/2024\/11\/multicentric-clusters-SOCMIC-1-600x338.png 600w, https:\/\/www.tauli.cat\/institut\/wp-content\/uploads\/2024\/11\/multicentric-clusters-SOCMIC-1-1170x658.png 1170w, https:\/\/www.tauli.cat\/institut\/wp-content\/uploads\/2024\/11\/multicentric-clusters-SOCMIC-1-800x450.png 800w\" sizes=\"(max-width: 1280px) 100vw, 1280px\" \/><\/div>[vc_column_text]\n<h3>Investigadors principals<\/h3>\n<ul>\n<li><strong>Lara Bielsa\u00a0<\/strong><br \/>\nMetgessa intensivista de l&#8217;Hospital Germans Trias i Pujol<\/li>\n<li><strong>Paula Perell\u00f3<\/strong><br \/>\nMetgessa intensivista de l&#8217;Hospital de Manresa &#8211; Fundaci\u00f3 Althaia<\/li>\n<li><strong>Clara Vil\u00e0<\/strong><br \/>\nMetgessa intensivista de l&#8217;Hospital del Mar<\/li>\n<li><strong>Juan Arturo M\u00e9ndez<\/strong><br \/>\nMetge intensivista de l&#8217;Hospital de Matar\u00f3<\/li>\n<li><strong>Anna P\u00e9rez<\/strong><br \/>\nMetgessa intensivista de l&#8217;Hospital M\u00fatua Terrassa<\/li>\n<li><strong>Llu\u00eds Zapata<\/strong><br \/>\nMetge intensivista de l&#8217;Hospital de la Santa Creu i Sant Pau<\/li>\n<li><strong>Christian Villavicencio<\/strong><br \/>\nMetge intensivista de l&#8217;Hospital Joan XXIII de Tarragona<\/li>\n<li><strong>Edgard Moglia<\/strong><br \/>\nMetge intensivista de l&#8217;Hospital Quir\u00f3n-Teknon<\/li>\n<li><strong>Aurora Gil<\/strong><br \/>\nMetgessa intensivista de l&#8217;Hospital Universitari Vall d\u2019Hebron<\/li>\n<\/ul>\n[\/vc_column_text][\/vc_tta_section][vc_tta_section title=&#8221;Hip\u00f2tesi&#8221; tab_id=&#8221;hipotesi&#8221;][vc_column_text]\n<h2>Hip\u00f2tesi<\/h2>\n<h5>Hip\u00f2tesi principal<\/h5>\n<p>La integraci\u00f3 de les diferents variables metab\u00f2liques utilitzades en la guia de la ressuscitaci\u00f3 dels pacients en xoc s\u00e8ptic millorar\u00e0 la capacitat de detecci\u00f3 de la hip\u00f2xia tissular, definida com VO<sub>2<\/sub>\/DO<sub>2<\/sub> depend\u00e8ncia (alteraci\u00f3 en el VO<sub>2<\/sub> que millora amb l\u2019increment del DO<sub>2<\/sub> derivat de l\u2019administraci\u00f3 d\u2019una c\u00e0rrega de volum).<\/p>\n<h5>Hip\u00f2tesi secund\u00e0ria<\/h5>\n<p>Aquells pacients que presentin patrons de dis\u00f2xia en les fases inicials de la malaltia tindran una pitjor evoluci\u00f3, en termes de fracassos org\u00e0nics i mortalitat a la UCI.[\/vc_column_text][\/vc_tta_section][vc_tta_section title=&#8221;Objectius i metodologia&#8221; tab_id=&#8221;objectius&#8221;][vc_column_text]\n<h2>Objectius i metodologia<\/h2>\n<h5><strong>Objectiu principal<\/strong><\/h5>\n<ul>\n<li>Avaluar el valor de la integraci\u00f3 de les diferents variables metab\u00f2liques en la detecci\u00f3 d\u2019hip\u00f2xia tissular.<\/li>\n<\/ul>\n<h5><strong>Objectius secundaris<\/strong><\/h5>\n<ul>\n<li>Avaluar el valor dels canvis en els diferents par\u00e0metres, en resposta a la c\u00e0rrega de volum, per detectar els que han sigut responedors metab\u00f2lics.<\/li>\n<li>Analitzar l&#8217;associaci\u00f3 dels diferents cl\u00fasters, aix\u00ed com de la seva evoluci\u00f3 en resposta al tractament, amb el pron\u00f2stic dels pacients.<\/li>\n<\/ul>\n[\/vc_column_text][\/vc_tta_section][vc_tta_section title=&#8221;Documents&#8221; tab_id=&#8221;Documents&#8221;][vc_column_text]\n<h2>Documents<\/h2>\n<h4>Mem\u00f2ria del projecte<br \/>\n<span style=\"font-size: 10pt;\">[<em>Properament<\/em>]<\/span><\/h4>\n[\/vc_column_text][vc_row_inner][vc_column_inner width=&#8221;1\/2&#8243;]<div class=\"eut-element eut-box-icon eut-align-left eut-large\" style=\"\">  <div class=\"eut-wrapper-icon eut-no-shape eut-color-grey\"><i class=\"fa fa-file-text-o eut-color-primary-1\"><\/i><\/div>  <div class=\"eut-box-content\">  <\/div><\/div>[\/vc_column_inner][vc_column_inner width=&#8221;1\/2&#8243;][\/vc_column_inner][\/vc_row_inner][vc_empty_space height=&#8221;52px&#8221;][vc_column_text]\n<h4>Aprovaci\u00f3 del Comit\u00e8 d&#8217;\u00c8tica de la Investigaci\u00f3 amb Medicaments (CEIm) del centre coordinador<br \/>\n<span style=\"font-size: 10pt;\">[<em>Properament<\/em>]<\/span><\/h4>\n[\/vc_column_text][vc_row_inner][vc_column_inner width=&#8221;2\/3&#8243;]<div class=\"eut-element eut-box-icon eut-align-left eut-large\" style=\"\">  <div class=\"eut-wrapper-icon eut-no-shape eut-color-grey\"><i class=\"fa fa-file-text-o eut-color-primary-1\"><\/i><\/div>  <div class=\"eut-box-content\">  <\/div><\/div>[\/vc_column_inner][vc_column_inner width=&#8221;1\/3&#8243;][\/vc_column_inner][\/vc_row_inner][\/vc_tta_section][vc_tta_section title=&#8221;REDCap&#8221; tab_id=&#8221;REDCap&#8221;][vc_column_text]\n<h2>REDCap<\/h2>\n[\/vc_column_text][vc_row_inner][vc_column_inner width=&#8221;1\/2&#8243;][vc_column_text]REDCap (<em>Research Electronic Data Capture<\/em>) \u00e9s una aplicaci\u00f3 web segura per a bases de dades i enquestes en l\u00ednia amb finalitats de recerca.[\/vc_column_text][\/vc_column_inner][vc_column_inner width=&#8221;1\/2&#8243;]<div class=\"eut-element eut-image eut-align-center\" style=\"\"><img width=\"1024\" height=\"357\" src=\"https:\/\/www.tauli.cat\/institut\/wp-content\/uploads\/2024\/11\/REDCap-logo-1024x357-1.png\" class=\"attachment-full size-full\" alt=\"\" decoding=\"async\" loading=\"lazy\" srcset=\"https:\/\/www.tauli.cat\/institut\/wp-content\/uploads\/2024\/11\/REDCap-logo-1024x357-1.png 1024w, https:\/\/www.tauli.cat\/institut\/wp-content\/uploads\/2024\/11\/REDCap-logo-1024x357-1-300x105.png 300w, https:\/\/www.tauli.cat\/institut\/wp-content\/uploads\/2024\/11\/REDCap-logo-1024x357-1-768x268.png 768w, https:\/\/www.tauli.cat\/institut\/wp-content\/uploads\/2024\/11\/REDCap-logo-1024x357-1-600x209.png 600w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><\/div>[\/vc_column_inner][\/vc_row_inner][vc_column_text]\n<h5><a href=\"https:\/\/redcap.tauli.cat\/redcap\/\" target=\"_blank\" rel=\"noopener\">\ud83d\udd17Acc\u00e9s a REDCap<\/a><\/h5>\n[\/vc_column_text][\/vc_tta_section][vc_tta_section title=&#8221;Contacte&#8221; tab_id=&#8221;contacte&#8221;][vc_column_text]\n<h2>Contacte<\/h2>\n[\/vc_column_text][vc_column_text]Tens algun dubte o suggeriment? Escriu-nos![\/vc_column_text][vc_column_text]<strong>Coordinaci\u00f3 projecte<\/strong><\/p>\n<p>\u2709 <a href=\"mailto:foller@tauli.cat\">foller@tauli.cat<\/a><br \/>\n\u2709\u00a0<a href=\"mailto:jmesquida@tauli.cat\">jmesquida@tauli.cat<\/a><\/p>\n<p><strong>Secretaria SOCMIC<\/strong><\/p>\n<p>\u2709\u00a0<a href=\"mailto:xaviernieves@academia.cat\">xaviernieves@academia.cat<\/a>[\/vc_column_text][\/vc_tta_section][\/vc_tta_tour][\/vc_column][\/vc_row]\n<\/div>","protected":false},"excerpt":{"rendered":"<p>[vc_row][vc_column][vc_column_text] ACMECat Avaluaci\u00f3 de la resposta a volum en el xoc s\u00e8ptic: An\u00e0lisi de Cl\u00fasters MEtab\u00f2lics [\/vc_column_text][vc_empty_space][vc_tta_tour][vc_tta_section title=&#8221;Presentaci\u00f3&#8221; tab_id=&#8221;presentacio&#8221;][vc_column_text] Benvinguts a ACMECat El projecte ACMECat aborda l&#8217;estudi de la detecci\u00f3 d&#8217;hip\u00f2xia tissular en les hores inicials del maneig de pacients cr\u00edtics amb insufici\u00e8ncia cardiovascular provocada per un proc\u00e9s infecci\u00f3s greu. La pres\u00e8ncia i\/o persist\u00e8ncia en [&hellip;]<\/p>\n","protected":false},"author":24,"featured_media":0,"parent":166,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":[],"_links":{"self":[{"href":"https:\/\/www.tauli.cat\/institut\/wp-json\/wp\/v2\/pages\/14231"}],"collection":[{"href":"https:\/\/www.tauli.cat\/institut\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.tauli.cat\/institut\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.tauli.cat\/institut\/wp-json\/wp\/v2\/users\/24"}],"replies":[{"embeddable":true,"href":"https:\/\/www.tauli.cat\/institut\/wp-json\/wp\/v2\/comments?post=14231"}],"version-history":[{"count":32,"href":"https:\/\/www.tauli.cat\/institut\/wp-json\/wp\/v2\/pages\/14231\/revisions"}],"predecessor-version":[{"id":17773,"href":"https:\/\/www.tauli.cat\/institut\/wp-json\/wp\/v2\/pages\/14231\/revisions\/17773"}],"up":[{"embeddable":true,"href":"https:\/\/www.tauli.cat\/institut\/wp-json\/wp\/v2\/pages\/166"}],"wp:attachment":[{"href":"https:\/\/www.tauli.cat\/institut\/wp-json\/wp\/v2\/media?parent=14231"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}