{"id":25682,"date":"2024-05-23T12:18:58","date_gmt":"2024-05-23T10:18:58","guid":{"rendered":"https:\/\/idibell.cat\/?p=25682"},"modified":"2024-05-23T12:21:21","modified_gmt":"2024-05-23T10:21:21","slug":"un-estudi-publicat-a-the-lancet-avalua-limpacte-de-la-cirurgia-en-lictus-hemorragic-greu","status":"publish","type":"post","link":"https:\/\/idibell.cat\/2024\/05\/un-estudi-publicat-a-the-lancet-avalua-limpacte-de-la-cirurgia-en-lictus-hemorragic-greu\/","title":{"rendered":"Un estudi publicat a \u2018The Lancet\u2019 avalua l\u2019impacte de la cirurgia en l\u2019ictus hemorr\u00e0gic greu"},"content":{"rendered":"<p>L\u2019estudi, anomenat <em>SWITCH<\/em>, s\u2019ha publicat aquest 15 de maig a la revista <em><a href=\"https:\/\/www.thelancet.com\/journals\/lancet\/article\/PIIS0140-6736(24)00702-5\/fulltext\">The Lancet<\/a>, <\/em>una de les m\u00e9s prestigioses del m\u00f3n, alhora que s\u2019ha presentat al congr\u00e9s de l\u2019Organitzaci\u00f3 Europea d&#8217;Ictus (ESOC) a Basilea.<\/p>\n<p>&nbsp;<\/p>\n<p>Ha estat liderat pel Dr. J\u00fcrgen Bech, de l\u2019Hospital Universitari de Friburg, i el Dr. Urs Fischer, de l\u2019Inselspital \u2013 Hospital Universitari de Berna. Per part de l\u2019Hospital Universitari de Bellvitge i l\u2019IDIBELL, l\u2019ha encap\u00e7alat el Dr. Jos\u00e9 Luis Sanmill\u00e1n, del Servei de Neurocirurgia, que figura com un dels signants principals de l\u2019article.<\/p>\n<p>&nbsp;<\/p>\n<p>En total, ha incl\u00f2s 197 pacients amb ictus hemorr\u00e0gic profund greu tractats i seguits durant una mitjana de 9,5 anys en hospitals de B\u00e8lgica, Alemanya, Finl\u00e0ndia, Fran\u00e7a, Pa\u00efsos Baixos, \u00c0ustria, Su\u00e8cia, Su\u00efssa i Espanya.<\/p>\n<p>&nbsp;<\/p>\n<p>Actualment no hi ha cap ter\u00e0pia efica\u00e7 per a l\u2019ictus hemorr\u00e0gic profund greu. En aquest tipus d\u2019ictus, el sagnat i la posterior inflamaci\u00f3 exerceixen una pressi\u00f3 sobre el teixit cerebral del voltant que provoca un dany generalitzat al cervell. Aix\u00f2 sol provocar discapacitats greus i una alta mortalitat.<\/p>\n<p>&nbsp;<\/p>\n<p>Les opcions de tractament s\u2019han limitat fins ara a medicaments per reduir la pressi\u00f3 arterial i per aturar el sagnat que sovint no resulten suficients.<\/p>\n<p>&nbsp;<\/p>\n<p>Aquest estudi ha examinat l\u2019efecte d\u2019alleujar la pressi\u00f3 causada per l\u2019hemorr\u00e0gia practicant als pacients una cranectomia descompressiva (extracci\u00f3 d\u2019una part del crani que es torna a implantar una vegada la inflamaci\u00f3 ha disminu\u00eft). Els pacients inclosos a l\u2019estudi van rebre o b\u00e9 la ter\u00e0pia est\u00e0ndard pr\u00e8via o b\u00e9 la ter\u00e0pia est\u00e0ndard en combinaci\u00f3 amb la cranectomia descompressiva.<\/p>\n<p>&nbsp;<\/p>\n<p>Sis mesos despr\u00e9s del procediment, un 44% de pacients amb intervenci\u00f3 neuroquir\u00fargica i un 58% dels pacients sense intervenci\u00f3 neuroquir\u00fargica havien arribat a la m\u00e0xima afectaci\u00f3 neurol\u00f2gica o a la mort. Aix\u00f2 implica, estad\u00edsticament, una evid\u00e8ncia feble de la superioritat de la ter\u00e0pia quir\u00fargica, tot i que la discapacitat greu i la mortalitat van ser altes en ambd\u00f3s grups. L\u2019estudi aporta m\u00e9s dades que permeten seleccionar el millor tractament en cada cas i obre la porta a realitzar noves investigacions.<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p><em>L\u2019Institut d&#8217;Investigaci\u00f3 Biom\u00e8dica de Bellvitge (IDIBELL) \u00e9s un centre de recerca en biomedicina creat l\u2019any 2004. Est\u00e0 participat per l&#8217;Hospital Universitari de Bellvitge i l\u2019Hospital de Viladecans de l&#8217;Institut Catal\u00e0 de la Salut, l&#8217;Institut Catal\u00e0 d&#8217;Oncologia, la Universitat de Barcelona i l\u2019Ajuntament de l\u2019Hospitalet de Llobregat.<\/em><\/p>\n<p><em>L\u2019IDIBELL \u00e9s membre del Campus d&#8217;Excel\u00b7l\u00e8ncia Internacional de la Universitat de Barcelona HUBc i forma part de la instituci\u00f3 CERCA de la Generalitat de Catalunya. L&#8217;any 2009 es va convertir en un dels cinc primers centres d\u2019investigaci\u00f3 espanyols acreditats com a institut d\u2019investigaci\u00f3 sanit\u00e0ria per l\u2019Instituto de Salud Carlos III. A m\u00e9s, forma part del programa \u201cHR Excellence in Research\u201d de la Uni\u00f3 Europea i \u00e9s membre de EATRIS i REGIC. Des de l\u2019any 2018, l\u2019IDIBELL \u00e9s un Centro Acreditado de la Fundaci\u00f3n Cient\u00edfica AECC (FCAECC).<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Un estudi europeu que, a nivell de l\u2019Estat espanyol, han liderat neurocirurgians de l\u2019Hospital Universitari de Bellvitge i investigadors de l\u2019IDIBELL, ha aportat nous coneixements rellevants sobre l\u2019impacte de la cirurgia en el pron\u00f2stic i la recuperaci\u00f3 dels pacients amb ictus hemorr\u00e0gic greu.<\/p>\n","protected":false},"author":8,"featured_media":25683,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"default","adv-header-id-meta":"","stick-header-meta":"default","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"set","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[334],"tags":[],"class_list":["post-25682","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-medicina-translacional"],"publishpress_future_action":{"enabled":false,"date":"2025-01-29 05:43:06","action":"change-status","newStatus":"draft","terms":[],"taxonomy":"category"},"publishpress_future_workflow_manual_trigger":{"enabledWorkflows":[]},"_links":{"self":[{"href":"https:\/\/idibell.cat\/wp-json\/wp\/v2\/posts\/25682","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/idibell.cat\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/idibell.cat\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/idibell.cat\/wp-json\/wp\/v2\/users\/8"}],"replies":[{"embeddable":true,"href":"https:\/\/idibell.cat\/wp-json\/wp\/v2\/comments?post=25682"}],"version-history":[{"count":3,"href":"https:\/\/idibell.cat\/wp-json\/wp\/v2\/posts\/25682\/revisions"}],"predecessor-version":[{"id":25686,"href":"https:\/\/idibell.cat\/wp-json\/wp\/v2\/posts\/25682\/revisions\/25686"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/idibell.cat\/wp-json\/wp\/v2\/media\/25683"}],"wp:attachment":[{"href":"https:\/\/idibell.cat\/wp-json\/wp\/v2\/media?parent=25682"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/idibell.cat\/wp-json\/wp\/v2\/categories?post=25682"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/idibell.cat\/wp-json\/wp\/v2\/tags?post=25682"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}