{"id":100160,"date":"2025-10-29T10:37:36","date_gmt":"2025-10-29T09:37:36","guid":{"rendered":"https:\/\/www.ub.edu\/nursearch\/?page_id=100160"},"modified":"2025-12-05T15:14:09","modified_gmt":"2025-12-05T14:14:09","slug":"generacio-de-software","status":"publish","type":"page","link":"https:\/\/www.ub.edu\/nursearch\/generacio-de-software\/","title":{"rendered":"Generaci\u00f3 de software"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"100160\" class=\"elementor elementor-100160\" data-elementor-post-type=\"page\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-583786c elementor-reverse-tablet elementor-reverse-mobile elementor-section-height-min-height elementor-section-items-stretch elementor-section-boxed elementor-section-height-default\" data-id=\"583786c\" data-element_type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;gradient&quot;}\">\n\t\t\t\t\t\t\t<div class=\"elementor-background-overlay\"><\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-wider\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-a969fa0\" data-id=\"a969fa0\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-ab8d00b elementor-widget elementor-widget-the7-heading\" data-id=\"ab8d00b\" data-element_type=\"widget\" data-widget_type=\"the7-heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h2 class=\"the7-heading-title elementor-size-default\">Generaci\u00f3 de software<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-92fae9a elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"92fae9a\" data-element_type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-wider\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-664579b\" data-id=\"664579b\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-f885536 elementor-widget elementor-widget-text-editor\" data-id=\"f885536\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<style>\/*! elementor - v3.20.0 - 13-03-2024 *\/\n.elementor-widget-text-editor.elementor-drop-cap-view-stacked .elementor-drop-cap{background-color:#69727d;color:#fff}.elementor-widget-text-editor.elementor-drop-cap-view-framed .elementor-drop-cap{color:#69727d;border:3px solid;background-color:transparent}.elementor-widget-text-editor:not(.elementor-drop-cap-view-default) .elementor-drop-cap{margin-top:8px}.elementor-widget-text-editor:not(.elementor-drop-cap-view-default) .elementor-drop-cap-letter{width:1em;height:1em}.elementor-widget-text-editor .elementor-drop-cap{float:left;text-align:center;line-height:1;font-size:50px}.elementor-widget-text-editor .elementor-drop-cap-letter{display:inline-block}<\/style>\t\t\t\t<p>La debilitat adquirida a la unitat de cures intensives (UCI) \u00e9s l\u2019atr\u00f2fia i\/o p\u00e8rdua de massa muscular que nom\u00e9s pot \u00e9sser atribu\u00efda a la pr\u00f2pia malaltia cr\u00edtica. S\u2019inicia a les 24h de l\u2019ingr\u00e9s a UCI i avan\u00e7a progressivament. L\u2019avaluaci\u00f3 del risc de desenvolupament de debilitat permetria identificar els pacients als que cal prioritzar sedaci\u00f3 \u00f2ptima i mobilitzaci\u00f3 preco\u00e7.<\/p><p>Es va validar un nomograma per la predicci\u00f3 del risc de debilitat amb una cohort nacional de 642 pacients cr\u00edtics<sup>1<\/sup> del que es va fer una validaci\u00f3 externa amb una nova cohort de pacients cr\u00edtics de 411 pacients 7 anys despr\u00e9s<sup>2<\/sup>. Es van confirmar com a variables predictores durant els primers 5 dies d\u2019estada a UCI: l\u2019edat, ser dona i no estar conscient per a la valoraci\u00f3 de la MRC (Medical Research Council) i requerir ter\u00e0pies de depuraci\u00f3 renal. S\u00f3n protectores el delirium hiperactiu i la mobilitzaci\u00f3 preco\u00e7 (IMS\u22654, ICU Mobility Scale).<\/p><p><sup>1<\/sup> Raurell-Torred\u00e0 M., Arias-Rivera S., Mart\u00ed JD., Frade-Mera MJ., Zaragoza-Garc\u00eda I., Gallart E., et al. Care and treatments related to intensive care unit\u2013acquired muscle weakness: A cohort study. Aust Crit Care. 2021;34(5):435-45, doi: 10.1016\/j.aucc.2020.12.005.<\/p><p><sup>2<\/sup> Raurell-Torred\u00e0 M., Muriel-Garc\u00eda A., Arias-Rivera S. Predicting intensive care unit acquired weakness in the first week of an intensive care unit stay: A multicentre external validation study. Aust Crit Care. 2025;38(4):101241, doi: 10.1016\/j.aucc.2025.101241.<\/p><p><strong>La informaci\u00f3 que se cal introduir a la calculadora correspon a dades cl\u00edniques dels dies 3 a 5 d\u2019estada a UCI.<\/strong> Si l\u2019esdeveniment de la variable (ex. delirium hiperactiu) no va ser present cap dels dies 3 a 5 d\u2019estada a UCI es selecciona \u201ccap dia\u201d; si va estar present un dels tres dies es selecciona \u201cun dia\u201d; si va estar present dos dels tres dies es selecciona \u201cdos dies\u201d i si va estar present els 3 dies es selecciona \u201ctres dies\u201d.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-c09f793 elementor-align-center elementor-widget elementor-widget-button\" data-id=\"c09f793\" data-element_type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-button-wrapper\">\n\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-sm\" href=\"\/nursearch\/calculadora-de-risc-de-debilitat-muscular\/\" 0=\"\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t<span class=\"elementor-button-text\">Acc\u00e9s a la calculadora<\/span>\n\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-20f86ce elementor-widget elementor-widget-text-editor\" data-id=\"20f86ce\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p><strong>Autores:<\/strong><\/p><p>Marta Raurell (professora agregada Facultat d\u2019Infermeria, Universitat de Barcelona) <a href=\"mailto:mraurell@ub.edu\">mraurell@ub.edu<\/a><\/p><p>Mart\u00edn Torralba Melero (infermer UCI Hospital Universitari General Albacete) <a href=\"mailto:martin_torralba@hotmail.com\">martin_torralba@hotmail.com<\/a><\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-2a5238b elementor-widget elementor-widget-text-editor\" data-id=\"2a5238b\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p><strong>El grup d\u2019investigaci\u00f3 autor de la calculadora rebutja qualsevol responsabilitat per l\u2019\u00fas d\u2019aquesta. La calculadora s\u2019ha de considerar nom\u00e9s com un instrument d\u2019ajuda per a la presa de decisions a la prevenci\u00f3 de la debilitat muscular adquirida a la UCI. En tot cas, el\/la professional usuari\/a de la calculadora \u00e9s l\u2019\u00fanic responsable del tipus d\u2019intervenci\u00f3 sobre el\/la pacient.<\/strong><\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Generaci\u00f3 de software La debilitat adquirida a la unitat de cures intensives (UCI) \u00e9s l\u2019atr\u00f2fia i\/o p\u00e8rdua de massa muscular que nom\u00e9s pot \u00e9sser atribu\u00efda a la pr\u00f2pia malaltia cr\u00edtica. S\u2019inicia a les 24h de l\u2019ingr\u00e9s a UCI i avan\u00e7a progressivament. L\u2019avaluaci\u00f3 del risc de desenvolupament de debilitat permetria identificar els pacients als que cal&hellip;<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":0,"menu_order":21,"comment_status":"closed","ping_status":"closed","template":"elementor_header_footer","meta":{"inline_featured_image":false,"footnotes":""},"class_list":["post-100160","page","type-page","status-publish","hentry"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/www.ub.edu\/nursearch\/wp-json\/wp\/v2\/pages\/100160","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.ub.edu\/nursearch\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.ub.edu\/nursearch\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.ub.edu\/nursearch\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.ub.edu\/nursearch\/wp-json\/wp\/v2\/comments?post=100160"}],"version-history":[{"count":34,"href":"https:\/\/www.ub.edu\/nursearch\/wp-json\/wp\/v2\/pages\/100160\/revisions"}],"predecessor-version":[{"id":100274,"href":"https:\/\/www.ub.edu\/nursearch\/wp-json\/wp\/v2\/pages\/100160\/revisions\/100274"}],"wp:attachment":[{"href":"https:\/\/www.ub.edu\/nursearch\/wp-json\/wp\/v2\/media?parent=100160"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}