Sažetak sa skupa
APPEARANCE, OUTCOME AND THERAPY OF ISCHEMIC CEREBRAL VASCULAR INCIDENT AT THE GENERAL COUNTY POŽEGA HOSPITAL DURING 2017
Vlasta Raštegorac
; Dom zdravlja Požeško – slavonske županije, Matije Gupca 10, Požega, Hrvatska
Damir Matoković
; Opća županijska bolnica Požega, Osječka 107, Požega, Hrvatska; Medicinski fakultet Osijek, J. Huttlera 4, Osijek, Hrvatska
Barbara Raštegorac
; Opća županijska bolnica Požega, Osječka 107, Požega, Hrvatska
Mirjana Raguž
; Dom zdravlja Požeško – slavonske županije, Matije Gupca 10, Požega, Hrvatska
Sažetak
Introduction: Stroke has high mortality both in the world and in us. Significantly financially burdens both the republic and county health insurance bureaus. The majority of the patients remain with permanent invalids, and with a small amount of financial resources and persistent physical therapy, a small number of patients (one-third) recover. In addition to the medical staff involved in the treatment of patients with MU, a major role in recovery has the family and the patient's wider and further environment.
Aim: The aim of the study was to determine the number and distribution of stroke patients in 2017, to evaluate the outcomes of the treatment and to determine with whom the patients were relieved from the department (antiagregation, new oral anticoagulants, warfarin). Also, risk factors will be defined and analyzed with reference to primary and secondary stroke prevention. Existing patient care will be evaluated, along with the definition of the nurses' place and role in the treatment of this type of patient.
Methods: Target parameters were collected from medical documentation that was generated during patient treatment. Variables, collected from electronic resignation letters were submitted to the electronic record of the respondents in the Microsoft Excel program by a specially made data table.
Results: A total of 167 patients, 86 women (51.50%) and 81 males (48.50%) participated in the study. The most frequent risk factors were hyperlipidemia and hypertension, more frequent in the male population, while atrial fibrillation and age over 70 were more common in women. From a stroke in 2017, 45 patients (26.90%), more males (53.30%) died, with 56 (33.50%), more male (53.60%), and partially or completely recovered, with a neurological deficit 66 (27.00%), more in women (59.00%). In the atrial fibrillation treatment (67.00%), as the most frequent risk factor, a small part of the patients were on Warfarin and NOAC, 88 (52.30%) versus 134 on acetylsalicylic acid (80.20%). Research has shown that there is a statistically significant difference in the type and number of stroke risk factors in relation to age and sex of respondents. It has been found that elderly patients with greater comorbidity are more likely to be more mortally affected. It was also found that the male gender risk factor in the investigated population and that in the male population the total mortality was higher.
Conclusion: Recognizing and systematically implementing a general policy of improving and preserving health as well as activities in the area of primary, specialist and hospital health care are the basic preconditions for achieving success in the prevention of cerebrovascular diseases. In creating such an environment, it is necessary to co-operate with other sectors of public life.
Ključne riječi
stroke; risk factors; outcomes; primary and secondary prevention
Hrčak ID:
218587
URI
Datum izdavanja:
31.12.2018.
Posjeta: 981 *