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master's thesis
Učestalost i razlozi hospitalizacije bolesnika s implantabilnim kardioverter defibrilatorom (ICD) u KBC-u Split
2021. urn:nbn:hr:171:439444
Komić, Luka
University of Split
School of Medicine

Cite this document

Komić, L. (2021). Učestalost i razlozi hospitalizacije bolesnika s implantabilnim kardioverter defibrilatorom (ICD) u KBC-u Split (Master's thesis). Split: University of Split, School of Medicine. Retrieved from https://urn.nsk.hr/urn:nbn:hr:171:439444

Komić, Luka. "Učestalost i razlozi hospitalizacije bolesnika s implantabilnim kardioverter defibrilatorom (ICD) u KBC-u Split." Master's thesis, University of Split, School of Medicine, 2021. https://urn.nsk.hr/urn:nbn:hr:171:439444

Komić, Luka. "Učestalost i razlozi hospitalizacije bolesnika s implantabilnim kardioverter defibrilatorom (ICD) u KBC-u Split." Master's thesis, University of Split, School of Medicine, 2021. https://urn.nsk.hr/urn:nbn:hr:171:439444

Komić, L. (2021). 'Učestalost i razlozi hospitalizacije bolesnika s implantabilnim kardioverter defibrilatorom (ICD) u KBC-u Split', Master's thesis, University of Split, School of Medicine, accessed 16 December 2024, https://urn.nsk.hr/urn:nbn:hr:171:439444

Komić L. Učestalost i razlozi hospitalizacije bolesnika s implantabilnim kardioverter defibrilatorom (ICD) u KBC-u Split [Master's thesis]. Split: University of Split, School of Medicine; 2021 [cited 2024 December 16] Available at: https://urn.nsk.hr/urn:nbn:hr:171:439444

L. Komić, "Učestalost i razlozi hospitalizacije bolesnika s implantabilnim kardioverter defibrilatorom (ICD) u KBC-u Split", Master's thesis, University of Split, School of Medicine, Split, 2021. Available at: https://urn.nsk.hr/urn:nbn:hr:171:439444

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Metadata
TitleUčestalost i razlozi hospitalizacije bolesnika s implantabilnim kardioverter defibrilatorom (ICD) u KBC-u Split
Title (english)Frequency and causes of hospital readmissions among patients with implantable cardioverter defibrillator (ICD) in University Hospital of Split
AuthorLuka Komić
MentorZrinka Jurišić (mentor)
Committee memberDaniela Marasović Krstulović (predsjednik povjerenstva)
Committee memberAnita Jukić (član povjerenstva)
Committee memberJoško Božić (član povjerenstva)
GranterUniversity of Split
School of Medicine
Split
Defense date and country2021, Croatia
Scientific / art field,
discipline and subdiscipline		BIOMEDICINE AND HEALTHCARE
Clinical Medical Sciences
Internal Medicine
Abstract
Cilj: Utvrditi učestalost i razloge hospitalizacija uslijed kardiovaskularnih uzroka u bolesnika s implantabilnim kardioverter defibrilatorom (ICD). Materijali i metode: Provedeno je kliničko opservacijsko retrospektivno istraživanje. Podatci su prikupljeni u Klinici za bolesti srca i krvnih žila KBC-a Split analizom protokola ugradnje i zamjene ICD-a, evidencije bolesnika kontroliranih u ambulanti za elektrostimulaciju te povijesti bolesti bolesnika koji su bili hospitalizirani, a sve u vremenskom periodu od 1. siječnja 2015. do 1. lipnja 2021. godine. U konačnici je u istraživanje uključeno 166 ispitanika. Vrijeme praćenja ispitanika započelo je s godinom ugradnje ICD-a i završilo 2021. godine ili godinom smrtnog ishoda ispitanika ukoliko je do njega došlo. Za svakog ispitanika prikupljeni su demografski i klinički podatci pri ugradnji ICD-a te podatci o broju i razlozima hospitalizacija uslijed kardiovaskularnih uzroka tijekom vremena praćenja. Rezultati: Zabilježeno je ukupno 187 hospitalizacija uslijed kardiovaskularnih uzroka u 79 (48%) ispitanika tijekom medijana vremenskog praćenja od 3 (Q1-Q3: 2-5) godine. Stopa hospitalizacija iznosila je 1,127 po ispitaniku tijekom cjelokupnog vremena praćenja, tj. 0,257 po ispitaniku-godini praćenja. Ventrikulska tahiartmija bila je najčešći uzrok hospitalizacija. Ukupno ih je zabilježeno 56 u 28 (17%) ispitanika, a činile su 30% svih hospitalizacija. Akutizacija zatajenja srca bila je uzrok 40 (21%) hospitalizacija, a zabilježene su u 25 (15%) ispitanika. Treći najčešći uzrok bila je zamjena ICD-a zbog iscrpljenja baterije koja je činila 28 (15%) hospitalizacija u 24 (14%) ispitanika. Prosječno vrijeme preživljenja svih 166 ispitanika s ugrađenim ICD-om iznosilo je 16,7 godina. Nije bilo statistički značajne razlike u broju hospitaliziranih ispitanika s ishemijskom kardiomiopatijom (ICM) i neishemijskom kardiomiopatijom (NICM) (χ2=3,713; P=0,075), kao ni u smrtnosti između skupina (χ2=0,138; P=0,710). Zaključci: U našem istraživanju ventrikulska tahiaritmija bila je najčešći uzrok hospitalizacija. Nadalje, nije bilo statistički značajne razlike u ukupnom broju hospitaliziranih bolesnika s ICM-om i NICM-om kao ni u broju bolesnika s učestalim (≥3) hospitalizacijama između navedenih skupina.
Abstract (english)
Objectives: To determine frequency and causes of hospital readmissions for cardiovascular diseases among patients with ICD. Materials and methods: The clinical observational retrospective study was conducted. Data were collected at the Department of Cardiovascular Diseases, University Hospital of Split by searching ICD implantation and replacement protocols, evidence of outpatient follow-up visits and medical history of patients being readmitted from 1st of January 2015 to 1st of June 2021. Total od 166 patients were included in the study. Follow-up time started from year of ICD implantation and ended 2021 or by the year of death if it occurred. Demographic and clinical data were collected for every patient at the time of ICD implantation as well as data regarding frequency and causes of hospital readmissions for cardiovascular diseases during follow-up time. Results: Total of 187 readmissions in 79 (48%) patients were noted after median follow-up of 3 (Q1-Q3: 2-5) years. Hospital readmission rate was 1.127 per patient during the time followed, i.e. 0.257 per patient-year of follow up. Ventricular tachyarrhythmia was the leading cause of readmission. Total of 56 readmissions were noted in 28 (17%) patients which is 30% of all hospital readmissions. Worsening heart failure was cause of 40 (21%) readmissions and it was recorded in 25 (15%) patients. The third most common reason for readmission was ICD replacement due to battery depletion which was cause of 28 (15%) readmissions in 24 (14%) patients. The overall mean survival time was 16.7 years. Statistically significant differences weren't found in number of readmitted patients with ischemic cardiomyopathy (ICM) and non-ischemic cardiomyopathy (NICM) (χ2=3.713; P=0.075), as well as mortality between groups (χ2=0.138; P=0.710). Conclusions: Ventricular tachyarrhythmia was the leading cause of readmissions in our study. Furthermore, statistically significant differences weren't found in total number of readmitted patients with ICM and NICM, as well as number of frequently readmitted (≥3 readmissions) patients between groups.
Keywords
Keywords (english)
Languagecroatian
URN:NBNurn:nbn:hr:171:439444
Study programmeTitle: Medicine
Study programme type: university
Study level: integrated undergraduate and graduate
Academic / professional title: doktor/doktorica medicine (doktor/doktorica medicine)
Type of resourceText
File originBorn digital
Access conditionsOpen access
Embargo expiration date: 2023-07-28
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Created on2021-07-28 12:43:35