prikaz prve stranice dokumenta Bolnička smrtnost u bolesnika s akutnim infarktom miokarda prije i nakon uvođenja perkutane koronarne intervencije u Splitu
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master's thesis
Bolnička smrtnost u bolesnika s akutnim infarktom miokarda prije i nakon uvođenja perkutane koronarne intervencije u Splitu
2013. urn:nbn:hr:171:526181
Mirić, Dino
University of Split
School of Medicine

Cite this document

Mirić, D. (2013). Bolnička smrtnost u bolesnika s akutnim infarktom miokarda prije i nakon uvođenja perkutane koronarne intervencije u Splitu (Master's thesis). Split: University of Split, School of Medicine. Retrieved from https://urn.nsk.hr/urn:nbn:hr:171:526181

Mirić, Dino. "Bolnička smrtnost u bolesnika s akutnim infarktom miokarda prije i nakon uvođenja perkutane koronarne intervencije u Splitu." Master's thesis, University of Split, School of Medicine, 2013. https://urn.nsk.hr/urn:nbn:hr:171:526181

Mirić, Dino. "Bolnička smrtnost u bolesnika s akutnim infarktom miokarda prije i nakon uvođenja perkutane koronarne intervencije u Splitu." Master's thesis, University of Split, School of Medicine, 2013. https://urn.nsk.hr/urn:nbn:hr:171:526181

Mirić, D. (2013). 'Bolnička smrtnost u bolesnika s akutnim infarktom miokarda prije i nakon uvođenja perkutane koronarne intervencije u Splitu', Master's thesis, University of Split, School of Medicine, accessed 22 April 2025, https://urn.nsk.hr/urn:nbn:hr:171:526181

Mirić D. Bolnička smrtnost u bolesnika s akutnim infarktom miokarda prije i nakon uvođenja perkutane koronarne intervencije u Splitu [Master's thesis]. Split: University of Split, School of Medicine; 2013 [cited 2025 April 22] Available at: https://urn.nsk.hr/urn:nbn:hr:171:526181

D. Mirić, "Bolnička smrtnost u bolesnika s akutnim infarktom miokarda prije i nakon uvođenja perkutane koronarne intervencije u Splitu", Master's thesis, University of Split, School of Medicine, Split, 2013. Available at: https://urn.nsk.hr/urn:nbn:hr:171:526181

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Metadata
TitleBolnička smrtnost u bolesnika s akutnim infarktom miokarda prije i nakon uvođenja perkutane koronarne intervencije u Splitu
AuthorDino Mirić
MentorKatarina Novak (mentor)
GranterUniversity of Split
School of Medicine
Split
Defense date and country2013, Croatia
Scientific / art field,
discipline and subdiscipline		BIOMEDICINE AND HEALTHCARE
Clinical Medical Sciences
Internal Medicine
Abstract
Cilj rada je bio utvrditi bolnički mortalitet kod pacijenata s akutnim infarktom miokarda s obzirom na spol i lokalizaciju infarkta kroz 5 godina prije i 5 godina nakon uvođenja perkutane koronarne intervencije u Kliničkoj bolnici Split. Hospitalizirani bolesnici su podijeljeni u dvije skupine, prva obuhvaća pacijente s akutnim infarktom miokarda primljenih u bolnicu u razdoblju od 2000. do 2004. godine, a druga od 2005. do 2009. godine. Istraživanje uključuje ukupnu smrtnost i smrtnost s obirom na spol i lokalizaciju infarkta miokarda. Lokalizacija je određivana na temelju tipičnih EKG promjena. U analizu je uključen i način umiranja pacijenata s akutnim infarktom miokarda i onih kod kojih je primijenjena perkutana koronarna intervencija. Pacijenti u prvoj skupini su liječeni standardnom terapijom, a oni u drugoj skupini, pored toga, i perkutanom koronarnom intervencijom. Ukupan godišnji broj hospitaliziranih bolesnika s akutnim infarktom miokarda, kroz period od 10 godina, povećao se od 475 na 652 bolesnika. Od ukupno 5339 hospitaliziranih bolesnika s akutnim infarktom miokarda 67.5% su bili muškarci, a 32,5% su bile žene. Prva grupa je uključivala 2336 bolesnika (68% muškaraca i 32% žena), a druga grupa je uključivala 2973 bolesnika (67% muškaraca i 33% žena). Muškarci su bili u prosjeku 5 godina mlađi od žena. Ukupni bolnički mortalitet je bio statistički značajno veći u prvoj skupini (13.5% prema 7.6%). Mortalitet u prvoj skupini je bio statistički značajno veći u žena (22.7% prema 12%) i u muškaraca (9% prema 5.5%) u odnosu na drugu skupinu. Bolnički mortalitet u bolesnika s STEMI je bio značajno veći u prvoj skupini (16.6% prema 9%). U bolesnika s NSTEMI nije bilo značajne razlike u bolničkom mortalitetu između skupina (4 prema 2,5%). Najčešći uzrok smrti kod muškaraca je bila ventrikularna fibrilacija u obje skupine dok je u žena to bilo popuštanje srca. Okluzija cirkumfleksne koronarne arterije je bila češća u muškaraca podvrgnutih perkutanoj koronarnoj intervenciji. Bolnički mortalitet u bolesnika s STEMI liječenih perkutanom koronarnom intervencijom je bio 5.7%. Bolnički mortalitet u bolesnika s akutnim infarktom miokarda nakon primjene perkutane koronarne intervencije je bio skoro dvostruko umanjen. Žene su imale dvostruko višu bolničku smrtnost u razdoblju prije i nakon uvođenja perkutane koronarne intervencije.
Abstract (english)
Aim of the study was to estimate the in-hospital mortality and death rate in patients with AMI according to gender and location of infarction during 5 years before and after the introduction of percutaneous coronary intervention (PCI) procedures in University Hosptial Split, Croatia. The hospitalized patients were devided in two groups, from 2000 to 2004 and from 2005 to 2009. The analysis included total mortality and mortality according to gender and location of AMI. The location of infarction was detected toward typical ECG changes. The analysis included the model of death in patients with AMI and in-hospital mortality of patients undergoing the PCI procedures. The patients in the first group were treated with the standard medication therapy, and the patients in the second group were treated with PCI. The number of hospitalized patients with AMI, in ten years, increased from 475 to 652. A total of 5339 patients with AMI were hospitalized, and included 67.5% males and 32.5% females. The first group included 2336 patients (68% males and 32% females). The second group included 2973 patients (67% males and 33% females). Male patients in average were 5 years younger than female patients. A total in-hospital mortality was significantly higher in the first group (13.5% vs 7.6%). The mortality in the first group was significantly higher in females (22.7% vs 12%) and in males (9% vs 5.5%) comparing with second group. In-hospital mortality in the patients with STEMI was significantly higher in the first group (16.6% vs 9%). Among the patients with NSTEMI there were no significantly differences in the in-hospital mortality (4% vs 2.5%). The most frequent trigger of death in males were ventricular fibrillation in both groups such as heart failure in females . Cx occlusion is more often among the male patients treated with PCI. In-hospital mortality in patients with STEMI treated with PCI was 5.7%. A in-hospital mortality in the patients with AIM after PCI was almost halved. Females had two times higher in-hospital mortality before and after PCI introduction.
Keywords
Keywords (english)
Languagecroatian
URN:NBNurn:nbn:hr:171:526181
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 conditionsAccess restricted to students and staff of home institution
Terms of useLicence In copyright icon
Created on2016-05-04 11:47:50