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master's thesis
INCIDENCIJA I RAZLOZI PONOVLJENOG PRIJAMA KAO POKAZATELJ KVALITETE RADA DJEČJE KIRURGIJE
2020. urn:nbn:hr:171:646959
Antišić, Jelena
University of Split
School of Medicine
Surgery

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Antišić, J. (2020). INCIDENCIJA I RAZLOZI PONOVLJENOG PRIJAMA KAO POKAZATELJ KVALITETE RADA DJEČJE KIRURGIJE (Master's thesis). Retrieved from https://urn.nsk.hr/urn:nbn:hr:171:646959

Antišić, Jelena. "INCIDENCIJA I RAZLOZI PONOVLJENOG PRIJAMA KAO POKAZATELJ KVALITETE RADA DJEČJE KIRURGIJE." Master's thesis, University of Split, School of Medicine, 2020. https://urn.nsk.hr/urn:nbn:hr:171:646959

Antišić, Jelena. "INCIDENCIJA I RAZLOZI PONOVLJENOG PRIJAMA KAO POKAZATELJ KVALITETE RADA DJEČJE KIRURGIJE." Master's thesis, University of Split, School of Medicine, 2020. https://urn.nsk.hr/urn:nbn:hr:171:646959

Antišić, J. (2020). 'INCIDENCIJA I RAZLOZI PONOVLJENOG PRIJAMA KAO POKAZATELJ KVALITETE RADA DJEČJE KIRURGIJE', Master's thesis, University of Split, School of Medicine, accessed 11 August 2022, https://urn.nsk.hr/urn:nbn:hr:171:646959

Antišić J. INCIDENCIJA I RAZLOZI PONOVLJENOG PRIJAMA KAO POKAZATELJ KVALITETE RADA DJEČJE KIRURGIJE [Master's thesis]. Split: University of Split, School of Medicine; 2020 [cited 2022 August 11] Available at: https://urn.nsk.hr/urn:nbn:hr:171:646959

J. Antišić, "INCIDENCIJA I RAZLOZI PONOVLJENOG PRIJAMA KAO POKAZATELJ KVALITETE RADA DJEČJE KIRURGIJE", Master's thesis, University of Split, School of Medicine, Split, 2020. Available at: https://urn.nsk.hr/urn:nbn:hr:171:646959

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Metadata
TitleINCIDENCIJA I RAZLOZI PONOVLJENOG PRIJAMA KAO POKAZATELJ KVALITETE RADA DJEČJE KIRURGIJE
Title (english)INCIDENCE AND CAUSES OF 30-DAY READMISSION FROM DISCHARGE AS QUALITY-OF-CARE INDICATOR IN PEDIATRIC SURGERY
AuthorJelena Antišić
MentorMiro Jukić (mentor)
Committee memberZenon Pogorelić (predsjednik povjerenstva)
Committee memberJulije Meštrović (član povjerenstva)
Committee memberOzren Polašek (član povjerenstva)
GranterUniversity of Split
School of Medicine
(Surgery)
Split
Defense date and country2020, Croatia
Scientific / art field,
discipline and subdiscipline		BIOMEDICINE AND HEALTHCARE
Clinical Medical Sciences
Surgery
Abstract
Cilj: Evaluirati ponovni prijam unutar 30 dana od otpusta u Klinici za dječju kirurgiju kao indikator kvalitete kirurškog rada. Metode i materijali: Iz pisanog protokola Klinike za dječju kirurgiju KBC-a Split i arhive povijesti bolesti retrospektivno smo prikupili podatke sve djece koja su ponovno primljena u bolnicu unutar 30 dana od otpusta u periodu od 1. siječnja 2017. do 31. prosinca 2019. godine. Svakom ispitaniku analizirani su sljedeći parametri: dob, spol, komorbiditeti, primarna dijagnoza, uzrok ponovnog prijama, vrsta prvog prijama (žurno/elektivno), duljina primarne i ponovne hospitalizacije te vrijeme proteklo od otpusta do ponovnog prijama. Rezultati: U trogodišnjem istraživanju ukupno je zabilježeno 5392 prijama (2017., n=1821; 2018., n=1806; 2019., n=1765). Od toga je bilo 1014 (55.6%) elektivnih prijama u 2017., 953 (52.8%) u 2018. i 950 (53.8%) u 2019. godini. U trogodišnjem razdoblju stopa ponovnog prijama unutar 30 dana od otpusta iznosila je 0,79%, odnosno 0.82% u 2017., 0.99% u 2018. i 0.57% u 2019. godini (P=0.348). U djece koja su ponovno primljena unutar 30 dana najčešća primarna dijagnoza bila je akutni apendicitis (n=19; 44,2%), a najčešći razlog ponovnog prijama je komplikacija kirurške rane (n=13; 30%). Udio broja ponovnih prijama tijekom trogodišnjeg istraživanja je za 3,2 puta veći kod žurnih nego kod elektivnih prijama (P<0,001). Većina djece (>75%) koja su ponovno zaprimljena unutar 30 dana od otpusta bila su starija od 8 godina. Zaključci: Ponovni prijam unutar 30 dana jest kvalitetan i reproducibilan indikator kvalitete rada u dječjoj kirurgiji. Udio ponovnih prijama unutar 30 dana znatno je veći kod žurnih prijama, a apendektomija je najčešći postupak koji je povezan s ponovnim prijamom unutar 30 dana.
Abstract (english)
Aim: The aim of this study was to compare 30-day readmission (ReAd) rate from discharge in our clinic within three year period and to note could it be a quality-of-care indicator in pediatric surgery. Methods and materials: The case records of the patients that were readmitted within 30 days of primary surgery from January 1st 2017 to December 31st 2019 were identified retrospectively, for each year separately. Demographic data (age, gender, pre-existing comorbidities), diagnosis and the treatment on primary admission, length of hospital stay, and diagnosis with treatment on readmission, were collected. For each year ReAds were identified and divided into two groups (emergency and elective) based on the nature of the primary surgery. Outcomes were compared between two groups. Results: A total of 5392 admissions were identified among three years (2017, n=1821; 2018, n=1806; 2019, n=1765). There was 1014 (55.6%) elective admissions in 2017, 953 (52.8%) in 2018 and 950 (53.8%) in 2019. The overall ReAd rate was 0.79%, or 0.82%, 0.99% and 0.57% for years 2017, 2018 and 2019, respectively (P=0.348). The most common cause for ReAd was appendicitis (n=19; 44,2%) related followed by surgical site infection in different subfields (n=13; 30%). The share of the number of ReAds during the three-year period is 3.2 times higher for emergency admissions than for elective admissions (P<0.001). The majority (>75%) of all ReAd in all three years occurred in children above age of 8. Conclusions: ReAd is a reproducible and good quality-of-care indicator in pediatric surgery. An incidence of ReAd is significantly higher in emergency admissions and an appendectomy is the most common procedure associated with ReAd.
Keywords
Keywords (english)
Languagecroatian
URN:NBNurn:nbn:hr:171:646959
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
Terms of useLicence In copyright icon
Created on2020-09-01 11:17:59