Title MOŽDANI UDAR U RURALNOM OKRUŽENJU – EPIDEMIOLOŠKE ODLIKE
Title (english) STROKE IN A RURAL ENVIRONMENT – EPIDEMIOLOGICAL FEATURES
Author Ana Cuculić
Mentor Bojan Miletić (mentor)
Committee member Silvije Šegulja (predsjednik povjerenstva)
Granter University of Rijeka Faculty of Health Studies (Department of Midwifery) Rijeka
Defense date and country 2024-09-17, Croatia
Scientific / art field, discipline and subdiscipline BIOMEDICINE AND HEALTHCARE Clinical Medical Sciences Nursing
Abstract Uvod: Moždani udar je iznenadni gubitak moždane funkcije, koji može biti lokaliziran ili, rjeđe, globalan, i traje duže od 24 sata, a uzrokovan je poremećajem moždane cirkulacije. Prema mehanizmu nastanka dijeli se na ishemijski i hemoragijski moždani udar. U Hrvatskoj je moždani udar vodeći uzrok invaliditeta i drugi uzrok smrti.
Cilj ovog istraživanja bio je utvrditi učestalost moždanog udara kao indikacije za prijem u Opću bolnicu i bolnicu branitelja domovinskog rata Ogulin.
Materijali i metode: Provedena je retrospektivna analiza podataka iz bolničkog informatičkog sustava koja je obuhvatila sve bolesnike obrađene pod dijagnozom moždanog udara (dijagnoze Ixx-Ixx u Međunarodnoj klasifikaciji bolesti) srčanog zatajenja u Općoj bolnici Ogulin u razdoblju od 01.01.2014. do 31.12.2023. godine.
Rezultati: Kod 81.6% pacijenata je bio prisutan ishemički moždani udar. Nema statistički značajne razlike između žena i muškaraca u zastupljenosti moždanog udara (Z=1.00034, p>0.10), a 39.7% bolesnika sa moždanim udarom je bilo u dobi od 70 do 80 godina. Najveći broj pacijenata s dijagnozom moždanog udara zabilježen u siječnju (147), a najmanji u travnju (107). U drugu bolničku ustanovu premješteno je 13.7% bolesnika sa moždanim udarom.
Zaključak: Zbrinjavanje moždanog udara u ruralnim sredinama suočen je s brojnim izazovima, uključujući ograničen pristup specijaliziranoj medicinskoj skrbi, nedostatak napredne dijagnostičke opreme te manjak multidisciplinarnih lječničkih timova. Kako bi se poboljšali ishodi liječenja, ključno je uspostaviti efikasan sustav transporta bolesnika u specijalizirane ustanove, kao i ulagati u edukaciju postojećeg medicinskog osoblja. Poboljšanje infrastrukture i kapaciteta lokalnih zdravstvenih ustanova također može značajno doprinijeti uspješnijem zbrinjavanju i smanjenju mortaliteta i invaliditeta uzrokovanih moždanim udarom u ruralnim sredinama.
Abstract (english) Introduction: A stroke is a sudden loss of brain function, which can be localized or, less often, global, and lasts longer than 24 hours, and is caused by a disorder of cerebral circulation. According to the mechanism of occurrence, it is divided into ischemic and hemorrhagic stroke. In Croatia, stroke is the leading cause of disability and the second cause of death.
The aim of this study was to determine the frequency of stroke as an indication for admission to the General Hospital and the Ogulin Homeland War Veterans Hospital.
Materials and methods: A retrospective analysis of data from the hospital's IT system was carried out, which included all patients treated under the diagnosis of stroke (diagnoses Ixx-Ixx in the International Classification of Diseases) of heart failure in the Ogulin General Hospital in the period from 01.01.2014. until 31.12.2023. years.
Results: Ischemic stroke was present in 81.6% of patients. There is no statistically significant difference between women and men in the incidence of stroke (Z=1.00034, p>0.10), and 39.7% of stroke patients were between the ages of 70 and 80. The highest number of patients diagnosed with stroke was recorded in January (147), and the lowest in April (107). 13.7% of stroke patients were transferred to another hospital.
Conclusion: Stroke care in rural areas faces numerous challenges, including limited access to specialized medical care, a lack of advanced diagnostic equipment, and a shortage of multidisciplinary medical teams. In order to improve treatment outcomes, it is crucial to establish an efficient system of transporting patients to specialized institutions, as well as investing in the education of existing medical staff. Improving the infrastructure and capacity of local health institutions can also significantly contribute to more successful care and reduction of mortality and disability caused by stroke in rural areas.
Keywords
: Karlovačka županija
liječenje
moždani udar
ruralno područje
Keywords (english)
: Karlovac County
rural area
stroke
treatment
Language croatian
URN:NBN urn:nbn:hr:184:997528
Study programme Title: Graduate university study of Nursing: Promotion and Protection of Mental Health (Biomedicine and Healthcare; clinical medical sciences) Study programme type: university Study level: graduate Academic / professional title: magistar/magistra sestrinstva (magistar/magistra sestrinstva)
Type of resource Text
File origin Born digital
Access conditions Open access
Terms of use
Public note Lejla Jelovica, mag.educ.math.et phys.
Created on 2024-09-03 10:44:22