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master's thesis
Transplantacija bubrega u osoba starije životne dobi
Zagreb: University of Zagreb, School of Medicine, 2017. urn:nbn:hr:105:108189
Leskovar, Krunoslav
University of Zagreb
School of Medicine
Department of Internal Medicine

Institutional repository: Dr Med - University of Zagreb School of Medicine Digital Repository

Cite this document

Leskovar, K. (2017). Transplantacija bubrega u osoba starije životne dobi (Master's thesis). Zagreb: University of Zagreb, School of Medicine. Retrieved from https://urn.nsk.hr/urn:nbn:hr:105:108189

Leskovar, Krunoslav. "Transplantacija bubrega u osoba starije životne dobi." Master's thesis, University of Zagreb, School of Medicine, 2017. https://urn.nsk.hr/urn:nbn:hr:105:108189

Leskovar, Krunoslav. "Transplantacija bubrega u osoba starije životne dobi." Master's thesis, University of Zagreb, School of Medicine, 2017. https://urn.nsk.hr/urn:nbn:hr:105:108189

Leskovar, K. (2017). 'Transplantacija bubrega u osoba starije životne dobi', Master's thesis, University of Zagreb, School of Medicine, accessed 25 November 2024, https://urn.nsk.hr/urn:nbn:hr:105:108189

Leskovar K. Transplantacija bubrega u osoba starije životne dobi [Master's thesis]. Zagreb: University of Zagreb, School of Medicine; 2017 [cited 2024 November 25] Available at: https://urn.nsk.hr/urn:nbn:hr:105:108189

K. Leskovar, "Transplantacija bubrega u osoba starije životne dobi", Master's thesis, University of Zagreb, School of Medicine, Zagreb, 2017. Available at: https://urn.nsk.hr/urn:nbn:hr:105:108189

Metadata
TitleTransplantacija bubrega u osoba starije životne dobi
Title (english)Kidney transplantation in the eldery
AuthorKrunoslav Leskovar
MentorNikolina Bašić Jukić (mentor)
Committee memberMarko Jakopović (predsjednik povjerenstva)
Committee memberTvrtko Hudolin (član povjerenstva)
Committee memberNikolina Bašić Jukić (član povjerenstva)
GranterUniversity of Zagreb
School of Medicine
(Department of Internal Medicine)
Zagreb
Defense date and country2017-09-28, Croatia
Scientific / art field,
discipline and subdiscipline		BIOMEDICINE AND HEALTHCARE
Clinical Medical Sciences
Internal Medicine
Abstract
Kronična bubrežna bolest (KBB) u svom terminalnom stadiju zahtjeva jedno od modaliteta nadomještanja bubrežne funkcije. Postoje tri osnovne opcije nadomještanja bubrežne funkcije (NBF): hemodijaliza, peritonealna dijaliza i transplantacija bubrega. Iako povijesno najmlađa, transplantacija bubrega se nametnula kao opcija kojom se bolesnik s KBB na najbolji mogući način vraća u svoju obiteljsku i društvenu zajednicu. Osobe starije životne dobi zauzimaju sve veći udio u ukupnoj populaciji pa stoga i KBB kao velik javnozdravstveni problem najvećim dijelom pogađa upravo stariju životnu dob. Bolesnicima starije životne dobi s KBB kao potencijalnim kandidatima za transplantaciju bubrega potrebno je pristupiti s određenim oprezom i proširenjem same prijetransplantacijske obrade zbog česte prisutnosti komorbiditeta kao i skraćenog očekivanog trajanja života. Glavni cilj istraživanja je utvrditi kvalitetu transplantacijskog programa Centra za dijalizu Opće bolnice Varaždin kao i udio bolesnika starije životne dobi u ukupnom broju transplantiranih. Nadalje utvrđivanje preživljavanja transplantiranih starije životne dobi kao i dobrobiti transplantacije kao opcije nadomještanja bubrežne funkcije. Istraživanje je provedeno retrospektivnom analizom desetogodišnjeg perioda (2007.-2016.) u kojem je obuhvaćeno 69 transplantiranih bolesnika od kojih je 9 bolesnika starije životne dobi. Istraživanje je pokazalo veću zastupljenost (83%) bolesnika muškog spola. Povećanje udjela transplantiranih bolesnika (45%) u 2017. godini, u ukupnom broju bolesnika s kroničnom bubrežnom bolesti kojima je potrebno NBF govori u prilog kvalitetnom transplantacijskom programu i sve većem zbrinjavanju kroničnih bubrežnih bolesnika upravo transplantacijom. Bolesnici s transplantiranim bubregom starije životne dobi imaju 100% jednogodišnje preživljavanje i dobro su prihvatili transplantaciju kao izbor nadomještanja bubrežne funkcije. Najstariji bolesnik je transplantiran u dobi od 77 godina starosti i ima funkcionalan presadak pune četiri godine do zaključenja ovog istraživanja što nam daje najbolji primjer kako transplantacija bubrega u osoba starije životne dobi ne smije biti opterećena predrasudama o starijima kao potencijalnim kandidatima za transplantaciju bubrega.
Abstract (english)
Chronic kidney disease (CKD) in a terminal stage requires one of the modalities of renal replacement therapy (RRT). There are three basic options of RRT: hemodialysis, peritoneal dialysis and kidney transplantation. Although historically the youngest, kidney transplantation has become a feature in which a patient with CKD in the best possible way back to his family and the community. Elderly people occupy an increasing share in the total population, so CKD as a major public health problem mostly affects the older age. Elderly patients with CKD as potential candidates for kidney transplantation need to be accessed with particular caution and by extending pre-transplantation treatment because of the frequent presence of comorbidities and shortened life expectancy. The main objective of the study was to determine the quality of the Transplantation Program of the General Hospital Varaždin Dialysis Center as well as the proportion of elderly patients in the total number of transplanted patients. Furthermore, survival of transplanted elderly as well as the benefits of transplantation as well as the option of RRT. The research was conducted a retrospective analysis of ten years (2007th-2016th), which included 69 transplant patients, of which 9 elderly. The study showed a higher share (83%) patients were male. Increasing the share of transplant patients (45%) of the total number of patients with chronic kidney disease who require RRT speaks in favor of quality transplantation program and increasing care of chronic renal disease by transplantation. Patients with kidney transplant elderly have a 100% one-year survival and well accepted as a transplant choice of RRT. The oldest patient was transplanted at the age of 77 years old and has a functional graft for four years until the conclusion of the study which gives us the best example of how kidney transplantation in the elderly should not be burdened with prejudices about older people as potential candidates for a kidney transplant.
Keywords
Keywords (english)
Languagecroatian
URN:NBNurn:nbn:hr:105:108189
Study programmeTitle: Studies in Nursing
Study programme type: university
Study level: graduate
Academic / professional title: magistar/magistra sestrinstva (magistar/magistra sestrinstva)
Type of resourceText
File originBorn digital
Access conditionsOpen access
Terms of useLicence In copyright icon
Created on2018-03-19 12:32:16