prikaz prve stranice dokumenta The evaluation of the stroke unit in Croatia at the University Hospital Sestre milosrdnice, Zagreb: 1995-2006 experience
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Scientific paper - Original scientific paper
The evaluation of the stroke unit in Croatia at the University Hospital Sestre milosrdnice, Zagreb: 1995-2006 experience
Collegium Antropologicum, 33 (2009), 4; 1233-1238. urn:nbn:hr:105:778473
Supanc, Višnja; Vargek-Solter, Vesna; Bašić-Kes, Vanja; Breitenfeld, Tomislav; Ramić, Senad; Zavoreo, Iris; Jergović, Krešimir; Šetić, Mia; Biloglav, Zrinka; Demarin, Vida

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Supanc, V., Vargek Solter, V., Bašić Kes, V., Breitenfeld, T., Ramić, S., Zavoreo, I. ... Demarin, V. (2009). The evaluation of the stroke unit in Croatia at the University Hospital Sestre milosrdnice, Zagreb: 1995-2006 experience . Collegium Antropologicum, 33. (4), 1233-1238. Retrieved from https://urn.nsk.hr/urn:nbn:hr:105:778473

Supanc, Višnja, et al. "The evaluation of the stroke unit in Croatia at the University Hospital Sestre milosrdnice, Zagreb: 1995-2006 experience ." Collegium Antropologicum, vol. 33, no. 4, 2009, pp. 1233-1238. https://urn.nsk.hr/urn:nbn:hr:105:778473

Supanc, Višnja, Vesna Vargek Solter, Vanja Bašić Kes, Tomislav Breitenfeld, Senad Ramić, Iris Zavoreo, Krešimir Jergović, Mia Šetić, Zrinka Biloglav and Vida Demarin. "The evaluation of the stroke unit in Croatia at the University Hospital Sestre milosrdnice, Zagreb: 1995-2006 experience ." Collegium Antropologicum 33, no. 4 (2009): 1233-1238. https://urn.nsk.hr/urn:nbn:hr:105:778473

Supanc, V., et al. (2009) 'The evaluation of the stroke unit in Croatia at the University Hospital Sestre milosrdnice, Zagreb: 1995-2006 experience ', Collegium Antropologicum, 33(4), pp. 1233-1238. Available at: https://urn.nsk.hr/urn:nbn:hr:105:778473 (Accessed 17 May 2024)

Supanc V, Vargek Solter V, Bašić Kes V, Breitenfeld T, Ramić S, Zavoreo I, and sur.. The evaluation of the stroke unit in Croatia at the University Hospital Sestre milosrdnice, Zagreb: 1995-2006 experience . Collegium Antropologicum [Internet]. 2009 December [cited 2024 May 17];33(4):1233-1238. Available at: https://urn.nsk.hr/urn:nbn:hr:105:778473

V. Supanc, et al., "The evaluation of the stroke unit in Croatia at the University Hospital Sestre milosrdnice, Zagreb: 1995-2006 experience ", Collegium Antropologicum, vol. 33, no. 4, pp. 1233-1238, December 2009. [Online]. Available at: https://urn.nsk.hr/urn:nbn:hr:105:778473. [Accessed: 17 May 2024]

Metadata
Title (english)The evaluation of the stroke unit in Croatia at the University Hospital Sestre milosrdnice, Zagreb: 1995-2006 experience
Title (croatian)Procjena učinkovitosti jedinice za liječenje moždanog udara na Klinici za neurologiju KB »SESTRE MILOSRDNICE«, Zagreb, Hrvatska, u razdoblju od 1995. do 2006. godine
AuthorVišnja Supanc
AuthorVesna Vargek-Solter
AuthorVanja Bašić-Kes
AuthorTomislav Breitenfeld
AuthorSenad Ramić
AuthorIris Zavoreo
AuthorKrešimir Jergović
AuthorMia Šetić
AuthorZrinka Biloglav
AuthorVida Demarin
Author's institutionUniversity of Zagreb
School of Medicine
Scientific / art field,
discipline and subdiscipline		BIOMEDICINE AND HEALTHCARE
Clinical Medical Sciences
Abstract (english)
This study evaluate the effects of the Stroke Unit (SU) in Croatia by comparing the in-hospital case fatality rate in the period before (1995–2000) and after (2001–2006) the implementation of SU and to compare the prevalence of risk factors, such as hypertension, diabetes mellitus (DM), atrial fibrillation (AF) and ischemic heart disease (IHD) among the patients who died. The study was conducted in twelve-year period during which 10 901 stroke patients were admitted to hospital and 1 818 of them died. The endpoints were in-hospital case fatality rate and prevalence of risk factors among the patients who died. Before the SU period the case fatality rate was 20.1%, whereas afterwards it decreased significantly to 12.8% (p<0.001). The relative risk (RR) was 1.57, while the estimate of the odds ratio (OR) showed a 71% increase in chances of death in the pre-SU period. The prevalence of DM, IHD and AF increased significantly, while hypertension was the only risk factor which significantly decreased (p<0.001). The results showed that the implementation of SU care is associated with a significant reduction of in-hospital case fatality rate of acute stroke patients which strongly suggests that development of the SU network in Croatia should be given priority in the health management.
Abstract (croatian)
Prikazani su rezultati procjene učinkovitosti Jedinice za liječenje moždanog udara (JLMU) na Klinici za neurologiju KB »Sestre milosrdnice« uspoređivanjem bolničkog mortaliteta u periodu prije (1995.–2000.) i poslije (2001.–2006.) njezinog uvođenja. Učinjena je i usporedba rizičnih čimbenika za nastanak bolesti, kao što su primjerice hipertenzija, šećerna bolest, atrijska fibrilacija i ishemična bolest srca, u populaciji preminulih bolesnika. Istraživanje je provedeno u dvanaestogodišnjem razdoblju tijekom kojeg je hospitalizirano 10,901 bolesnika s akutnim moždanim udarom, a preminulih je bilo 1,818. Uspoređivanjem mortaliteta bolesnika s akutnim moždanim udarom tijekom bolničkog liječenja i prevalencije rizičnih faktora među preminulim bolesnicima utvrđeno je da je prije uspostavljanja JLMU-a taj mortalitet iznosio 20,1%, dok se nakon njezinog utemeljenja statistički značajno snizio na 12,8% (p<0,001). Relativni rizik (RR) bio je 1,57, dok je procjena omjera šansi (engl. odds ratio, OR) pokazala 71%-tno povećanje šansi smrtnog ishoda u razdoblju prije osnivanja JLMU-a. Prevalencija šećerne bolesti, ishemične srčane bolesti i atrijske fibrilacije značajno je porasla u istraživanoj populaciji, dok je hipertenzija jedini rizični čimbenik koji bilježi statistički značajno smanjenje učestalosti (p<0,001). Ovim istraživanjem potvrdili smo da je organizacija i uspostavljanje JLMU-a povezana s zna- čajnim smanjenjem mortaliteta tijekom bolničkog liječenja bolesnika s akutnim moždanim udarom. Rezultati upućuju na potrebu razvoja i uspostavljanja mreže JLMU-a u Hrvatskoj čemu bi se trebao dati prioritet u budućoj organizaciji zdravstvene zaštite.
Keywords (english)
Languageenglish
Publication typeScientific paper - Original scientific paper
Publication statusPublished
Peer reviewPeer review
Publication versionPublished version
Journal titleCollegium Antropologicum
Numberingvol. 33, no. 4, pp. 1233-1238
p-ISSN0350-6134
URN:NBNurn:nbn:hr:105:778473
Publication2009-12
Document URLhttps://hrcak.srce.hr/51506
Type of resourceText
Access conditionsOpen access
Terms of useLicence In copyright icon
Created on2024-03-28 11:38:59