| Abstract | Cilj: Utvrditi povezanost promjena na radiografskim snimkama pluća na početku i na kraju liječenja u JIL-u te ih povezati s ishodom i duljinom liječenja pacijenata. Materijal i metode: U ovoj retrospektivnoj studiji analizirane su radiografske snimke pluća 54 pacijenata koji su liječeni u JIL-u od 10. rujna 2019. do 11. ožujka 2020. te su tamo boravili dulje od tri dana, a učinjene su im kontrolne radiografske snimke pluća na početku i na kraju liječenja. Analiza izmjera plućnog parenhima napravljena je pomoću Sectra View programa u zadanim varijablama. Zabilježeni su demografski podatci svakoga pacijenta, laboratorijski parametri, duljina mehaničke ventilacije i duljina liječenja u JIL-u. Rezultati: Prosječna dob pacijenta iznosila je 67,22 ± 12,7 godina, a prosječan BMI 25,9 (23,35-27,76) kg/m2. Prosječna duljina mehaničke ventilacije iznosila je 9,84 ± 9,31 dana dok je duljina boravka u JIL-u iznosila 10 (6-20) dana. Nađena je pozitivna korelacija između duljine mehaničke ventilacije i duljine boravka u JIL-u (r = 0,584 , P < 0,001). Kod žena su nađene više vrijednosti leukocita koje su u prosjeku iznosile 17,48 ± 7,9 x 109/l dok je kod muškaraca prosječna vrijednost iznosila 12,89 ± 6,62 x 109/l (P = 0,03). Potvrđene su statistički značajne razlike na RTG snimkama u izmjerima plućnog parenhima na početku (M1) te na kraju (M2) liječenja kod pušača, kod pacijenata koji imaju bubrežne bolesti i kod pacijenata koji su imali laparotomiju. Zaključak: Ova retrospektivna studija potvrdila je da postoje promjene u izmjerama plućnog parenhima kod mehanički ventiliranih pacijenata u JIL-u. Te su promjene povezane s demografskim svojstvima, komorbiditetima i vrstom učinjene operacije. |
| Abstract (english) | Aim: To establish the correlation between lung X-ray alterations at the beginning and the end of the ICU treatment and to correlate them to the outcome and treatment duration of patients. Material and methods: Throughout this retrospective study, lung X-rays of 54 ICU patients were analyzed. These patients were treated from September 10, 2019, to March 11, 2020, and spent more than 3 days in ICU. Their lung X-rays were made at the beginning and the end of the treatment. The analysis of the measurement of lung parenchyma was done using Sectra View program in the given variables. Demographic data, laboratory parameters, duration of mechanical ventilation, and treatment duration in ICU were recorded for each patient. Results: Average age of patient was 67,22 ± 12,7 and average BMI 25,9 (23,35-27,76) kg/m². The average duration of mechanical ventilation was 9,84 ± 9,31 days and treatment duration in ICU 10 (6-20) days. A positive correlation between the duration of mechanical ventilation and the treatment duration in ICU was recorded (r = 0,584 , P < 0,001). Female patients had higher leukocyte levels which averaged to 17,48 ± 7,9 x 109/l, while the male patients’ average leukocyte count was 12,89 ± 6,62 x 109/l (P = 0,03). Some statistically significant differences in the measurement of lung parenchyma at the beginning (M1) and the end of treatment (M2) were confirmed by examining lung X-rays. These differences occurred with patients who are smokers, who suffer from kidney diseases and on whom laparotomy was performed. Conclusion: This retrospective study confirmed that there are alterations in the measurement of lung parenchyma in mechanically ventilated patients in ICU. These alterations are correlated with patients’ demographic data, comorbidities and the type of surgery that was performed on them. |
