| Title | Procjena rizičnih faktora za nastanak uroinfekcije nakon kirurške revaskularizacije miokarda |
| Author | Dušan Petrović |
| Mentor(s) | Jozo Kristek (thesis advisor)
|
| Abstract | Ciljevi istraživanja: Utvrditi ukupan broj ispitanika koji su nakon kirurške revaskularizacije
miokarda razvili infekciju urološkog sustava te odrediti postoji li povezanost izmeĎu
prethodno dokazanih i mogućih faktora rizika.
Nacrt studije: Presječna studija
Ispitanici i metode: U istraţivanje su uključeni ispitanici kojima je na Odjelu za kardijalnu
kirurgiju Klinike za kirurgiju KBC-a Osijek u sedmogodišnjem razdoblju, točnije od 18.
studenoga 2007. do 5. studenoga 2014. godine raĎena kirurška revaskularizacija miokarda.
Podatci su dobiveni analizom operacijskih lista, ambulantnih lista, te otpusnih pisama
ispitanika.
Rezultati: Od ukupno 900 ispitanika, 683 (76 %) je muškog, a 215 (24 %) su ţenskog spola.
Infekciju urološkog sustava je razvilo 264 (30 %) ispitanika, od čega je statistički značajno
bilo više ţena, njih 80 (30 %). Medijan dobi bez obzira na infekciju urološkog trakta je 62.
U ovisnosti o infekciji postojala je statistički značajna razlika u EuroSCORE-u (p = 0,045),
logističkom EuroSCORE-u (p = 0,032) i kod ispitanika bez LIMA-e kao provodnika
(p = 0,005). Ostale promatrane varijable: ejekcijska frakcija lijevog ventrikla prije operacije,
broj i vrsta premosnica, fibrilacija atrija nakon operacije, ekstubiranje u danu operacije,
dijabetes, uporaba stroja za ekstrakorporalnu cirkulaciju, vrijeme trajanje EKC-a i klemanja
aorte, reoperacija, prisutnost neke druge infekcije (rane na sternumu i/ili nozi), broj dana
hospitalizacije te vrijeme provedeno u jedinici intenzivne njege. Ostale varijable nisu
pokazale značajnu vrijednost.
Zaključak: Infekcija se češće razvila kod ţena, ispitanika s višim EuroSCORE-om i oni kod
kojih kao provodnik nije korištena lijeva prsna arterija (LIMA). Utjecaj ostalih
pretpostavljenih faktora rizika na razvoj infekcije urološkog trakta nije dokazan. |
| Keywords | urinary tract infection myocardial revascularization risk factors |
| Parallel title (English) | Risk factors assessment for development of urinary infection after surgical revascularization of myocard |
| Committee Members | Krunoslav Šego (committee chairperson)
Ivan Lovrić (committee member)
Jozo Kristek (committee member)
|
| Granter | Josip Juraj Strossmayer University of Osijek
Faculty of Medicine |
| Place | Osijek |
| State | Croatia |
| Scientific field, discipline, subdiscipline | BIOMEDICINE AND HEALTHCARE
Clinical Medical Sciences
|
| Study programme type | university |
| Study level | integrated undergraduate and graduate |
| Study programme | University Graduate Studies |
| Academic title abbreviation | dr. med. |
| Genre | master's thesis |
| Language | Croatian |
| Defense date | 2016-09-28 |
| Parallel abstract (English) | Objectives: To determine overall number of participants who developed infection of
urological tract after undergoing surgical myocardial revascularization and discover possible
correspondence between proven and possible risk factors for developing infection.
Study design: Cross-sectional study.
Participants and methods: The study involved participants who underwent surgical
myocardial revascularization at the Department of Cardiac Surgery,
Surgery Clinic of the Clinical Hospital Osijek, from 18th of November 2007 to 5th of
November 2014. Data are collected from participants files, operation lists and medical
records.
Results: Out of totally 900 participants involved, 683 (76 %) are males and 215 (24 %)
female. Urological tract infection developed 264 (30 %) participants, from which statistical
significantly more female, 80 (30 %) of them. The age median of overall number of
participants regardless on infection was 62. Dependent of infection development, there were
statistically significant differences in EuroSCORE value (p = 0,045), logistic EuroSCORE
value (p = 0,032) and usage of LIMA as graft (p = 0,005). The rest of examined factors are:
postoperative atrial fibrillation, extubation same day as operation, diabetes, usage of
cardiopulmonary bypass machine, duration of cardiopulmonary bypass and aortic clamp
duration, reoperations, other infections (surgical site infection), number of days in ICU unit
and duration of hospitalization. Rest of the variables didn't show any statistically significant
difference.
Conclusion: Infection was developed more often by female participants, participants with
higher EuroSCORE values and those with which as graft wasn't used LIMA. Significant
influence of other variables on infection development wasn't proven. |
| Parallel keywords (Croatian) | infekcija urološkog trakta revaskularizacija miokarda faktori rizika |
| Resource type | text |
| Access condition | Open access |
| Terms of use |  |
| URN:NBN | https://urn.nsk.hr/urn:nbn:hr:152:412118 |
