Download
PDF 397.21 KB
master's thesis
80   34
Procjena rizičnih faktora za nastanak uroinfekcije nakon kirurške revaskularizacije miokarda
Dušan Petrović (2016)
Josip Juraj Strossmayer University of Osijek
Faculty of Medicine Osijek
Cite this document

Petrović, D. (2016). Procjena rizičnih faktora za nastanak uroinfekcije nakon kirurške revaskularizacije miokarda (Master's thesis). Retrieved from https://urn.nsk.hr/urn:nbn:hr:152:412118

Petrović, Dušan. "Procjena rizičnih faktora za nastanak uroinfekcije nakon kirurške revaskularizacije miokarda." Master's thesis, Josip Juraj Strossmayer University of Osijek, Faculty of Medicine Osijek, 2016. https://urn.nsk.hr/urn:nbn:hr:152:412118

Petrović, Dušan. "Procjena rizičnih faktora za nastanak uroinfekcije nakon kirurške revaskularizacije miokarda." Master's thesis, Josip Juraj Strossmayer University of Osijek, Faculty of Medicine Osijek, 2016. https://urn.nsk.hr/urn:nbn:hr:152:412118

Petrović, D. (2016). 'Procjena rizičnih faktora za nastanak uroinfekcije nakon kirurške revaskularizacije miokarda', Master's thesis, Josip Juraj Strossmayer University of Osijek, Faculty of Medicine Osijek, accessed 10 April 2020, https://urn.nsk.hr/urn:nbn:hr:152:412118

Petrović D. Procjena rizičnih faktora za nastanak uroinfekcije nakon kirurške revaskularizacije miokarda [Master's thesis]. Osijek: Josip Juraj Strossmayer University of Osijek, Faculty of Medicine Osijek; 2016 [cited 2020 April 10] Available at: https://urn.nsk.hr/urn:nbn:hr:152:412118

D. Petrović, "Procjena rizičnih faktora za nastanak uroinfekcije nakon kirurške revaskularizacije miokarda", Master's thesis, Josip Juraj Strossmayer University of Osijek, Faculty of Medicine Osijek, Osijek, 2016. Available at: https://urn.nsk.hr/urn:nbn:hr:152:412118

Islandora Bookmark - Please login to use this feature
Metadata
TitleProcjena rizičnih faktora za nastanak uroinfekcije nakon kirurške revaskularizacije miokarda
Title (english)Risk factors assessment for development of urinary infection after surgical revascularization of myocard
AuthorDušan Petrović
MentorJozo Kristek (mentor)
Committee memberKrunoslav Šego (predsjednik povjerenstva)
Committee memberIvan Lovrić (član povjerenstva)
Committee memberJozo Kristek (član povjerenstva)
GranterJosip Juraj Strossmayer University of Osijek
Faculty of Medicine Osijek
Osijek
Defense date and country2016-09-28, Croatia
Scientific / art field,
discipline and subdiscipline		BIOMEDICINE AND HEALTHCARE
Clinical Medical Sciences
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.
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.
Keywords
Keywords (english)
Languagecroatian
URN:NBNurn:nbn:hr:152:412118
Study programmeTitle: University Graduate Studies
Study programme type: university
Study level: integrated undergraduate and graduate
Academic / professional title: doktor/doktorica medicine (doktor/doktorica medicine)
Type of resourceText
File originBorn digital
Access conditionsOpen access
Terms of usehttp://rightsstatements.org/vocab/InC/1.0/
Created on2016-10-14 08:54:07