Abstract | Cilj istraživanja: Ispitati učestalost upućivanja pacijenata na hitni ultrazvučni pregled
abdomena, učestalost upućivanja iz pojedinih ambulanti, najčešće otpusne dijagnoze, učestalost
upućivanja ovisno o demografskim karakteristikama te učestalost hospitalizacije.
Nacrt studije: Presječna studija s povijesnim podacima.
Ispitanici i metode: U istraživanje je uključeno 1058 pacijenata s bolovima u abdomenu koji
su upućeni na hitni ultrazvučni pregled tijekom zadnja dva tjedna siječnja i lipnja u razdoblju
od 2018. do kraja lipnja 2023. godine. U posebno izrađene tablice bilježeni su osnovni
demografski podatci, ambulanta iz koje je upućen pacijent, otpusna dijagnoza te hospitalizacija
pacijenta.
Rezultati: Uočeno je povećanje broja pacijenata upućenih na hitan ultrazvuk. Najviše pregleda
je s OHBP Interne, OHBP Kirurgije te s pedijatrije. Najčešće otpusne dijagnoze su abdominalne
kolike (24 %), infektivne bolesti (11,3 %), apendicitis i divertikuloza (7,1 %) te bolesti
bilijarnog sustava (9 %). Tijekom 2021. i 2023. godine značajnije je bilo više žena, dok su
ispitanici bili znatno stariji tijekom 2018. i 2019. godine. Od ukupno 1058 pregleda, 568 (53,7
%) završilo je hospitalizacijom, značajno manje tijekom 2022. i 2023. godine.
Zaključak: Uočen je porast broja bolesnika i porast trenda upućivanja na hitni ultrazvuk
abdomena u razdoblju od 2018. do 2023. godine. Najčešće otpusne dijagnoze su abdominalne
kolike, infektivne bolesti, apendicitis i divertikuloza te bolesti bilijarnog sustava. 2021. i 2023.
godine značajnije je više bilo žena u odnosu na muškarce, dok su značajno stariji ispitanici bili
tijekom 2018. i 2019. godine. Više od polovice pacijenata je hospitalizirano. |
Abstract (english) | Objectives: To examine the frequency of referring patients for emergency abdominal
ultrasound who present with abdominal pain as the primary symptom, the referral frequency
from different departments, the most common discharge diagnoses, the frequency of referrals
in relation to demographic characteristics and the rate of patient hospitalization.
Study Design: Cross-sectional study with historical data.
Participants and Methods: The study included 1,058 patients with abdominal pain, who were
referred for an emergency abdominal ultrasound at the Department of Diagnostic and
Interventional Radiology at University Hospital Centre Osijek during the last two weeks of
January and the last two weeks of June from January 2018 to the end of June 2023. For this
research, tables were created to record basic demographic data, the clinic from which the patient
was referred, the primary diagnosis, and patient hospitalization.
Results: An increase in the number of patients referred for emergency abdominal ultrasound
examination was observed from 2018 to 2023. The highest volume of referrals originated from
the Emergency Departments of Internal Medicine, Surgery, and Pediatrics, with a notable
upward trend in referrals from the Surgical Emergency Department, Pediatrics, and Infectious
Diseases clinic. The most common discharge diagnoses included abdominal colic (24 %),
infectious diseases (11.3 %), appendicitis and diverticulosis (7.1 %), and biliary system
disorders (9 %). During 2021 and 2023, a significantly higher proportion of female patients was
noted compared to males, whereas the patient population was considerably older in 2018 and
2019. Of the 1058 emergency ultrasound procedures performed, 568 cases (53.7 %) resulted in
hospitalization.
Conclusion: An increase in the number of patients and a rising trend in referrals for emergency
abdominal ultrasound examinations were observed from 2018 to 2023. The most common
discharge diagnoses included abdominal colic, infectious diseases, appendicitis, diverticulosis,
and biliary system disorders. There was a predominance of female patients compared to males,
while patients were significantly older during 2018 and 2019. More than half of the patients
were hospitalized. |