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master's thesis
Poremećaji ravnoteže natrija i kalija u Zavodu za intenzivnu medicinu Kliničkog bolničkog centra Osijek tijekom 2020. godine
2021. urn:nbn:hr:152:071020
Katalinić, Sven
Josip Juraj Strossmayer University of Osijek
Faculty of Medicine Osijek

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Katalinić, S. (2021). Poremećaji ravnoteže natrija i kalija u Zavodu za intenzivnu medicinu Kliničkog bolničkog centra Osijek tijekom 2020. godine (Master's thesis). Osijek: Josip Juraj Strossmayer University of Osijek, Faculty of Medicine Osijek. Retrieved from https://urn.nsk.hr/urn:nbn:hr:152:071020

Katalinić, Sven. "Poremećaji ravnoteže natrija i kalija u Zavodu za intenzivnu medicinu Kliničkog bolničkog centra Osijek tijekom 2020. godine." Master's thesis, Josip Juraj Strossmayer University of Osijek, Faculty of Medicine Osijek, 2021. https://urn.nsk.hr/urn:nbn:hr:152:071020

Katalinić, Sven. "Poremećaji ravnoteže natrija i kalija u Zavodu za intenzivnu medicinu Kliničkog bolničkog centra Osijek tijekom 2020. godine." Master's thesis, Josip Juraj Strossmayer University of Osijek, Faculty of Medicine Osijek, 2021. https://urn.nsk.hr/urn:nbn:hr:152:071020

Katalinić, S. (2021). 'Poremećaji ravnoteže natrija i kalija u Zavodu za intenzivnu medicinu Kliničkog bolničkog centra Osijek tijekom 2020. godine', Master's thesis, Josip Juraj Strossmayer University of Osijek, Faculty of Medicine Osijek, accessed 20 November 2024, https://urn.nsk.hr/urn:nbn:hr:152:071020

Katalinić S. Poremećaji ravnoteže natrija i kalija u Zavodu za intenzivnu medicinu Kliničkog bolničkog centra Osijek tijekom 2020. godine [Master's thesis]. Osijek: Josip Juraj Strossmayer University of Osijek, Faculty of Medicine Osijek; 2021 [cited 2024 November 20] Available at: https://urn.nsk.hr/urn:nbn:hr:152:071020

S. Katalinić, "Poremećaji ravnoteže natrija i kalija u Zavodu za intenzivnu medicinu Kliničkog bolničkog centra Osijek tijekom 2020. godine", Master's thesis, Josip Juraj Strossmayer University of Osijek, Faculty of Medicine Osijek, Osijek, 2021. Available at: https://urn.nsk.hr/urn:nbn:hr:152:071020

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TitlePoremećaji ravnoteže natrija i kalija u Zavodu za intenzivnu medicinu Kliničkog bolničkog centra Osijek tijekom 2020. godine
Title (english)Disorders of sodium and potassium balance in the Department of Intensive Care Medicine of the Osijek University Hospital during 2020 year.
AuthorSven Katalinić
MentorSlavica Kvolik (mentor)
Committee memberIvana Haršanji Drenjančević (predsjednik povjerenstva)
Committee memberOzana Katarina Tot (član povjerenstva)
Committee memberSlavica Kvolik (član povjerenstva)
GranterJosip Juraj Strossmayer University of Osijek
Faculty of Medicine Osijek
Osijek
Defense date and country2021-07-22, Croatia
Scientific / art field,
discipline and subdiscipline		BIOMEDICINE AND HEALTHCARE
Clinical Medical Sciences
Anesthesiology and Reanimatology
Abstract
Cilj istraživanja: Zabilježiti učestalost poremećaja ravnoteže natrija i kalija kod bolesnika liječenih u Zavodu za intenzivnu medicinu (ZIM) te ispitati povezanost ovih poremećaja s ishodima: duljina trajanja mehaničke ventilacije, ukupna duljina liječenja u ZIM-u i smrtnost. Nacrt studije: Presječna studija s povijesnim podatcima Ispitanici i metode: U istraživanje je uključeno ukupno 111 ispitanika, od čega su 41 bili neurokirurški bolesnici, a 70 bolesnici s abdominalnim operacijama. Ispitanici su liječeni u Jedinici intenzivnog liječenja Klinike za anesteziologiju, reanimatologiju i intenzivno liječenje Kliničkog bolničkog centra Osijek. Klinički podatci za istraživanje preuzeti su iz povijesti bolesti. Rezultati: U obje skupine ispitanika najčešći poremećaj bila je hipokalijemija koja je zabilježena kod 76 % neurokirurških i 61 % bolesnika s abdominalnim operacijama, a najrjeđi hiperkalijemija koja nije zabilježena kod nijednog neurokirurškog bolesnika te 6 % bolesnika s abdominalnim operacijama. Nije utvrđena značajna razlika u učestalosti poremećaja natrija i kalija između dvije skupine. Neurokirurški bolesnici s hipernatrijemijom imali su povećanu duljinu boravka u JIL-u (P = 0,002), kao i povećanu duljinu trajanja mehaničke ventilacije (P = 0,004). Bolesnici s abdominalnim operacijama s hipernatrijemijom imali su povećanu duljinu boravka u JIL-u (P < 0,001) i povećanu duljinu trajanja mehaničke ventilacije (P < 0,001), dok su bolesnici s hipokalijemijom imali povećanu duljinu boravka u JIL-u (P = 0,011), a bolesnici s hiperkalijemijom povećanu duljinu trajanja mehaničke ventilacije (P = 0,024). Kod bolesnika s abdominalnim operacijama lošiji konačni ishod imali su bolesnici s hipernatrijemijom (P = 0,001) i hiperkalijemijom (P = 0,023). Zaključak: Poremećaji ravnoteže natrija i kalija učestala su pojava u JIL-u i mogu biti povezani s lošijim ishodima.
Abstract (english)
Objective: To determine the frequency of sodium and potassium disorders in patients treated in intensive care unit (ICU), and to correlate these disorders with different outcomes: length of stay in the ICU, duration of mechanical ventilation and mortality. Study design: Cross-sectional study with historical data Participants and methods: The study included 111 patients, of which 41 were neurosurgical and 70 were abdominal surgery patients. The patients were treated in the Intensive care unit of the Osijek university hospital between January 1st and December 31st 2020. The clinical data was collected from the patients’ medical history. Results: In both groups the most common electrolyte disorder was hypokalaemia which was found in 76 % of neurosurgical and 61 % of abdominal surgery patients. The rarest disoreder was hyperkalaemia which wasn’t found in any neurosurgical patients and 6 % of abdominal surgery patients. No statistical difference was found in frequency of sodium and potassium disorders between two groups. Neurosurgical patients with hypernatremia had a longer length of stay (P = 0,002) and increased length of mechanical ventilation (P = 0,004). Abdominal surgery patients with hypernatremia had a longer length of stay (P < 0,001) and increased duration of mechanical ventilation (P < 0,001), hypokalaemic patients had a longer length of stay (P = 0,011), and patients with hyperkalaemia had an increased duration of mechanical ventilation (P = 0,024). Increased mortality in abdominal surgery patients was found in patients hypernatremia (P = 0,001) and hyperkalaemia (P = 0,023). Conclusion: Disorders of sodium and potassium balance are a common occurrence in the ICU, and their presence could be associated with worse outcomes.
Keywords
Keywords (english)
Languagecroatian
URN:NBNurn:nbn:hr:152:071020
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 useLicence In copyright icon
Created on2022-12-09 10:32:01