| Abstract | Ciljevi istraživanja: Ispitati postoji li razlika u vrsti prijema (hitni, elektivni), općem zdravstvenom stanju mjereno ljestvicom SAPS II i ishodu liječenja kod pacijenata liječenih u JIL-u prije COVID-19 pandemije i tijekom COVID-19 pandemije. Nacrt studije: presječno istraživanje Bolesnici i metode: Analizirane su povijesti bolesti i terapijske liste 260 pacijenata hospitaliziranih u JIL-u tijekom 2019. i 2020. godine. Uspoređivani su vrsta prijema, duljina boravka i mehaničke ventilacije, komorbiditeti, ulazni i izlazni SAPS II, ishod liječenja te infekcija između pacijenata u 2019. i 2020. godini. Rezultati: U travnju i svibnju 2020. godine u JIL-u je boravilo manje pacijenata nego u istim mjesecima 2019. godine. Tijekom COVID-19 pandemije znatno su učestaliji hitni pacijenti (66,9 %) nego prije pandemije (44,6 %). Utvrđeno je da su trajanje boravka u JIL-u i duljina mehaničke ventilacije značajno dulji tijekom pandemije (P < 0,001). Utvrđeno je da pacijenti prije i tijekom pandemije imaju slične vrijednosti ulaznog (46 prema 45) i izlaznog SAPS II zbroja (32 prema 34). Tijekom pandemije značajno je više hospitalnih infekcija (26,1 %) nego prije pandemije (14,6 %). U 2019. godini umrlo je 14,6 %, a u 2020. godini 23,1 % pacijenata. Zaključak: Tijekom COVID-19 pandemije u 2020. godini smanjuje se broj hospitalizacija, učestaliji je hitni prijem, nema značajne razlike u vrijednosti SAPS II zbroja, a smrtnost je veća, ali ne i statistički značajna, uspoređujući razdoblje prije pandemije u 2019. godini. |
| Abstract (english) | Objectives: The aim of this study is to research the difference in type of admission (emergency, elective), general health status measured by the scale SAPS II and the treatment outcome in patients treated at intensive care unit before the COVID-19 pandemic and during the COVID-19 pandemic. Study design: cross-sectional study Patients and methods: This study analyzed the disease history and the therapeutic lists of 260 patients hospitalized in the intensive care unit (ICU) during 2019 and 2020. The type of admission, length of stay and mechanical ventilation, comorbidities, input and output SAPS II, treatment outcome and infection were compared between participants in 2019 and 2020. Results: In April and May of 2020 fewer patients stayed in the ICU than in the same months of 2019. During the COVID-19 pandemic considerably more frequent were emergency patients (66.9 %) than before the pandemic (44.6 %). It was determined that the length of stay at ICU and the length of mechanical ventilation were significantly longer during the pandemic (P < 0.001). Patients before and during the pandemic have similar values of input (46 to 45) and output SAPS II score (32 to 34). During the pandemic hospital infections were more frequent (26.1 %) than before the pandemic (14.6 %). In 2019 14.6 % patients died while in 2020 23.1 % patients died. Conclusion: In 2020 during the COVID-19 pandemic the number of hospitalization decreases, emergency patients are more frequent, no significant difference in value of SAPS II score is found, mortality is higher, but not significantly compared to the period of 2019 before the pandemic. |
