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2021, vol. 149, br. 1-2, str. 65-69
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Urgentna stanja u otorinolaringologiji u sekundarnoj zdravstvenoj ustanovi
Otorhinolaryngology emergency department hospitalizations in a secondary medical center
aOpšta bolnica "Dr Đorđe Joanović", Zrenjanin bKlinički centar Srbije, Klinika za ORL i MFH, Beograd, Srbija + Univerzitet u Beogradu, Medicinski fakultet, Katedra Otorinolaringologija sa maksilofacijalnom hirurgijom, Srbija
e-adresa: anajotic@yahoo.com
Sažetak
Uvod/Cilj Svakodnevno se u lekarskoj praksi susrećemo sa hitnim stanjima iz oblasti otorinolaringologije. Sa porastom broja infekcija respiratornog trakta i njihovih komplikacija, kao i povreda u saobraćaju i industriji, urgentna stanja u otorinolaringologiji postaju sve češća na sekundarnom nivou zdravstvene zaštite. Cilj rada je bio ispitati strukturu i dalji tretman svih hitnih prijema obavljenih u pomenutom periodu ispitivanja u odnosu na pol, starost, prijemnu dijagnozu, obavljenu intervenciju i tretman, upućivanje u ustanovu tercijarnog ranga, komorbiditete, obavljenu dopunsku dijagnostiku i konsultativne preglede iz ostalih specijalističkih oblasti. Metode Retrospektivna studija je obuhvatila sve bolesnike koji su kao hitni slučajevi hospitalizovani na Odeljenju za otorinolaringologiju i maksilofacijalnu hirurgiju Opšte bolnice Zrenjanin u dvogodišnjem periodu. Podaci su dobijeni analizom medicinskih istorija bolesnika i adekvatnom statističkom obradom. Rezultati Studija je obuhvatila 245 (57,2%) bolesnika muškog pola i 183 (42,8%) ženskog pola prosečne starosti 48,5 godina. Najčešća prijemna dijagnoza je bila tonzilofaringitis i njegove komplikacije, potom trauma glave i vrata. U 72% slučajeva sprovedena je medikamentozna terapija, dok je u 28% sprovedena hirurška intervencija. U ustanove tercijarnog nivoa upućeno je 27 (6,3%) bolesnika, što je najviše zavisilo od broja komorbiditeta i sprovedenih konsultativnih pregleda. Zaključak Infekcije i inflamacije su najčešće indikacije za hitnu hospitalizaciju u otorinolaringologiji na sekundarnom nivou zdravstvene zaštite. Većina bolesnika je lečena konzervativno, a upućivanje u tercijarnu zdravstvenu ustanovu je značajno zavisilo od broja komorbiditeta, broja konsultativnih pregleda i dužine hospitalizacije.
Abstract
Introduction/Objective The overall number of emergency department visits, including otorhinolaryngology, has increased. Due to population growth, industry and traffic expansion, workload of the otorhinolaryngology emergency department is steadily on the rise. The objective of this study was to determine most common indications for an emergency hospitalization in the otorhinolaryngology department in a secondary medical center. Also, we examined the course of diagnostics and treatment upon admittance, the outcome of hospitalization, and possible referral to a tertiary medical center. Methods This retrospective study included patients who were urgently hospitalized at the Department of Otorhinolaryngology and Maxillofacial Surgery of the Đorđe Joanović General Hospital in Zrenjanin, Serbia, during a two-year period. The data were obtained by processing the patients' medical charts. Results The study included 428 patients who were urgently hospitalized at the department of otorhinolaryngology of a secondary medical center during a two-year period. Of the total number, 245 (57.2%) were male and 183 (42.8%) were female, with the average age of 48.5 years. The patients were most frequently hospitalized due to tonsillopharyngitis and its complications, followed by head and neck trauma. Most of the patients were treated conservatively, with medication therapy (72%), and 28% underwent surgical or other invasive intervention. Twenty-seven (6.3%) patients were referred to a tertiary medical center, which correlated significantly with the number of comorbidities and consultative exams. Conclusion Otorhinolaryngology inflammatory/infectious diseases are the most frequent indication for urgent hospital admission to a secondary medical center. Most of the patients were treated conservatively. Referral to a tertiary medical center significantly correlated with the number of comorbidities and consultative exams.
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