Razlozi hitne hospitalizacije djece na odjelu pedijatrijske otorinolaringologije KBC Sestre milosrdnice u trogodišnjem razdoblju

master's thesis

• Title (english): Pediatric emergency cases at the pediatric ENT department of the University hospital Sisters of charity over a 3-year period
• Author: Mirna Mustapić
• Mentor: Tomislav Baudoin (mentor)
• Committee member: Livije Kalogjera (predsjednik povjerenstva)
• Committee member: Mirko Ivkić (član povjerenstva)
• Committee member: Tomislav Baudoin (član povjerenstva)
• Granter: University of Zagreb; School of Medicine; (Department of Othorhinolaryngology and Head and Neck Surgery); Zagreb
• Defense date and country: 2017-07-14, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Clinical Medical Sciences; Otorhinolaryngology
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Clinical Medical Sciences; Pediatrics

Abstract

Otorinolaringološka pedijatrijska hitna stanja zahtijevaju pravovremenu dijagnozu i brzo djelovanje. Cilj ove presječne, retrospektivne deskriptivne studije bio je istražiti etiologiju, učestalost pojedinih dijagnoza i njihovu razdiobu prema dobi i spolu te načine konzervativnog i kirurškog liječenja djece hitno zaprimljene na Kliniku za otorinolaringologiju i kirurgiju glave i vrata Kliničkog bolničkog centra „Sestre milosrdnice” u razdoblju od 1. siječnja 2013. do 31. prosinca 2015. godine. U istraživanje je uključeno 70 hitnih pedijatrijskih pacijenata čiji su medicinski podaci proučeni s obzirom na spol, dob, dijagnozu pri prijemu, način liječenja te ishod hitnog zbrinjavanja. Ukupno 70 pacijenata, od toga 39 dječaka te 31 djevojčica, primljeno je zbog hitnog zbrinjavanja (74 hospitalizacije). Raspon dobi kretao se između 0 i 16 godina starosti; s prosječnom dobi od 4 godine i 6 mjeseci (54 mjeseci) te medijanom dobi od 2,5 godina, sa vrhom incidencije u dobi od godinu dana. Najčešće dijagnoze među hitnim ORL prijemima činili su akutna upala srednjeg uha (kao najčešća otološka dijagnoza te najčešća dijagnoza među svim opisanim ORL hitnim stanjima), strana tijela u dišnom sustavu i jednjaku te apscesi različitih lokalizacija (peritonzilarni, parafaringealni, apsces vrata, tvrdog nepca te retroaurikularni). Većina pacijenata liječena je kombinacijom kirurškog zahvata i antibiotika, a miringotomija s postavljanjem ventilacijske cjevčice bila je najčešći kirurški zahvat.

Abstract (english)

Ear, nose, and throat (ENT) pediatric emergencies require timely diagnosis and prompt management. The aim of this cross-sectional, retrospective descriptive study was to investigate the etiology, rate, age and sex distribution, and treatment modalities of emergency admissions for children treated at the Department of ORL Head and Neck Surgery, Sestre milosrdnice University Hospital, Zagreb, over the period from January 1, 2013 through December 31, 2015. The study included 70 emergency pediatric patients whose clinical records were studied with respect to sex, age, diagnosis on admission, treatment modality, and outcome of emergency care. A total of 70 patients comprising 39 males and 31 female were admitted for emergency care (74 hospital admissions). The age range was from 0 to 16 years; mean age was 4 years and 6 months (54 months) and median age was 2,5 years, with an incidence peak at age of 1 year. Most common diagnoses of ENT emergency admissions comprised acute otitis media (as most common otologic diagnosis and most common diagnosis among all described ENT emergency cases), foreign bodies in the respiratory tract and esophagus, and abscesses (peritonsillar, parapharyngeal, neck abscess, palatal and retroauricular). Most of the patients were treated by combination of surgical procedure and antibiotics, and myringotomy with ventilation tube insertion was the most common surgical procedure.

• Keywords: ORL; hitna stanja; djeca; akutna upala srednjeg uha; strana tijela; apsces
• Keywords (english): ENT; emergency cases; children; acute otitis media; foreign bodies; abscess
• Language: croatian
• URN:NBN: urn:nbn:hr:105:827769
• Study programme: Title: Medicine; Study programme type: university; Study level: integrated undergraduate and graduate; Academic / professional title: doktor/doktorica medicine (doktor/doktorica medicine)
• Type of resource: Text
• File origin: Born digital
• Access conditions: Open access
• Created on: 2018-01-11 12:17:59