Hitna stanja u onkologiji

master's thesis

• Title (english): The emergencies in oncology
• Author: Luka Zeba
• Mentor: Nikola Đaković (mentor)
• Committee member: Lidija Beketić-Orešković (predsjednik povjerenstva)
• Committee member: Antonio Juretić (član povjerenstva)
• Committee member: Nikola Đaković (član povjerenstva)
• Granter: University of Zagreb; School of Medicine; (Department of Clinical Oncology); Zagreb
• Defense date and country: 2019-07-12, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Clinical Medical Sciences; Oncology

Abstract

Produljenjem životnog vijeka raste incidencija malignih bolesti. S druge strane, razvo-jem medicine i novih oblika liječenja smanjuju se stope mortaliteta. Rezultat je po-većana prevalencija malignih bolesti u stanovništvu. Posljedično nailazimo na sve veći broj pacijenata izloženih dugotrajnijem procesu onkološkog liječenja i većoj šansi za razvoj hitnih komplikacija. One mogu biti posljedica samog karcinoma, njegova liječe-nja ili vezana uz druge komorbiditete koje nerijetko nalazimo u takvih bolesnika. Hitna stanja u onkologiji akutna su i po život opasna stanja izravno ili neizravno vezana uz malignu bolest. Javljaju se u pacijenata s već otprije poznatom dijagnozom ili kao prvotni simptomi novonastale zloćudne bolesti.
Najučestalija podjela hitnih onkoloških stanja uključuje četiri skupine: metabolička, he-matološka hitna stanja, hitna stanja uzrokovana rastom i širenjem tumora i hitna stanja kao posljedica liječenja. Pri procjeni stanja bolesnika zahtjeva se žurna i efikasna eva-luacija općeg stanja, kliničke slike, stadija bolesti i moguće prognoze bolesti. Potrebno je ordinirati brzu i adekvatnu terapiju s ciljem smanjenja morbiditeta, ali i mortaliteta. S obzirom na povećanje prevalencije malignih bolesti u budućnosti, očekuje se od većine doktora, ne samo specijalista, osnovno razumijevanje hitnih onkoloških stanja u svrhu neodgodiva pružanja, u tom trenutku, najbolje moguće zdravstvene zaštite.

Abstract (english)

The incidence of malignant diseases has been rising with the extension of the human lifespan. On the other hand, the development of medicine and new treatments have contributed to the decrease in mortality rate. This results in the growing prevalence of malignant diseases in a general population. Consequently, we have encountered the growing number of patients exposed to the long-term process of oncological treatment which leads to the greater chance of emergency complications. Those can be the consequence of the cancer itself, its treatment or related to other comorbidities that can often be found in such patients.
The emergencies in oncology are acute and life-threatening as well as directly or indirectly related to a malignant disease. They occur in patients who have already been diagnosed with cancer or as the early symptoms of a new cancer.
The most common emergencies in oncology include four groups: metabolic states, hematological states, states caused by the growth and spread of malignant tumours and emergencies that are the side effects of medical treatments. While assessing a patient’s conditions, quick and efficient evaluation of his/her general condition, clinical image, disease stage and possible disease prognosis are requested. A quick and adequate therapy should be provided in order to decrease morbidity as well as mortality. Due to the increasing prevalence of malignant diseases in the future, it is expected that the majority of doctors (not only the specialists) will be trained to recognise the emergencies in oncology in order to instantly provide the best possible health care for their patients.

• Keywords: hitna stanja; maligna bolest
• Keywords (english): emergencies; malignant disease
• Language: croatian
• URN:NBN: urn:nbn:hr:105:580727
• 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: 2020-02-27 10:15:08