Analiza prijema dijabetičkih bolesnika u hitnoj službi interne klinike Kliničkog bolničkog centra "Sestre milosrdnice"

master's thesis

• Title (english): Admission analysis of diabetic patients at the emergency room of the UHC Sisters of charity internal medicine department
• Author: Petra Ćaćić
• Mentor: Milan Vrkljan (mentor)
• Committee member: Neven Ljubičić (predsjednik povjerenstva)
• Committee member: Jasenka Markeljević (član povjerenstva)
• Committee member: Milan Vrkljan (član povjerenstva)
• Granter: University of Zagreb; School of Medicine; (Department of Internal Medicine); Zagreb
• Defense date and country: 2017-07-14, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Clinical Medical Sciences; Internal Medicine

Abstract

Šećerna bolest, s prevalencijom od 7,9%, predstavlja veliki zdravstveni i socioekonomski problem u Republici Hrvatskoj. Prema podacima Hrvatskog zavoda za javno zdravstvo u periodu od 2009. do 2014. prevalencija bolesti je porasla sa 6,7% na 7,9%, te pokazuje daljnji trend rasta. Tip 2 šećerne bolesti, od kojeg boluje 92% šećernih bolesnika u Republici Hrvatskoj, je gotovo u potpunosti preventabilna bolest. Glavni problem je što mjere prevencije zahtijevaju promjenu životnog stila. Cilj ove studije je analizirati glavne karakteristike dijabetičkih bolesnika primljenih u Objedinjeni hitni bolnički prijem Kliničkog bolničkog centra Sestre milosrdnice u periodu od 24 sata, dobiti uvid u reguliranost glikemije oboljelih i dobivene podatke usporediti s ostalim studijama. Važno je naglasiti da su na tržištu Republike Hrvatske dostupni svi lijekovi za liječenje šećerne bolesti kao i u ostalim zemljama sa znatno većim bruto društvenim dohotkom. Većina tih lijekova se nalazi na A listi Hrvatskog zavoda za zdravstveno osiguranje. Rezultati pokazuju da je reguliranost glikemije u naših bolesnika znatno lošija, da imaju značajno više razvijenih komplikacija i prisutnih rizičnih čimbenika. Glavni razlog je vjerojatno loša edukacija oboljelih i nedovoljno dobra suradljivost pri uzimanju terapije.

Abstract (english)

Diabetes mellitus, with a national prevalence 7.9%, poses a huge health care and socioeconomic threat to the Republic of Croatia. According to national data, the prevalence rose from 6.7% to 7.90% in the period between 2009 and 2014 and is still growing. Type 2 diabetes mellitus, found in 92% of our diabetic patients, is a completely preventable disease. The problem is that this prevention necessarily requires changes in people’s lifestyles. The main aim of this survey is to analyze biological and medical features in diabetic patients admitted to the emergency room of the UHC Sisters of Charity Internal Medicine Department during a 24-hour period and compare them with trends in other countries. It is important to emphasize that currently all antidiabetic agents, as well as other treatments included in diabetes management used in more developed countries, are available in the Republic of Croatia. Moreover, most of those are on the A list of the Croatian Health Insurance Fund. The results show that our diabetic patients have a much poorer regulation of glycemia, and thus more complications and poorer outcomes. The main reason is probably the low level of education about the disease, as well as low compliance.

• Keywords: šećerna bolest; hitna služba; metabolički parametri; rizični faktori
• Keywords (english): diabetes mellitus; emergency room; metabolic parameters; risk factors
• Language: croatian
• URN:NBN: urn:nbn:hr:105:438061
• 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: 2018-04-12 07:02:20