Sezonske varijacije pregleda prema pojedinim specijalnostima u hitnom prijemu Kliničkog bolničkog centra Zagreb u razdoblju od 7.10.2010. - 7.10.2013.

master's thesis

• Title (english): Seasonal variations of the emergency department visits according to the subspecialties in the University hospital center Zagreb 07.10.2010. - 07.10.2013
• Author: Ina Posavec
• Mentor: Goran Augustin (mentor)
• Committee member: Tomislav Luetić (predsjednik povjerenstva)
• Committee member: Tomislav Meštrović (član povjerenstva)
• Committee member: Goran Augustin (član povjerenstva)
• Granter: University of Zagreb; School of Medicine; (Department of Surgery); Zagreb
• Defense date and country: 2014-07-15, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Clinical Medical Sciences; Surgery

Abstract

Hitna medicina je unazad nekoliko desetljeća doživjela veliki razvoj, ali se počela suočavati i s novim velikim problemom zvanim “gužva u hitnoj službi” (engl. Emergency Department crowding). Uočeno je da posjeti pacijenata hitnoj službi nisu slučajni događaji te da ovise o sezonskim promjenama.
Cilj ovog rada je bio uočiti sezonske obrasce dolazaka pacijenata na hitan prijem KBC-a Zagreb u različitim specijalnostima (kirurgija, pedijatrija, interna medicina i otorinolaringologija) te raspraviti o mogućnostima iskorištavanja dobivenih saznanja u vođenju bolnice.
Retrospektivno su izvađeni podaci o broju pregledanih pacijenata u razdoblju od 7.10.2010. do 7.10.2013. te statistički analizirani po kvartalima.
Rezultati pokazuju da postoji sezonski porast broja pregledanih pacijenata u II. kvartalu u sklopu kirurgije - što je povezano s većim brojem ozljeda, osobito u djece, a u vezi je s povećanom aktivnošću na otvorenom u proljeće, te u I. kvartalu u sklopu pedijatrije zbog većeg broja akutnih virusnih respiratornih infekcija. U I. kvartalu u odjelu kirurgije nije došlo do porasta što se može objasniti teorijom da je zbog većeg broja bolnica koji pregledavaju odrasle traumatološke pacijente u Zagrebu utjecaj tih slučajeva na sezonsku varijabilnost malen. Rezultati za internu medicinu te otorinolaringologiju su u skladu s očekivanima i ne pokazuju sezonske razlike.
U zaključku, postoje sezonske varijacije broja pregleda u Hitnom prijemu KBC-a Zagreb u sklopu kirurgije i pedijatrije. U skladu sa saznanjima mogla bi se omogućiti smjenska organizacija u skladu s potrebama te u navedenim razdobljima osigurati veći broj slobodnih kreveta za hitne hospitalizacije.

Abstract (english)

In the last couple of decades, Emergency Medicine has developed rapidly, confronting one specific problem called Emergency Department (ED) Crowding. It has been shown that ED visits are not random events – they depend on the season. The aim of this study was to determine whether or not ED visits in the University Hospital Center Zagreb have a seasonal pattern according to subspecialities (including surgery, pediatrics, internal medicine and otorhinolaryngology), and discuss potential benefits of these findings in hospital management.
Retrospective patient attendance data for the period 07.10.2010 – 7.10.2013 was used and statistically analyzed.
The results showed seasonal peek in the II. quartal in surgery which was connected to a higher number of injuries especially with children during spring season when they spend more time outdoors, and in the I. quartal in pediatrics connected to higher incidence of acute respiratory viral infections. There was no increase in the I. quartal in surgery, showing different results than expected. The theory that can explain this is that when we expect more adult trauma cases they are then distributed to more hospitals in Zagreb and do not contribute to seasonal peeks in this quartal. The results for internal medicine and otorhinolaryngology showed no seasonal peeks, as expected.
In conclusion, there are seasonal variations in patient attendance in surgery and pediatrics and these findings can be used for better rostering, while in periods in which higher attendance numbers are expected - more free hospital beds for emergency hospitalization can be secured.

• Keywords: hitna medicina; gužva u hitnoj službi; sezonske varijacije
• Keywords (english): emergency medicine; emergency department crowding; seasonal variations
• Language: croatian
• URN:NBN: urn:nbn:hr:105:735241
• 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: 2015-11-03 13:37:03