UTICAJA DOMINANTNIH POVREDA CENTRALNOG NERVNOG SISTEMA NA PREŽIVLJAVANJE POVREĐENIH U SAOBRAĆAJU U CRNOJ GORI

Damir Pelicic; Branko Ristić; Tanja Boljević; Svetlana Radević

doi:10.5937/mckg59-56488

Damir Pelicic Centar za Nauku, Klinicki centar Crne Gore, Podgorica, Crna Gora Univerzitet Crne Gore, Medicinski fakultet, Visoka medicinska skola Berane, Podgorica, Crna Gora
Branko Ristić 3. Klinika za Ortopediju i Traumatologiju, Klinički Centar Kragujevac, Kragujevac, Srbija 5. Fakultet Medicinskih Nauka, Univerzitet u Kragujevcu, Kragujevac, Srbija
Tanja Boljević 2.Medicinski Fakultet, Univerzitet Crne Gore, Podgorica, Crna Gora 4. Klinika za Maxilofacijalnu Hirurgiju, Klinički centar Crne Gore, Podgorica, Crna Gora
Svetlana Radević 6. Katedra za Socijalnu Medicinu, Fakultet Medicinskih Nauka, Univerzitet u Kragujevcu, Kragujevac, Srbija

DOI: https://doi.org/10.5937/mckg59-56488

Ključne reči: Javno zdravlje, prevencija, trauma, povrede glave, zlatni sat

Sažetak

Uvod: Saobraćane nesreće su jedan od deset uzroka smrti u svetu, a na putevima svake 23 sekunde strada jedna osoba, što ostavlja značajne posledice u smislu trajnog invaliditeta povređenih i posledica na račun opterećenja zdravstvenog sistema jedne zemlje. Smrtnost u saobraćaju je na prvom mestu kod populacije starosti od 14 do 19. godina gde na prvom mestu prednjače povreda (CNS-a). Cilj ove studije je bio da se ispita trend učestalosti smrtno stradalih i povređenih u saobraćajnim nezgodama u Crnoj Gori od posledica povreda CNS-a.

Metode: Istraživanje je dizajnirano kao opservaciona studija slučajeva – kontrola. Uzorkovani su učesnici saobraćajnih nezgoda u Crnoj Gori kod kojih je došlo do teškog telesnog povređivanja ili smrtnog ishoda u periodu od 2011-2020. godine od povreda CNS-a. Grupu „kontrola“ činili su slučajevi koji su preživeli neposredni period nakon povređivanja.

Rezultati: U našem radu u odnosu na polnu distribuciju, bilo je 90 osoba muškog pola (75,4%) prosečne starosti 39,97 ± 17,72 godine, i 30 osoba ženskog pola (24,6%) prosečne starosti 41,60 ± 21,09 godina (Independent samples T test, p=0,677). Kao neposredni uzrok smrti najčešće su u pitanju povrede moždanog tkiva, nagnječine mozga izolovano – Laesio traumatica cerebri focalis (Contusio cerebri) Postoji statistički značajan uticaj prisustva združenih povreda na ishod saobraćajnih nesreća u ispitivanoj populaciji smrtni ishod bio najčešći u slučaju politraume.

Zaključak: Smrtnost u saobraćajnim nezgodama u kategoriji povreda glave bio najčešći u slučaju politraume. Kako bi se preventabilno delovalo na stopu smrtnosti u saobraćanim nezgodama u Crnoj gori potrebno je Formiranje dostupne mreže traumatoloških centara a posebno onih gde se može rešavati povreda CNS-a.

Biografija autora

Damir Pelicic, Centar za Nauku, Klinicki centar Crne Gore, Podgorica, Crna Gora Univerzitet Crne Gore, Medicinski fakultet, Visoka medicinska skola Berane, Podgorica, Crna Gora

Master zdr. njege

Student druge godine doktorskih Akademskih studija - preventivna medicina, fakultet medicinskih nauka u Kragujevcu, Univerzitet u Kragujevcu

Strucni saradnik na Medicinskom Fakultetu u Podgorici.

Strucni saradnik u srednjoj medicinskoj skoli u Podgorici.

Autor 60 publikacija.

Od 2005-2015 god. glavni tehnicar Klinike za Nefrologiju, Klinicki centra Crne Gore.

Od 2015. god. Sradnik za edukativnu i istrazivacku djelatnost, Centar za nauku.

Volonter u ctvenom krstu Crne Gore.

Prvi utor rada na SCI listi, kao i autor cetiri poglavlja udzbenika za studente Visoke medicinske skole u Beranama.

Ucesnik na projektu zdravstveni sistem u Crnoj Gori, Medicinski fakultet u Podgorici, Univerzitet Crne Gore. Pokrovitelj S.Banka.

Pozivni predavac u tri navrata. Hrvatska, Srbija i Crna Gora.

Od 2006. god. clan Evropske asoc. med. sestara i teh. nefrologije dijalize i transplantacije EDTNA-ERCA.

Aktivno ucesce na 25 Evropskih konferencija.

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