Assessment of nursing care-associated predictors of in-hospital mortality in the patients with acute ischemic stroke

Angelina Škodrić; Gorica Marić; Dejana Jovanović; Ljiljana Beslać-Bumbaširević; Darija Kisić-Tepavčević; Tatjana Pekmezović

doi:10.2298/VSP170422156S

Angelina Škodrić Clinical Center of Serbia, Clinic of Neurology, Department for Emergency Neurology, Belgrade, Serbia
Gorica Marić Institute of Epidemiology, Belgrade, Serbia
Dejana Jovanović Clinical Center of Serbia, Clinic of Neurology, Department for Emergency Neurology, Belgrade, Serbia
Ljiljana Beslać-Bumbaširević Clinical Center of Serbia, Clinic of Neurology, Department for Emergency Neurology, Belgrade, Serbia
Darija Kisić-Tepavčević Institute of Epidemiology, Belgrade, Serbia
Tatjana Pekmezović Tatjana Pekmezovic, Prof,drInstitute of EpidemiologyFaculty of Medicine, University of BelgradeVisegradska 26A, Belgrade 11000, SerbiaTel/Fax: +381-11-3607-062pekmezovic@sezampro.rs,

DOI: https://doi.org/10.2298/VSP170422156S

Ključne reči: mozak, infarkt;, mortalitet;, nega bolesnika;, medicinski tehničari;, oporavak., The study was supported by the Ministry of Educa-tion, Science and Technological Development of the Re-public of Serbia (grant no. 175087).

Sažetak

Uvod/Cilj. Moždani udar i dalje predstavlja jedan od vodećih uzroka umiranja i onesposobljenosti u svetu. Cilj ove studije bio je određivanje prediktora intrahospitalnog mortaliteta povezanih sa negom pruženom od strane medicinskih tehničara kod bolesnika sa akutnim ishemijskim moždanim udarom (AIMU), hospitalizovanih na Odeljenju urgentne neurologije Kliničkog centra Srbije (KCS). Metode. Prospektivnom kohortnom studijom obuhvaćeno je 59 konsekutivnih bolesnika sa AIMU primljenih na Odeljenje urgentne neurologije, Klinike za neurologiju, KCS u Beogradu. Bolesnici su praćeni do otpusta, odnosno smrtnog ishoda. U ispitivanju povezanosti različitih grupa faktora sa ishodom bolesnika korišćene su univarijantna i multivarijantna Koksova proporcionalna hazardna regresiona analiza. Rezultati. Uzorak je činilo 32 muškaraca i 27 žena sa AIMU. Prosečan uzrast bio je 62,5 ± 15,2 godina. Prosečna dužina hospitalizacije iznosila je 11,1 ± 9,6 dana (medijana 8 dana; opseg 1–54 dana). Blizu 80% bolesnika (47/59; 79,7%) bilo je primljeno u Jedinicu za moždani udar, dok je 12 (20,3%) bilo primljeno u Jedinicu intenzivne nege. Univarijantnom regresionom analizom kao značajne varijable (p < 0,05) izdvojile su se Morse skor (p = 0,030) i jedinica prijema (p = 0,029). Multivarijantni model pokazao je da tip jedinice prijema (Jedinica za moždani udar prema Jedinici konvencionalne nege – [hazard ratio (HR) = 0,16; p = 0,032] predstavlja nezavisni prediktor intrahospitalnog mortaliteta kod osoba sa AIMU. Zaključak. Rezultati studije pokazali su značajnu ulogu medicinskog kadra tokom oporavka bolesnika sa AIMU, kao i da je prijem u Jedinicu za moždani udar prema Jedinici konvencionalne nege, nezavisni prediktor sniženog intrahospitalnog mortaliteta.

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Određivanje prediktora intrahospitalnog mortaliteta povezanih sa negom pruženom od strane medicinskog tehničara kod bolesnika sa akutnim ishemijskim moždanim udarom

Sažetak

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