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Title:Napovedni dejavniki za zgodnjo ali kasnejšo intubacijo ob sprejemu bolnika na COVID enoto intenzivne terapije (CEIT) z virusno okužbo SARS-COV-2
Authors:ID Hodošček, Nuša (Author)
ID Strnad, Matej (Mentor) More about this mentor... New window
ID Čuček, Marko (Comentor)
ID Fekonja, Zvonka (Comentor)
Files:.pdf MAG_Hodoscek_Nusa_2025.pdf (649,74 KB)
MD5: DEE5F6E2E3524B0CC4D882A9E5F32ECD
 
Language:Slovenian
Work type:Master's thesis/paper
Typology:2.09 - Master's Thesis
Organization:FZV - Faculty of Health Sciences
Abstract:Uvod: Najpomembnejši razlog za hospitalizacijo bolnikov in potrebo po intenzivni negi v primerih bolnikov s koronavirusno boleznijo 2019 je akutna respiratorna odpoved in je na prvem mestu z več kot 85 %. Namen raziskave je bil raziskati vzroke za intubacijo, preučiti vpliv na preživetje in opredeliti kazalnike, ki vplivajo na zgodnjo ali kasnejšo intubacijo bolnikov v Covid enoti intenzivne terapije. Metode: V raziskavi je bila uporabljena kvantitativna metodologija raziskovanja. Podatke smo pridobili v enem izbranem urgentnem centru in covid intenzivni terapiji v Sloveniji. V raziskavi je sodelovalo 110 bolnikov, ki so bili iz urgentnega centra premeščeni v Covid enoto intenzivne terapije na neinvazivni ventilaciji ali 60 % Venturi maski in bili nato intubirani znotraj 24 ali 48 ur. Podatke smo zajeli v časovnem okviru med septembrom 2020 in novembrom 2021. Rezultati: Ugotovljeno je bilo, da pri izbranih laboratorijskih parametrih ni velikega nihanja med rezultati, ki bi z zagotovostjo potrdili, da so vplivali na odločitev o času intubacije. Izpostavimo lahko laboratorijski parameter feritin v krvi in D-dimer, ki sta v naši primerjavi odstopala skoraj za 30 %. Razprava in zaključek: Ugotovili smo, da je bilo preživetje boljše pri bolnikih, ki so jih intubirali v prvih 48 urah. Bolniki moškega spola in s sladkorno boleznijo so imeli statistično več ur mehanske ventilacije. Pri pregledu tuje literature smo v primerjavi z našimi rezultati ugotovili zelo podobne rezultate, čeprav je v njihovih študijah bil vzorec bolnikov obsežnejši.
Keywords:intubacija, intenzivna terapija, COVID-19
Place of publishing:Maribor
Publisher:[N. Hodošček]
Year of publishing:2025
PID:20.500.12556/DKUM-91560 New window
UDC:616-089.819.3:578.834-056.24(043.2)
COBISS.SI-ID:229989379 New window
Publication date in DKUM:25.03.2025
Views:0
Downloads:9
Metadata:XML DC-XML DC-RDF
Categories:FZV
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HODOŠČEK, Nuša, 2025, Napovedni dejavniki za zgodnjo ali kasnejšo intubacijo ob sprejemu bolnika na COVID enoto intenzivne terapije (CEIT) z virusno okužbo SARS-COV-2 [online]. Master’s thesis. Maribor : N. Hodošček. [Accessed 3 April 2025]. Retrieved from: https://dk.um.si/IzpisGradiva.php?lang=eng&id=91560
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Secondary language

Language:English
Title:Predictive factors for early or late intubation when admitting a patient to COVID intensive care unit (CICU) with SARS-COV-2 viral infection
Abstract:Introduction: The most common reason for hospitalization of patients and the need for intensive care, in cases of patients with coronavirus disease 2019, is acute respiratory failure which ranks first with more than 85 %. The purpose of the research was to investigate the causes for intubation, examination of its impact on survival and to identify indicators that influence early or later intubation of patients in the Covid intensive care unit (CEIT). Methods: Quantitative research methodology was used in the research. Data was obtained in one selected emergency center and Covid intensive therapy in Slovenia. The study included 110 patients who were transferred from emergency department to CEIT on non invasive ventilation or 60 % Venturi mask and then intubated within 24 or 48 hours. The data was collected in time between September 2020 and November 2021. Results: It was found that for the selected laboratory parameters, there is no great fluctuation between the results, which would confirm with certainty that they influenced the decision on the time of intubation. We can highlight the laboratory parameters ferritin in the blood and D-dimer, which differed by almost 30 % in our comparison. Discussion and Conclusion: We found that chances of survival were better in patients intubated within the first 48 hours. Male patients with diabetes had statistically more hours of mechanical ventilation. When reviewing the foreign literature, we found very similar results compared to ours, although the sample of patients in their studies was larger.
Keywords:intubation, intensive care unit, COVID-19


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