Приказ основних података о дисертацији
Faktori rizika za pojavu intraoperativnih hemodinamskih poremećaja tokom operacija primarnog hiperparatireoidizma
Risk factors for intraoperative hemodynamic instability during surgery for primary hyperparathyroidism
dc.contributor.advisor | Kalezić, Nevena | |
dc.contributor.other | Živaljević, Vladan | |
dc.contributor.other | Paunović, Ivan | |
dc.contributor.other | Ivanović, Branislava | |
dc.contributor.other | Pavlović, Aleksandar | |
dc.creator | Sabljak, Vera | |
dc.date.accessioned | 2018-11-26T14:49:59Z | |
dc.date.available | 2018-11-26T14:49:59Z | |
dc.date.available | 2020-07-03T08:48:24Z | |
dc.date.issued | 2018-09-20 | |
dc.identifier.uri | https://nardus.mpn.gov.rs/handle/123456789/10177 | |
dc.identifier.uri | http://eteze.bg.ac.rs/application/showtheses?thesesId=6191 | |
dc.identifier.uri | https://fedorabg.bg.ac.rs/fedora/get/o:18787/bdef:Content/download | |
dc.identifier.uri | http://vbs.rs/scripts/cobiss?command=DISPLAY&base=70036&RID=50663695 | |
dc.description.abstract | Uvod: Cilj rada je da odredi uĉestalost i faktore rizika za pojavu intraoperativnih hemodianmskih poremećaja kod bolesnika sa komorbiditetima pobrgnutih hirurškom leĉenju oboljenja paraštitaste ţlezde. Metodologija: ovo je kohortna studija, u kojoj su ukljuĉena 269 bolesnika ASA 1,2,3 statusa. Ispitivani su sledeći faktori rizika: pol, godine ţivota, indeks telesne mase, ASA status, prijemna dijagnoza, vrsta hirurške intervencije, duţina trajanja operacije, vreme provedeno pod anestezijom,forma primarnog hiterparatireoidizma,vrednosti kalcijuma i fosfata,kao i sledeći komorbiditeti: hipertenzija, kardiomiopatija, poremećaji srĉanog ritma, angina pektoris-ishemijska bolest srca, dijebetes melitus, bubreţne bolesti. Registrovani su sledeći intraoperativni poremećaji: hipertenzija, hipertenzivna kriza, hipotenzija i poremećaji srĉanog ritma (tahikrdija, bradikardija, novonastala intraoperativna atrijalna fibrilacija i ekstrasistole). Za statistiĉku obradu korišćen je Pirsonov Hi kvadrat test, univarijantna i multivarijantna logistiĉka regresiona analizu. Rezultati: većinu bolesnika su ĉinile ţene 195 (87.3%). Intraoperativni hemodinamski poremećaji su registrovani kod 220 bolesnika (81.8%) bolesnika. Najĉesšći intraoperativni poremećaj je bila hipertenzija, registrovana kod 153(56.9%) bolesnika, kao i poremećaji srĉanog ritma kod bolesnika 129(48.0%) . Univarijanta analiza je registrovala sledeće faktore rizika: starije ţivotno doba, ASA 3 status, BMI >25kg/m², trajanje operacije, vreme provedeno pod anestezijom, hipertenzija, kadriomiopatija, vrsta kardiomiopatije. Multivarijantna regiresiona analiza je pokazala da su nezavisni prediktori pojave IOHP: godine starosti, hipertenzija i kardiomiopatija. Zakljuĉak: Intraoperativni hemodinamski poremećaji su ĉesti tokom paratireoidne hirurgije, pre svega intraoperativna hipertenzija. Starije ţivotno doba, hipertenzija i kardiomiopatija kao koegzistirajuće bolesti su nezavisni faktori rizika za pojavu IOHP. | sr |
dc.description.abstract | Introduction: The aim of this study is to determine the incidence and risk factors for intraoperative hemodianmskih disorder in patients with comorbid pobrgnutih surgical treatment of the parathyroid gland. Methodology: This is a cohort study, which included 269 patients ASA 1,2,3 status. We studied the following risk factors: gender, age, body mass index, ASA status, receiving a diagnosis, type of surgery, duration of surgery, time spent under anesthesia, form the primary hiterparatireoidizma, values of calcium and phosphate, as well as the following comorbidities: hypertension, cardiomyopathy, heart rhythm disorders, angina pectoris-ischemic heart disease, diabetes mellitus, renal disease. Registered the following intraoperative disorders: hypertension, hypertensive crisis, hypotension, and heart rhythm disorders (tahikrdija, bradycardia, the new intraoperative atrial fibrillation and extrasystoles). For statistical analysis we used the Pearson Chi-square test, univariate and multivariate logistic regression analysis. Results: The majority of patients were women 195 (87.3%). Intraoperative hemodynamic disturbances were registered in 220 patients (81.8%) patients. Najĉesšći intraoperative disorder was hypertension, deposited with the 153 (56.9%) patients, as well as cardiac rhythm disorders in patients 129 (48.0%). Univariate analysis has registered the following risk factors: older age, ASA 3 status, BMI> 25kg / m², duration of operation, time spent under anesthesia, hypertension, kadriomiopatija, type of cardiomyopathy. Regiresiona Multivariate analysis showed that independent predictors of occurrence IOHP: age, hypertension and cardiomyopathy. Conclusion: Intraoperative hemodynamic disturbances are common during parathyroid surgery, primarily intraoperative hypertension. Older age, hypertension and cardiomyopathy as a coexisting disease are independent risk factors for the occurrence of IOHP. | en |
dc.format | application/pdf | |
dc.language | sr | |
dc.publisher | Универзитет у Београду, Медицински факултет | sr |
dc.rights | openAccess | en |
dc.rights.uri | https://creativecommons.org/licenses/by-nc/4.0/ | |
dc.source | Универзитет у Београду | sr |
dc.subject | faktori rizika | sr |
dc.subject | risk factors | en |
dc.subject | paratireoidna hirurgija | sr |
dc.subject | hipertenzija | sr |
dc.subject | hipotenzija | sr |
dc.subject | poremećaji srĉanog ritma | sr |
dc.subject | parathyroid surgery | en |
dc.subject | hypertension | en |
dc.subject | hypotension | en |
dc.subject | heart rhythm disorders | en |
dc.title | Faktori rizika za pojavu intraoperativnih hemodinamskih poremećaja tokom operacija primarnog hiperparatireoidizma | sr |
dc.title.alternative | Risk factors for intraoperative hemodynamic instability during surgery for primary hyperparathyroidism | en |
dc.type | doctoralThesis | en |
dc.rights.license | BY-NC | |
dcterms.abstract | Калезић, Невена; Ивановић, Бранислава; Живаљевић, Владан; Павловић, Aлександар; Пауновић, Иван; Сабљак, Вера; Фактори ризика за појаву интраоперативних хемодинамских поремећаја током операција примарног хиперпаратиреоидизма; Фактори ризика за појаву интраоперативних хемодинамских поремећаја током операција примарног хиперпаратиреоидизма; | |
dc.identifier.fulltext | https://nardus.mpn.gov.rs/bitstream/id/9071/Disertacija.pdf | |
dc.identifier.fulltext | https://nardus.mpn.gov.rs/bitstream/id/9072/IzvestajKomisije18358.pdf | |
dc.identifier.fulltext | http://nardus.mpn.gov.rs/bitstream/id/9071/Disertacija.pdf | |
dc.identifier.fulltext | http://nardus.mpn.gov.rs/bitstream/id/9072/IzvestajKomisije18358.pdf | |
dc.identifier.rcub | https://hdl.handle.net/21.15107/rcub_nardus_10177 |