HEALTH CARE FOR PATIENTS WITH ACUTE ABDOMEN

Na Klinici za kirurgiju, dnevno se izvede barem jedan operativni zahvat kod bolesnika hospitaliziranih pod dijagnozom akutnog abdomena. Pristup takvom bolesniku zahtjeva točnost, stručnost i hitnost. Cilj rada je istražiti uzroke koji su doveli do razvoja akutnog abdomena, razvoj poslijeoperacijskih komplikacija i trajanje hospitalizacije. Analizirani podaci prikupljeni su uvidom u IBIS i medicinsku dokumentaciju Klinike za kirurgiju KBC Rijeka, Zavod za digestivnu kirurgiju od 1. siječnja 2017. god – 31. prosinca 2017. god. U tom periodu hospitalizirano je 169 bolesnika pod dijagnozom akutnog abdomena na Odjelu intenzivne kirurške njege. Početne hipoteze bile su da je akutni abdomen najčešće uzrokovan opstrukcijom debelog crijeva i da je oporavak bolesnika dugotrajan i uglavnom sa pojavom poslijeoperacijskih komplikacija. Analizom prikupljenih podataka obje hipoteze su odbačene i došli smo do zaključka da je najčešći uzrok akutnog abdomena perforacija šupljeg organa, te da oporavak bolesnika prosječno traje 10 dana, a pojava poslijeoperacijskih komplikacija svedena je na minimum.The surgery ward handles at least one procedure on a patient hospitalized whit an acute abdomen on a daily basis. Handling such a patient requires proficiency, accuracy and urgency. The goal for the treatment is to identfy the causes which lead to the development of the acute abdomen, development of post operation complications and hospitalization lenght. The collected data is input into the IBIS system and the medical files od the KBC Rijeka, Surgery Ward, Digestive Surgery Institute from January 1st 2017. till December 31st 2017. A hundred and sixty nine patients were hospitalized in that period, diagnosed whit acute abdomen in the Intesive surgical care ward. Preliminary hypothesis stated that the acute abdomen is most frequently caused by colon obstruction, that the patient recovery is a long term process whit accurences of post operation complications. Whit the analisys od collected dana, both hypothesis were discarded and it was concluded that the most common cause od the acute abdomen was perforation, patient recovery lasting up to 10 days and post operation complications were brought down to a minimum