HEALTH CARE OF COVID POSITIVE PATIENTS IN THE CLINICAL HOSPITAL CENTER RIJEKA

Covid 19 pandemija je u cijelom svijetu uzrokovala značajni porast hospitalizacija pa tako i u Kliničkom bolničkom centru (KBC) Rijeka. Tijekom pandemije, ovisno o trenutnoj potrebi, unutar KBC Rijeka organiziran je Centralni respiracijski centar (CRC) i Centar za multidisciplinarno liječenje (CZML) Covid 19 bolesnika. Cilj istraživanja: analiza podataka o zdravstvenoj skrbi Covid pozitivnih pacijenata, zbrinutih u KBC Rijeka. Prikazana je stopa smrtnosti s obzirom na spol, liječenje invazivnom mehaničkom ventilacijom (IMV) s obzirom na dob te vrijeme hospitalizacije Covid pacijenata. Metode i ispitanici: u istraživanje je uključeno 1 739 Covid 19 pozitivnih ispitanika koji su zbrinuti unutar KBC Rijeka u vremenskom periodu od 01.03.2020. do 28.02.2021. Za prikaz podataka korišteni su demografski i klinički podaci prikupljeni iz informatičkog sustava IBIS, prikazani i opisani tablično i grafički. Rezultati: 31% pacijenata je zahtijevalo bolničko liječenje, od toga je 351 muškarac što čini 64% hospitaliziranih pacijenata. Od hospitaliziranih pacijenata 67% ih je u dobi iznad 65 godina. Trajanje bolničkog liječenja je u prosjeku 10 dana, od čega je 81% pacijenata bilo hospitalizirano manje od 15 dana. Od 547 hospitaliziranih pacijenata, stopa smrtnosti je 38%. Invazivnom mehaničkom ventilacijom je liječeno 146 pacijenata, od čega je 113 preminulo, što čini smrtnost od 77%. Zaključak: Stopa smrtnosti od Covid 19 bolesti je visoka i u KBC Rijeka ona iznosi 38% od ukupnog broja hospitaliziranih pacijenata. Procjepljivanjem populacije dovelo bi do smanjenja broja oboljelih a time i broja umrlih pacijenata.The Covid 19 pandemic caused a significant increase in hospitalizations worldwide, including at the Clinical Hospital Center Rijeka. During the pandemic, depending on the current need, the Central Respiratory Center and the Center for Multidisciplinary Treatment of Covid 19 patients were organized. Aim of the research: analysis of data on health care of Covid positive patients, treated in KBC Rijeka. Gender mortality rates, treatment with invasive mechanical ventilation according to age, and time of hospitalization of Covid patients are presented. Methods and subjects: the study included 1,739 Covid 19 positive subjects who were treated within the Clinical Hospital Center Rijeka in the period from 01.03.2020. to 28.02.2021. Demographic and clinical data collected from the IBIS information system, presented and described in tables and graphs, were used to display the data. Results: 31% of patients required hospital treatment, of which 351 were men, making up 64% of hospitalized patients. Of the hospitalized patients, 67% were above 65 years of age. The duration of hospital treatment was in average 10 days, of which 81% of patients were hospitalized for less than 15 days. Of the 547 hospitalized patients, the mortality rate was 38%. 146 patients were treated with invasive mechanical ventilation, of which 113 died, accounting for a mortality of 77%. Conclusion: The mortality rate from Covid 19 disease is high and in KBC Rijeka it is 38% of the total number of hospitalized patients. Vaccination of the population would lead to a reduction in the number of patients and thus the number of dead patients