EPIDEMIOLOGICAL CHARACTERISTICS OF PATIENTS TREATED FROM CEREBROVASCULAR STROKE AT THE INSTITUTE OF EMERGENCY MEDICINE OF SPLIT-DALMATIA COUNTY IN THE PERIOD FROM 01.01.2017. TO 31.12.2019.

Cilj: Glavni cilj ovog istraživanja je utvrditi koji spol bolesnika češće obolijeva od cerebrovaskularnog inzulta prema evidenciji Zavoda za hitnu medicinu Splitsko-dalmatinske županije. Utvrditi koja dobna skupina bolesnika češće obolijeva od cerebrovaskularnog inzulta prema evidenciji Zavoda za hitnu medicinu Splitsko-dalmatinske županije, zatim utvrditi učestalost pojave cerebrovaskularnog inzulta i analizirati učestalost navedenih parametara kroz vremensko razdoblje od 1.1.2017 do 31.12.2019. godine. Metode: Za potrebe izrade empirijskog dijela ovog rada pristupljeno je bazama podataka Zavoda za hitnu medicinu Splitsko-dalmatinske županije, te su prikupljeni podatci o intervencijama u uzastopne 3 godine (2017.,2018. i 2019.) za ispostave u Splitsko-dalmatinskoj županiji. U radu prezentira struktura prema obilježjima godina promatranja, spola pacijenata, tima (T1 ili T2), te prijevoznog sredstva. Za potrebe istraživanja pristupljeno je bazi od 2.716 obavljenih intervencija, od čega su zabilježeni podatci o trajanju prijevoza kod 2.355 intervencija prijevozom sredstvima javne hitne pomoći. Rezultati: Rezultati provedenog istraživanja pokazuju da je najveća zastupljenost intervencija u uzorku za 2017. godinu, dok je najmanja zastupljenost intervencija u uzorku za 2019. godinu. Prema spolu pacijenata koji su prevoženi u intervencija veća je zastupljenost pacijentica odnosu na zastupljenost pacijenata. Najveći broj intervencija u siječnju, dok je najmanji broj intervencija u listopadu i studenom. Srednja životna dob među pacijentima u intervencijama je 79 godina. Prema trajanju prijevoza najveći broj intervencija ima trajanje do 60 minuta. Učestalije je sudjelovanje tima T1 u intervenciji u odnosu na tim T2. Najčešće korišteno transportno sredstvo za prijevoz pacijenata do hitnog prijema KBC-a Split je vozilo. Trajanje do predaje na hitni prijem KBC Split je najdulje kod prijevoza uz posredstvo trajekta gdje je prosječno trajanje putovanja 127,65 minuta. Najkraće vrijeme putovanja do prijema KBC Split je utvrđeno na području grada Splita, a najdulje vrijeme trajanja intervencije na području Gornjeg Humca. Najdulje trajanje intervencija je u srpnju dok je najkraće trajanje u ožujku. Zaključci: Prosječno trajanje prijevoza 60 minuta prilikom intervencije pri čemu je najkraće vrijeme na području Splita. Moždani udar je glavni uzrok smrti i invaliditeta te zahtjeva hitnu medicinsku pomoć uz brzu procjenu kako bi se postavila dijagnoza, identificirao temeljni uzrok, osiguralo akutno liječenje i spriječile komplikacije.Objective: The main objective of this study is to determine which sex of patients is more likely to suffer from cerebrovascular insult according to the records of the Institute of Emergency Medicine of the Split-Dalmatia County. To determine which age group of patients suffers from cerebrovascular stroke more often according to the records of the Institute of Emergency Medicine of Split-Dalmatia County, then determine the frequency of cerebrovascular stroke and analyze the frequency of these parameters over the period from 1.1.2017 to 31.12.2019. years. Methods: For the purposes of preparing the empirical part of this paper, the databases of the Institute of Emergency Medicine of the Split-Dalmatia County were accessed, and data on interventions in consecutive 3 years (2017, 2018 and 2019) for branches in the Split-Dalmatia County were collected. The paper presents the structure according to the characteristics of the years of observation, the sex of the patients, the team (T1 or T2), and the means of transport. For the purposes of the research, a database of 2,716 performed interventions was accessed, of which data on the duration of transport were recorded in 2,355 interventions by means of public ambulance transport. Results: The results of the research show that the highest representation of interventions in the sample for 2017, while the lowest representation of interventions in the sample for 2019. According to the sex of patients transported to the intervention, the representation of female patients is higher than the representation of patients. The highest number of interventions is in January, while the lowest number of interventions is in October and November. The median age among patients in interventions was 79 years. According to the duration of transport, most interventions last up to 60 minutes. The participation of the T1 team in the intervention is more frequent compared to the T2 team. The most commonly used means of transport for the transport of patients to the emergency room of KBC Split is a vehicle. The duration until delivery to the emergency room of KBC Split is the longest for ferry transport, where the average duration of the trip is 127.65 minutes. The shortest travel time to the reception of KBC Split was determined in the area of the city of Split, and the longest duration of the intervention in the area of Gornji Humac. The longest duration of interventions is in July while the shortest duration is in March. Conclusions: The average duration of transport is 60 minutes during the intervention, with the shortest time in the area of Split. Stroke is a major cause of death and disability and requires urgent medical attention with rapid assessment to diagnose, identify the underlying cause, ensure acute treatment, and prevent complications