Title Upalni biljezi u bolesnika s upalnom bolesti crijeva liječenih u KBC Split u razdoblju od siječnja 2022. godine do veljače 2023. godine
Title (english) Inflammatory markers in patients with inflammatory bowel disease treated at University Hospital of Split in the period from January 2022 to February 2023
Author Tea Režić
Mentor Daniela Šupe-Domić (mentor)
Committee member Esma Čečuk-Jeličić (predsjednik povjerenstva)
Committee member Sendi Kuret (član povjerenstva)
Committee member Daniela Šupe-Domić (član povjerenstva)
Granter University of Split (University Department of Health Studies) Split
Defense date and country 2023-09-25, Croatia
Scientific / art field, discipline and subdiscipline BIOMEDICINE AND HEALTHCARE Clinical Medical Sciences
Abstract Cilj istraživanja: Glavni cilj ovog istraživanja bio je analizirati i usporediti vrijednosti upalnih biljega (broj leukocita, visoko osjetljivi C-reaktivni protein, brzina sedimentacije eritrocita, feritin te fekalni kalprotektin) kod oboljelih od upalne bolesti crijeva (IBD).
Ispitanici i metode: U istraživanje je uključeno 40 pacijenata kojima je dijagnosticiran IBD, kao i 40 kontrolnih sudionika. Pacijenti s IBD-om raspoređeni su u podgrupe obzirom na podtip bolesti i vrstu terapije koju primaju. Svi podatci ispitanika preuzeti su iz bolničko informacijskog sustava i statistički obrađeni koristeći računalni program MedCalc. Napravljena je statistička obrada laboratorijskih parametara te osnovnih antropometrijskih i kliničkih značajki ispitanika.
Rezultati: Rezultati ovog istraživanja pokazali su kako nije bilo statistički značajne razlike u antropometrijskim obilježjima oboljelih od IBD-a i kontrolne skupine, osim u tjelesnoj visini (175.0 (171.0-183.0) vs. 181.5 (173.0-190.5); p=0.024). Uočena je povećana konzumacija alkohola (p=0.002) i kave (p=0.004) kod kontrolnih sudionika. Za mjerene upalne biljege uočena je statistički značajna razlika u razini feritina (39.5 (18.0-72.5) vs. 86.5 (32.5-132.0); p=0.019), dok za druge mjerene upalne biljege nije bilo statistički značajne razlike između oboljelih od IBD-a i kontrolne skupine. Analiza podataka nije pokazala statistički značajnu razliku u antropometrijskim karakteristikama obzirom na podtip bolesti. Kod ispitanika oboljelih od Crohnove bolesti (CD) znatno češće su se javljale ekstraintestinalne manifestacije (4 (20.0%) vs. 12 (60.0%); p=0.011), a također je kod oboljelih od CD-a uočena povećana konzumacija duhana (p=0.018) za razliku od oboljelih od ulceroznog kolitisa (UC). Nadalje, nije pronađena statistički značajna razlika u razinama ispitivanih upalnih biljega obzirom na podtip bolesti i vrstu terapije koju ovi pacijenti primaju.
Zaključak: Upalnu bolest crijeva karakterizira kronični upalni proces gastrointestinalnog trakta. Iako se u organizmu odvija upalna reakcija, ovim istraživanjem nisu uočene povišene vrijednosti upalnih biljega kod oboljelih od IBD-a. Laboratorijski parametri su nespecifični pokazatelj upalne bolesti crijeva, no treba ih uzeti u obzir pri postavljanju dijagnoze i procjeni aktivnosti bolesti te ih je potrebno tumačiti zajedno s kliničkom slikom pacijenta i rezultatima drugih dijagnostičkih postupaka.
Abstract (english) Objectives: The main aim of this study was to analyze and compare the values of inflammatory markers (leukocyte count, highly sensitive C-reactive protein, erythrocyte sedimentation rate, ferritin and fecal calprotectin) in patients with inflammatory bowel disease (IBD).
Subjects and methods: The study included 40 patients diagnosed with IBD, as well as 40 control participants. Patients with IBD are assigned into subgroups given the subtype of the disease and the type of therapy they receive. All data of the respondents were downloaded from the hospital information system and statistically processed using the MedCalc computer program. Statistical processing of laboratory parameters and basic anthropometric and clinical characteristics of the subjects was made.
Results: The results of this study showed that there was no statistically significant difference in anthropometric characteristics of patients with IBD and control group, except in body height (175.0 (171.0-183.0) vs. 181.5 (173.0-190.5); p=0.024). Increased consumption of alcohol (p=0.002) and coffee (p=0.004) was observed in the control participants. For measured inflammatory markers, a statistically significant difference in ferritin levels was observed (39.5 (18.0-72.5) vs. 86.5 (32.5-132.0); p=0.019), while for other measured inflammatory markers there was no statistically significant difference between IBD patients and the control group. The analysis of the data showed no statistically significant difference in anthropometric characteristics with respect to the subtype of the disease. In subjects suffering from Crohn's disease (CD), extraintestinal manifestations (4 (20.0%) vs. 12 (60.0%); p=0.011) were significantly more common, and also in CD patients, increased tobacco consumption (p=0.018) was observed, as opposed to patients with ulcerative colitis (UC). Furthermore, there was no statistically significant difference in the levels of inflammatory markers studied with regard to the subtype of the disease and the type of therapy these patients receive.
Conclusion: Inflammatory bowel disease is characterized by a chronic inflammatory process of the gastrointestinal tract. Although there is an inflammatory reaction in the body, this study did not show elevated values of inflammatory markers in patients with IBD. Laboratory parameters are a non-specific indicator of inflammatory bowel disease, but they should be taken into account when diagnosing and assessing the activity of the disease and should be interpreted together with the clinical picture of the patient and the results of other diagnostic procedures.
Keywords
upalna bolest crijeva
Crohnova bolest
ulcerozni kolitis
upalni biljezi
Keywords (english)
inflammatory bowel disease
Crohn's disease
ulcerative colitis
inflammatory markers
Language croatian
URN:NBN urn:nbn:hr:176:038318
Study programme Title: Medical Laboratory Diagnostics (university/undergraduate) Study programme type: university Study level: undergraduate Academic / professional title: sveučilišni prvostupnik/ prvostupnica (baccalaureus/ baccalaurea) medicinske laboratorijske dijagnostike (sveučilišni prvostupnik/ prvostupnica (baccalaureus/ baccalaurea) medicinske laboratorijske dijagnostike)
Type of resource Text
File origin Born digital
Access conditions Open access Embargo expiration date: 2024-03-25
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Created on 2023-10-02 10:04:10