Title Prevalencija i tipovi dekompresijske bolesti kod ronilaca u razdoblju 2010.-2020. godine Title (english) Prevalence and types of decompression illness in divers from 2010 to 2020 Author Anamarija Maloča Burica Mentor Vesna Antičević (mentor)Committee member Ante Buljubašić (predsjednik povjerenstva) Committee member Mario Podrug (član povjerenstva)Committee member Vesna Antičević (član povjerenstva)Granter University of Split Defense date and country 2024-03-18, Croatia Scientific / art field, BIOMEDICINE AND HEALTHCARE Abstract Cilj: Glavni je cilj istraživanja prikazati prevalenciju i tipove dekompresijske bolesti na Zavodu za pomorsku, podvodnu, hiperbaričnu medicinu u Splitu od 2010. do 2020. godine. Specifični su ciljevi istraživanja prikazati podatke o roniocima prema broju intervencija, tipu dekompresijske bolesti, dubini zarona, ishodu liječenja te sociodemografskim podacima (spolu, dobi i nacionalnost), ispitati razlike u tipovima dekompresijske bolesti u odnosu na dubine zarona, spol i dob te ispitati povezanost dubine zarona i ishoda liječenja.
Metode i ispitanici: Provedena je retrospektivna analiza medicinske dokumentacije od 2010. do 2020. godine s obzirom na dekompresijsku bolest. Varijable su opisane frekvencijama i postocima. Prilikom testiranja odnosa određenih pokazatelja i sociodemografskih značajki ispitanika korišten je Hi-kvadrat test. Kao razina značajnosti korištena je vrijednost od 5 % (p<0,05). U istraživanju je sudjelovao 141 pacijent koji se u tom razdoblju liječio od dekompresijske bolesti na Zavodu za pomorsku, podvodnu, hiperbaričnu medicinu u Splitu.
Rezultati: Broj intervencija u promatranom razdoblju porastao je za više od tri puta. Pokazalo se da je tip 2 dekompresijske bolesti tri puta češći od tipa 1 dekompresijske bolesti. Većina ispitanih pacijenata (63,1 %) ronila je na dubinama do 40 metara. Najčešći ishod bolesti (u 94,2 % slučajeva) bilo je izlječenje. Većina ispitanih ronilaca (njih 80,9 %) bili su muškarci, pacijenti u dobi od 41 godine i više (80,1 %) te hrvatski državljani (34,8 %). Utvrđena je statistički značajna razlika između tipa dekompresijske bolesti s obzirom na dob ispitanika. Razlike između dubine zarona i spola pacijenata i tipa dekompresijske bolesti nije utvrđena. Dokazana je statistički značajna povezanost između dubine zarona pacijenata i ishoda liječenja dekompresijske bolesti.
Zaključci: Vrlo je visoki postotak izlječenja dekompresijske bolesti jer je zdravstveni tim obučen, stručan i reagira pravovremeno zbog pripravnosti. Međutim, prilikom ronilačkih incidenata nužan je što raniji dolazak do Zavoda i početak liječenja.
Abstract (english) Objective: The main objective of the research is to show the prevalence and types of decompression sickness at the Institute for Maritime, Underwater, Hyperbaric Medicine in Split from 2010 to 2020. The specific objectives of the research are to present data on divers according to the number of interventions, type of decompression sickness, depth of dive, outcome of treatment and sociodemographic data (gender, age and nationality), to examine differences in types of decompression sickness in relation to diving depth, gender and age, and to examine the connection diving depth and treatment outcomes.
Methods and subjects: A retrospective analysis of medical records from 2010 to 2020 was conducted with regard to decompression sickness. Variables described by frequencies and percentages. When testing the connection between certain indicators and the socio-demographic features of the respondents, the Chi-square test was used. A value of 5% (p<0.05) was used as the level of significance. In the research 141 patients were treated for decompression sickness at the Institute for Maritime, Underwater, Hyperbaric Medicine in Split.
Results: The number of interventions in the observed period increased by more than three times. Type 2 decompression sickness has been shown to be three times more common than type 1 decompression sickness. The majority of examined patients (63.1%) dived at depths of up to 40 meters. The most common outcome of the disease (in 94.2% of cases) was cure. Most of the examined divers (80.9%) were men, patients aged 41 and over (80.1%) and Croatian citizens (34.8%). A statistically significant difference was found between the type of decompression sickness with regard to the age of the subjects. Differences between the depth of the dive and the gender of the patients and the type of decompression sickness were not determined. A statistically significant correlation between the depth of the patient's dive and the outcome of the treatment of decompression sickness was proven.
Conclusions: There is a very high percentage of cure of decompression sickness because the medical team is trained, professional and reacts in a timely manner due to preparedness. However, in case of diving incidents, it is necessary to arrive at the Institute as early as possible and start treatment.
Keywords
dekompresijska bolest
barokomora
HBOT
ronioci
Keywords (english)
decompression sickness
barochamber
HBOT
divers
Language croatian URN:NBN urn:nbn:hr:176:914714 Study programme Title: Graduate University Study Programme of Nursing Type of resource Text File origin Born digital Access conditions Open access Terms of use Created on 2024-03-18 14:12:07
