Acta clinica Croatica最新文献_第5页

ADVERSE MENTAL HEALTH OUTCOMES IN MEDICAL STUDENTS IN SERBIA DURING THE COVID-19 PANDEMIC.

IF 0.7 4区医学

Acta clinica Croatica Pub Date : 2024-04-01 DOI: 10.20471/acc.2024.63.01.9

Dragana Ignjatović Ristić, Darko Hinić, Ivan Ristić, Pavle Milanović, Nemanja Milenković, Dragica Selaković, Gvozden Rosić

{"title":"ADVERSE MENTAL HEALTH OUTCOMES IN MEDICAL STUDENTS IN SERBIA DURING THE COVID-19 PANDEMIC.","authors":"Dragana Ignjatović Ristić, Darko Hinić, Ivan Ristić, Pavle Milanović, Nemanja Milenković, Dragica Selaković, Gvozden Rosić","doi":"10.20471/acc.2024.63.01.9","DOIUrl":"10.20471/acc.2024.63.01.9","url":null,"abstract":"The specificities of student population may lead to an increased risk of adverse mental health outcomes during the COVID-19 pandemic. The aim was to evaluate the levels of perceived stress, anxiety, and depression in medical students during COVID-19 lockdown, and the relationship of these constructs with various sociodemographic variables. The study was conducted online from April 20 to April 29, 2020, during the first COVID-19 pandemic lockdown (using sociodemographic questionnaire and DASS-21 scale), on a sample of 420 students (female 81.7%, Mage=22.53) at the University of Kragujevac. The majority of participants (55%-58%) had no self-reported symptoms of depression, anxiety or stress, and the mean values were in-between the categories of 'without any symptoms' and 'with mild symptoms'. Predictors of exhibiting depression symptoms were previous psychological problems (odds ratio [OR]=3.16), family history of mental illness (OR=2.12), and relationship status (OR=0.61). For the symptoms of anxiety, predictors were female gender (OR=2.38), reported previous psychological problems (OR=3.91), and age (OR=0.92). Predictors of the symptoms of stress were female gender (OR=2.31), previous psychological problems (OR=3.18), and age (OR=0.91). The results of our study imply that certain factors influence the development of adverse mental health outcomes during this period, which should be taken into account when planning psychological interventions and services.","PeriodicalId":7072,"journal":{"name":"Acta clinica Croatica","volume":"63 1","pages":"73-79"},"PeriodicalIF":0.7,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11827391/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143432182","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

INCREASED RENAL RESISTIVE INDEX AS A MARKER OF EARLY STAGE OF DIABETIC NEPHROPATHY IN NORMOALBUMINURIC CHILDREN WITH TYPE 1 DIABETES MELLITUS.

IF 0.7 4区医学

Acta clinica Croatica Pub Date : 2024-04-01 DOI: 10.20471/acc.2024.63.01.5

Ivana Trutin, Gordana Stipančić, Matej Šapina, Lea Oletić, Mario Laganović

{"title":"INCREASED RENAL RESISTIVE INDEX AS A MARKER OF EARLY STAGE OF DIABETIC NEPHROPATHY IN NORMOALBUMINURIC CHILDREN WITH TYPE 1 DIABETES MELLITUS.","authors":"Ivana Trutin, Gordana Stipančić, Matej Šapina, Lea Oletić, Mario Laganović","doi":"10.20471/acc.2024.63.01.5","DOIUrl":"10.20471/acc.2024.63.01.5","url":null,"abstract":"This study aimed to compare the renal resistive index (RI) as an early marker of renal damage between normoalbuminuric children with type 1 diabetes mellitus (T1D) and normal age-matched controls. A total of 76 children with T1D (aged 10-18 years) and 76 healthy age-matched controls were enrolled. Anthropometric parameters, blood pressure, glycated hemoglobin (HbA1c), serum creatinine (sCr), estimated glomerular filtration rate (eGFR), serum uric acid (SUA), urine albumin/creatinine ratio (ACR), and degree of pubertal development were determined in all participants. RI was measured using Doppler ultrasound in both groups. The T1D group had lower sCr and SUA values and higher ACR and mean RI values than the control group. Using the expectation-maximization method, 2 clusters of T1D patients were identified. Cluster 2 with higher RI values, eGFR and HDL cholesterol was more prone to albuminuria and could carry worse prognosis. In conclusion, renal RI is increased in the hyperfiltration phase of diabetic nephropathy in children with T1D. Renal RI could be helpful as a marker for diagnosing diabetic nephropathy in the early preclinical course of the disease in normoalbuminuric children with T1D.","PeriodicalId":7072,"journal":{"name":"Acta clinica Croatica","volume":"63 1","pages":"36-44"},"PeriodicalIF":0.7,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11827406/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143432275","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

THE EFFECTS OF RESTRICTIONS DURING THE COVID-19 PANDEMIC ON PHYSICAL ACTIVITY AND MENTAL HEALTH OF THE ELDERLY.

IF 0.7 4区医学

Acta clinica Croatica Pub Date : 2024-04-01 DOI: 10.20471/acc.2024.63.01.21

Marjeta Mišigoj-Duraković, Ljerka Ostojić, Vesna Mijoč, Maroje Sorić, Zdravko Babić, Josip Šimić, Daria Ostojić, Din Duraković

{"title":"THE EFFECTS OF RESTRICTIONS DURING THE COVID-19 PANDEMIC ON PHYSICAL ACTIVITY AND MENTAL HEALTH OF THE ELDERLY.","authors":"Marjeta Mišigoj-Duraković, Ljerka Ostojić, Vesna Mijoč, Maroje Sorić, Zdravko Babić, Josip Šimić, Daria Ostojić, Din Duraković","doi":"10.20471/acc.2024.63.01.21","DOIUrl":"10.20471/acc.2024.63.01.21","url":null,"abstract":"Regular physical activity and maintaining fitness reduce the risk of chronic cardiovascular and metabolic diseases, reduce the risk of exacerbation of existing diseases, maintain physical and mental health, and contribute to healthy and successful aging in the elderly. It is of particular importance during the prolonged COVID-19 pandemic. The aim of this review is to present relevant knowledge about the effects of restrictions and social distancing established with the aim of suppressing the COVID-19 pandemic, on physical activity and mental health of elderly people. During the pandemic, numerous authors have reported a decrease in the share of physically active population and those that used to exercise regularly. The time spent in activity decreases, energy expenditure decreases, and the time spent sedentary increases although the results in all segments related to physical activity are not consistent. Lockdown measures significantly worsen insomnia, sleep quality, feelings of loneliness, anxiety and depression in older people, especially in women. During the restrictive measures caused by the COVID-19 pandemic, physical activity and exercise significantly contribute to the maintenance and improvement of physical and mental health.","PeriodicalId":7072,"journal":{"name":"Acta clinica Croatica","volume":"63 1","pages":"175-184"},"PeriodicalIF":0.7,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11827408/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143431938","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

QUALITY OF LIFE OF OSTOMATES - A QUALITATIVE STUDY.

IF 0.7 4区医学

Acta clinica Croatica Pub Date : 2024-04-01 DOI: 10.20471/acc.2024.63.01.4

Vanja Vasiljev, Marina Haring, Denis Juraga, Darko Roviš, Aleksandar Racz, Tomislav Rukavina

{"title":"QUALITY OF LIFE OF OSTOMATES - A QUALITATIVE STUDY.","authors":"Vanja Vasiljev, Marina Haring, Denis Juraga, Darko Roviš, Aleksandar Racz, Tomislav Rukavina","doi":"10.20471/acc.2024.63.01.4","DOIUrl":"10.20471/acc.2024.63.01.4","url":null,"abstract":"Facing a malignant disease, surgery and creation of an intestinal stoma is a complex process in anyone's life. Adjusting to a new way of life can be complicated, stressful and challenging for patients. With continued education from professional caregivers, the patient and/or family can avoid or mitigate adverse events and improve the quality of life of stoma carriers. The aim of this study was to investigate the quality of life of stoma patients and their relationship with health education in hospital in a qualitative way. The present study included 15 patients of both sexes older than 18 years and living with a stoma for at least one year after surgery. Patients were interviewed using a semi-structured interview, which was recorded. Transcripts were made and analyzed after the interview. A total of 6 women and 9 men aged between 40 and 86 years took part in the study. The results show that patients were very satisfied with health education they received in hospital, but their subjective experience of the quality of life was not satisfactory in all areas analyzed, such as travel and social life. Stoma has an impact on the participants' quality of life. High quality health education of patients by professionals, as well as family and social support play an important role in the lives of stoma patients. These are protective factors that improve the participants' quality of life.","PeriodicalId":7072,"journal":{"name":"Acta clinica Croatica","volume":"63 1","pages":"29-35"},"PeriodicalIF":0.7,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11827400/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143431858","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

SHOULD PATIENT AGE AND BODY MASS BE TAKEN IN CONSIDERATION WHEN ZERO FLUORO ABLATION IS SCHEDULED?

IF 0.7 4区医学

Acta clinica Croatica Pub Date : 2024-04-01 DOI: 10.20471/acc.2024.63.01.17

Nikola Krmek, László Környei, Ivana Kralik, Diana Delić-Brkljačić, Milan Milošević, Mirta Rode, Flóra Kocsis, Vjekoslav Radeljić

{"title":"SHOULD PATIENT AGE AND BODY MASS BE TAKEN IN CONSIDERATION WHEN ZERO FLUORO ABLATION IS SCHEDULED?","authors":"Nikola Krmek, László Környei, Ivana Kralik, Diana Delić-Brkljačić, Milan Milošević, Mirta Rode, Flóra Kocsis, Vjekoslav Radeljić","doi":"10.20471/acc.2024.63.01.17","DOIUrl":"10.20471/acc.2024.63.01.17","url":null,"abstract":"Since the introduction of 3D mapping systems, the use of x-rays in electrophysiology procedures has significantly decreased. The goal of this study was to analyze the frequency of x-ray use in pediatric electrophysiology in relation to age or body mass, indication for the procedure, and arrhythmia substrate. This retrospective, cross-sectional study included all pediatric procedures in two centers, Gottsegen Cardiovascular Center, Budapest, Hungary and Sestre milosrdnice University Hospital Center, Zagreb, Croatia. Patient data included weight, age, sex, presence of structural heart disease, indication for the electrophysiology study, arrhythmia substrate, and x-ray use. A total of 914 participants were analyzed, mean age 13.25 years and mean mass 53.20 kg. Of all procedures, 62.04% were performed without and 37.96% with fluoroscopy. There were no statistically significant differences in the frequency of x-ray use when comparing the groups by sex (p=0.181), age (p=0.380) or mass (p=0.120). Left-sided accessory pathways required x-ray use most frequently, whereas unknown substrates and of the known substrates atrioventricular nodal reentry tachycardia required it least frequently (p<0.001). Younger or smaller children were not irradiated more frequently during electrophysiology procedures performed with 3D mapping systems. In conclusion, there is no reason to postpone the procedure based on radiation frequency use.","PeriodicalId":7072,"journal":{"name":"Acta clinica Croatica","volume":"63 1","pages":"142-148"},"PeriodicalIF":0.7,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11827388/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143431871","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

OSTEOSARCOMA IN A PATIENT WITH CRANIAL FIBROUS DYSPLASIA: A CASE REPORT.

IF 0.7 4区医学

Acta clinica Croatica Pub Date : 2024-04-01 DOI: 10.20471/acc.2024.63.01.23

Danko Müller, Naranđa Aljinović Ratković, Igor Blivajs, Dalibor Franćeski, Karolina Krstanac, Sven Seiwerth

引用次数: 0

ANXIETY, FEARS AND FEAR-AVOIDANCE BELIEFS AND THERAPEUTIC OUTCOME AFTER LUMBAR MICRODISCECTOMY.

IF 0.7 4区医学

Acta clinica Croatica Pub Date : 2024-04-01 DOI: 10.20471/acc.2024.63.01.15

Slobodan P Pantelinac, Dušica S Simić-Panić, Gordana V Devečerski, Snežana T Tomašević Todorović

{"title":"ANXIETY, FEARS AND FEAR-AVOIDANCE BELIEFS AND THERAPEUTIC OUTCOME AFTER LUMBAR MICRODISCECTOMY.","authors":"Slobodan P Pantelinac, Dušica S Simić-Panić, Gordana V Devečerski, Snežana T Tomašević Todorović","doi":"10.20471/acc.2024.63.01.15","DOIUrl":"10.20471/acc.2024.63.01.15","url":null,"abstract":"Microdiscectomy is one of the surgical methods for the treatment of herniated intervertebral disc in patients with low back pain. The aim of the research was to evaluate the presence of psychological and cognitive-behavioral factors, including anxiety, fears and fear-avoidance beliefs of physical activity and work and their correlation with the pain and functional disability in patients after lumbar microdiscectomy and subsequent physical therapy. The research was performed on 198 patients (95 men and 103 women), mean age 50.20±10.26 years. The following questionnaires were used in the study: Spielberger Anxiety Inventory-State and Trait; Fear-Avoidance Beliefs Questionnaire (Physical activity and Work); for intensity of pain, visual analog scale and Oswestry Low Back Pain Disability Questionnaire. These assessments were carried out after microdiscectomy, as follows: just before rehabilitation treatment, and 1, 3 and 6 months after microdiscectomy. The pain and functional disability had significant correlations with the following factors: anxiety-state (p<0.01), anxiety-trait (p<0.01), fear/avoidance beliefs - physical activity (p<0.01) and fear/avoidance beliefs - work (p<0.01). The pain and functional disability in patients after lumbar microdiscectomy showed significant correlation with anxiety, fears and fear-avoidance beliefs. The mentioned psychological and cognitive-behavioral factors can predict the degree of functional recovery and indicate additional therapy after lumbar microdiscectomy.","PeriodicalId":7072,"journal":{"name":"Acta clinica Croatica","volume":"63 1","pages":"123-133"},"PeriodicalIF":0.7,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11827399/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143432185","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

DIAGNOSIS AND HABILITATION OF CONGENITAL MUSCULAR TORTICOLLIS: A NARRATIVE REVIEW.

IF 0.7 4区医学

Acta clinica Croatica Pub Date : 2024-04-01 DOI: 10.20471/acc.2024.63.01.19

Valentina Matijević, Danijel Mikulić, Danijela Rašić Markota, Asija Rota Čeprnja, Goranka Radmilović

{"title":"DIAGNOSIS AND HABILITATION OF CONGENITAL MUSCULAR TORTICOLLIS: A NARRATIVE REVIEW.","authors":"Valentina Matijević, Danijel Mikulić, Danijela Rašić Markota, Asija Rota Čeprnja, Goranka Radmilović","doi":"10.20471/acc.2024.63.01.19","DOIUrl":"10.20471/acc.2024.63.01.19","url":null,"abstract":"Congenital muscular torticollis (CMT) is one of the most common congenital musculoskeletal deformities, and is defined as tilted head position with hypertonic sternocleidomastoid muscle and limited cervical spine mobility. Incidences up to 16% have been recorded, more often in male children. Clinical features are characterized by an inclined position of the head on the diseased side and a gaze directed towards the healthy side, deformities such as plagiocephaly, and various complications. In order to prevent this, it is recommended to screen all infants up to four months of age. Diagnosis is usually made through history and physical examination. CMT treatment is carried out conservatively, and the habilitation program is created individually, depending on the degree of CMT. The habilitation program includes neck stretching exercises, neck muscle strengthening exercises, motor activities that encourage a symmetrical movement pattern, adaptation to the environment, and education and support of parents or guardians to ensure a daily, intensive home program. Early treatment is one of the main prognostic factors on which the outcome and duration of treatment depend. As this is the only prognostic factor that we can act on, our goal is to speed up the diagnosis and therapy implementation until the cure.","PeriodicalId":7072,"journal":{"name":"Acta clinica Croatica","volume":"63 1","pages":"157-164"},"PeriodicalIF":0.7,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11827386/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143432264","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

EXPOSURE TO ARSENIC IN DRINKING WATER AND RISK OF BLADDER CANCER.

IF 0.7 4区医学

Acta clinica Croatica Pub Date : 2024-04-01 DOI: 10.20471/acc.2024.63.01.7

Marijana Srećković, Dušan Backović, Tihomir Dugandžija, Igor Dragičević, Ljubica Pajić Nikolić, Maida Mulić, Bojan Damnjanović

{"title":"EXPOSURE TO ARSENIC IN DRINKING WATER AND RISK OF BLADDER CANCER.","authors":"Marijana Srećković, Dušan Backović, Tihomir Dugandžija, Igor Dragičević, Ljubica Pajić Nikolić, Maida Mulić, Bojan Damnjanović","doi":"10.20471/acc.2024.63.01.7","DOIUrl":"10.20471/acc.2024.63.01.7","url":null,"abstract":"The municipality of Bogatić, part of Mačva District, belongs to the Pannonian Basin, where high concentrations of arsenic in artesian wells were detected. Numerous epidemiological studies have confirmed the association of exposure to arsenic in drinking water and bladder cancer (C67). This retrospective ten-year analysis included age-standardized incidence rates (ASRs) and age-specific incidence rates of C67 in the municipality of Bogatić and rural municipalities of Mačva District. The concentration of arsenic in drinking water was determined at Šabac Public Health Institute (PHI) laboratories in 2015. ASRs were estimated using data from regional cancer registries at Šabac PHI and compared by use of the Mann-Whitney U test. Control population was recruited from an area where there were no artesian wells or hydrogeological conditions that would indicate elevated concentrations of arsenic in drinking water. Arsenic levels in all artesian wells in Bogatić municipality were 1.4 to 41 times higher than the maximum permissible concentration (mean 120 µg/L±165). Female subjects from Bogatić municipality had higher ASRs of C67 compared with the populations in rural municipalities of Mačva District (p<0.01), while the incidence of bladder cancer was by 13% greater than that in central Serbia (standardized incidence ratio, 113; 95% CI 96.97-131.35). Male subjects from Bogatić municipality had higher ASRs of C67 but the difference was not statistically significant (p>0.05). Our analyses suggested that exposure to arsenic in drinking water could triple the risk of bladder cancer. These results support the conclusions of previous studies that there may be an association between higher concentrations of arsenic in drinking water and higher ASRs of bladder cancer in both male and female subjects.","PeriodicalId":7072,"journal":{"name":"Acta clinica Croatica","volume":"63 1","pages":"55-64"},"PeriodicalIF":0.7,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11827384/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143432270","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

PREDICTORS OF INTRAOPERATIVE HYPERTENSION IN NECK SURGERY: A SINGLE CENTER RETROSPECTIVE STUDY.

IF 0.7 4区医学

Acta clinica Croatica Pub Date : 2023-12-01 DOI: 10.20471/acc.2023.62.04.5

Tjaša Ivošević, Biljana Miličić, Aleksandar Trivić, Bojana Bukurov, Nenad Arsović, Nikola Slijepčević, Hristina Ugrinović, Nemanja Radivojević, Nevena Kalezić

{"title":"PREDICTORS OF INTRAOPERATIVE HYPERTENSION IN NECK SURGERY: A SINGLE CENTER RETROSPECTIVE STUDY.","authors":"Tjaša Ivošević, Biljana Miličić, Aleksandar Trivić, Bojana Bukurov, Nenad Arsović, Nikola Slijepčević, Hristina Ugrinović, Nemanja Radivojević, Nevena Kalezić","doi":"10.20471/acc.2023.62.04.5","DOIUrl":"10.20471/acc.2023.62.04.5","url":null,"abstract":"Intraoperative hypertension (IOHTA) during neck surgery is undesirable because this type of surgery has a propensity to bleed profoundly even in normotensive anesthesia. The purpose of our study was to detect predictors of IOHTA in patients undergoing neck surgery. This single center retrospective study included 880 adult patients who underwent neck surgery under general anesthesia. The impact of gender, age, comorbidity, difficult tracheal intubation, anesthesia duration, and induced hypotension on IOHTA was studied. IOHTA was present in 57 (6.7%) patients. The highest incidence of IOHTA was recorded in patients with ASA 4 status and those with Cormack-Lehane grade 4,: (22.2% and 21.4%, respectively). Significantly more patients with hypertension, hyperlipoproteinemia and ventricular extrasystoles had IOHTA compared with patients without these comorbidities. Statistically significant predictors of IOHTA were age (OR 1.438; 95% CI 1.144-1.808; p=0.002), cardiac arrhythmia (OR 1.702; 95% CI 1.129-2.566; p=0.011), Cormack-Lehane grade (OR 1.407; 95% CI 1.054-1.878; p=0.020), and duration of anesthesia (OR 1.005; 95% CI 1.001-1.008; p=0.005). The risk of IOHTA occurrence was lower in patients with induced hypotension (OR 0.024; 95% CI 0.003-0.185; p=0.000). During neck surgery, special attention is needed in patients of older age, those with cardiac arrhythmia, difficult intubation, and longer anesthesia duration because they are at risk of IOHTA.","PeriodicalId":7072,"journal":{"name":"Acta clinica Croatica","volume":"62 4","pages":"615-622"},"PeriodicalIF":0.7,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11759110/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143045382","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0