Praca Oryginalna Original Article
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Praca Oryginalna Original Article
Praca Oryginalna Zdr Publ 2010;120(1):29-32 Original Article !"#$%&'()*"+&$,-"*1, BEATA RYBOJAD2, IWONA JAWORSKA3, RENATA KORECKA1, ANNA AFTYKA1 Analiza przyczyn hospitalizacji na Oddziale Intensywnej Terapii Wojewódzkiego Szpitala Specjalistycznego w Lublinie 2/+1*)*+34+ Analysis of the causes of hospitalization in the Intensive Care Unit of the Regional Specialist Hospital in Lublin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ntensive Care units are departments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tefan Wyszynski Regional Hospital in Lublin from October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transferred from other departments and the men also as a result of a transfer from other departments and because of (.%GV8 %88$")'(*> !"#$%&'()*"#+, !""#$%& $'()'*+,')- ().%/$$0 1.%#+0 '%2&) #%(.#+3%'$) 4.56)'$% -+.#"/01,% $'()'*$7) 8%.) 1'$(0 $'-1.$)*0 *1"")' 8%."$%8 arrest 1 Independent Laboratory of Medicine of Disasters, Medical University of Lublin Children’s University Hospital, Lublin, 3 Stefan Cardinal Wyszynski Regional Hospital in Lublin 2 WL >A?BCDE9?>CA% B<) <$*(!.+ !G $'()'*$7) 8%.) 1'$(* 2!)* ?%84 (! (<) O_`L* !G KL(< 8)'(1.+> \1.$'2 (<) !1(?.)%4 !G a)$')RZ)"$'% disease epidemics, the team of anesthesiologists in Denmark !.2%'$#)" % 1'$( ,<).) /.!:!'2)" %.($V8$%: .)*/$.%($!' ,%* 1*)" bOc> B<) V.*( $'()'*$7) 8%.) 1'$(* $' d!:%'" ,).) 8.)%()" $' %8%")3$8 8)'().* R $' O_ML $' I!"#0 $' O_MO $' d!#'%' %'" $' H%(!,$8) $' O_MW> B<) )]/).$)'8) 2%$')" (<)' $* *($:: 1/R (!R"%() e %:*! %( 3!").' $'()'*$7) 8%.) 1'$(*> EG(). $'$($%: "!1?(* %* (! (<) '%3) f$'()'*$7) 8%.) 1'$(*0 $'()'*$7) *1/).7$*$!' 1'$(*0 ghi 1'$(*0 *<!84 (.!!/*0 )(8>j0 (<) '%3) !G $'()'*$7) 8%.) 1'$( ,%* %"!/()" $' %88!."%'8) ,$(< (<) $'*(.18($!'* !G (<) Z$'$*(). !G a)%:(< %'" C):G%.) fZ$'$*(.+ !G a)%:(<j $' O_kW bKc> B<) ?%*$8 $'()'*$7) 8%.) 1'$(* %.) 3%'%2)" ?+ %')*(<)*$!R :!2$*(* %'" %"3$( /%($)'(* $' :$G)R(<.)%()'$'2 8!'"$($!'* "1) (! 7%.$!1* .)%*!'*> A' %""$($!'0 G!. 3%'+ +)%.*0 ")/%.(3)'(* targeted for treatment of selected medical conditions have ?))' !.2%'$#)"> Currently, the legal basis for the establishment and functioning of departments of anaesthesiology and $'()'*$7) 8%.) $* (<) h)21:%($!' !G O__k !G (<) Z$'$*(.+ !G Health and Regulation of the Ministry of Health of June 22, KLL`> B<) '13?). !G ?)"* $' $'()'*$7) 8%.) 1'$(* *<!1:" 8!'*($(1() Kl R`l !G (<) '13?). !G <!*/$(%: ?)"* bWc> CFGH9?>IH% B<) !?-)8($7) !G (<$* *(1"+ ,%* (! %'%:+#) (<) 8%1*)* !G <!*/$(%:$#%($!' !G /%($)'(* $' $'()'*$7) 8%.) 1'$(*> ;<?HB><J %<AD%;H?KCD % B<) *(1"+ 1*)" % 3)(<!" !G 3)"$8%: .)8!."* %'%:+*$*0 %'" % [1)*($!''%$.) ,%* ")7):!/)" %* % .)*)%.8< (!!:> B<) .)*)%.8< ,%* 8!'"18()" %( (<) \)/%.(3)'( !GE')*(<)*$!R logy and Intensive Care Unit of the Cardinal Stefan Wyszynski h)2$!'%: a!*/$(%: $' I1?:$' G.!3 98(!?). KLLM (! 98(!?). KLLN> B<).) ,).) OKM /%($)'(* 8!7).)" ?+ (<) *(1"+ %'" KM /%($)'(* ,).) )]8:1")" ?)8%1*) !G $'8!3/:)() 3)"$8%: .)8!."*> BH EJ? % B<) %'%:+#)" 2.!1/ 8!3/.$*)" OLL /).*!'*> E3!'2 (<) .)*/!'")'(*0 WWl ,).) ,!3)' %'" (,!G!:" 3!.) 3)' R MNl> B<) %7).%2) %2) ,%* `M>M +)%.* fOk R _k +)%.*j0 MM>N G!. ,!3)' fKL R _k +)%.*j %'" G!. 3)' `O>N +)%.* fOk R kL +)%.*j> B<) .)*$")'(* !G (<) 8$(+ %88!1'()" G!. MKl !G /%($)'(*0 ,<$:) Wkl ,).) (<) $'<%?$(%'(* !G .1.%: %.)%*> E:3!*( <%:G !G (<) .)*/!'")'(* R mNl *(%+)" $' (<) 1'$( G!. :)** (<%' N "%+*0 KWl G.!3 k (! Om "%+*0 Oml R G.!3 O` (! KO0 %'" G!. 3!.) (<%' KO "%+* R OMl> B<) 3!*( 8!33!' 8%1*)* !G <!*/$(%:$#%($!' ,).)T .)*/$.%(!.+ G%$:1.) R W_l !G 8%*)*0 % *1"")' 8%."$%8 %..)*( R KLl0 31:($R!.2%' $'-1.+ R ONl0 8%."$%8 $'*1GV8$)'8+ R Kl> t". d1?: KLOLpOKLfOj B<) *!R8%::)" n!(<).^ .)%*!'* %88!1'()" G!. KKl !G (<) <!*/$(%:$#)" /)!/:)0 %3!'2 ,<$8< ,).)T *(%(1* )/$:)/($81*0 hemorrhagic shock, methanol poisoning, septic shock, acute renal failure, suicide attempt, cracked abdominal aortic %')1.+*30 % *(%() !G 8!'71:*$!'0 8.%'$!R8).)?.%: (.%13%> B<) %'%:+*$* *<!,)" *$2'$V8%'( *(%($*($8%: "$GG).)'8)* ?)(,))' 3)' %'" ,!3)' %* .)2%."* (<) 8%1*) !G <!*/$(%:$#%($!' f/ o L>L`0 K o N>_Oj> E3!'2 ,!3)'0 (<) 3!*( G.)[1)'( 8%1*)* !G <!*/$(%:$#%($!' ,).) 8%."$%8 G%$:1.) %'" .)*/$.%(!.+ G%$:1.) f`m>``lj0 *1"")' 8%."$%8 %..)*( fKO>KOlj %'" 31:($R!.2%' (.%13% fW>LWlj> E3!'2 3)'0 (<) 3!*( 8!33!' 8%1*) ,%* .)*/$.%(!.+ G%$:1.) fmOlj0 G!::!,)" ?+ 31:($R!.2%' (.%13% fKW>kklj %'" !(<). 8%1*)* fKKlj fB%?:) O j> B<) %'%:+*$* *<!,)" % <$2<:+ *(%($*($8%::+ *$2'$V8%'( .):%($!'*<$/ ?)(,))' (<) 8%1*)* !G <!*/$(%:$#%($!' %'" (<) /%($)'(^* %2)> \1) (! .)*/$.%(!.+ %'" 8$.81:%(!.+ G%$:1.)0 (<).) ,).) <!*/$(%:$#)" (<) !:")*( /)!/:) f%7).%2) %2) e MM>`O +)%.*jp "1) (! % *1"")' 8%."$%8 %..)*( R/)!/:) !7). `L +)%.* !:"0 %'" "1) (! 31:($R!.2%' $'-1.$)* e (<) +!1'2)*( /%($)'(* f3)%' %2) WK>W`lj f/ qLLL>LLO0 K o OM>kKj fB%?:) Kj> Y/ (! MLl !G (<) /%($)'(* *(%+)" $' (<) $'()'*$7) 8%.) 1'$( %G(). ?)$'2 (.%'*G)..)" G.!3 %'!(<). 1'$(0 ,<$:) ONl R ?)8%1*) !G % (.%GV8 %88$")'(0 KKl "1) (! )7)'(* %( <!3) %'" Ol "1) (! %' %88$")'( %( ,!.4> B<) *(1"$)* 8!'V.3)" *(%($*($8%::+ *$2'$V8%'( "$GG).)'8)* ?)(,))' 3)' %'" ,!3)' %* .)2%."* (<) 8%1*) !G <!*/$(%:$#%($!' f/ o L>LW0 K o M>kKj> C!3)' ,).) 2)').%::+ %"3$(()" ?)8%1*) !G (<) (.%'*G). G.!3 %'!(<). 1'$( fM_>Nlj0 .%(<). (<%' ?)8%1*) !G (<) )7)'( %( <!3) fKN>KNlj !. % (.%GV8 %88$")'( fW>LWlj> D+ 8!'(.%*(0 3)' ,).) *$2'$V8%'(:+ 3!.) G.)[1)'( (<%' ,!3)' 7$8($3* !G (.%GV8 %88$")'(* fKW>kklj fB%?:) Wj> B<) %'%:+*$* 8!'V.3* % <$2<:+ *(%($*($8%::+ *$2'$V8%'( .):%($!'*<$/ ?)(,))' (<) 4$'" !G )7)'( %'" %2) f/ q L>LLLLLO0 Ko KK>OLj> d%($)'(* ,<! ,).) $'7!:7)" $' (.%GV8 %88$")'(* ,).) +!1'2 R (<) %7).%2) %2) ,%* WK>Km +)%.*0 ,<$:) (<) 8!'*)[1)'8)* !G ,!.4 .):%()" )7)'(* 8!'8).')" /).*!'* %2)" !' %7).%2) `N>W_ +)%.*> B<) *(%($*($8%: %'%:+*$* *<!,)" '! *$2'$V8%'( .):%($!' ?)(,))' (<) )/$8.$*$* %'" (<) 8%1*) !G <!*/$(%:$#%($!' f/ o L>KL0 Ko m>k_j> d%($)'(* ,<! ,).) 7$8($3* !G (.%GV8 %88$")'(* fNM>mNlj ,).) 3!*(:+r1*1%::+ (.%'*G)..)" (! !(<). 1'$(*0 ,<$:) (<) !(<). /%($)'(* fKW>`Wlj <%" "$)"> B<) /%($)'(* %"3$(()" G.!3 !(<). ")/%.(3)'(* ,).) (.%'*G)..)" %2%$' (! !(<). ")/%.(3)'(* f`Llj0 mk>WWl !G (<) /%($)'(* "$" '!( *1.7$7)0 %'" O>MNl ,).) "$*8<%.2)" <!3) fB%?:) mj> D> 9E >CA% B<) :%.2)*( '13?). !G *1"")' 8%."$%8 %..)*(* %'" ")%(<* !881.* $' /%($)'(* ,$(< 8%."$!7%*81:%. "$*)%*) ,<! ,).) '!( /.)7$!1*:+ "$%2'!*)"> s.)[1)'(:+0 (<) V.*( *+3/(!3 !G % <)%.( "$*)%*) $* % G%(%: 3+!8%."$%: $'G%.8($!'> E *3%::). number of deaths due to cardiovascular causes concerns +!1'2). /)!/:) ,$(< '! <)%.( "$*)%*)* .)/!.()" )%.:$).> Epidemiological studies can help identify people at higher risk of heart diseases in terms of the critical complications (<%( 1*1%::+ (<.)%()' :$G)> B<)*) G%8(!.* 3%+ $'8:1")0 %3!'2 !(<).*T (<) %2$'2 /.!8)**0 2)')($8 8%1*)*0 *3!4$'20 male gender, stress, certain diseases, such as diabetes, <+/).:$/$"%)3$%0 <+/).()'*$!' bmc> 31 t". d1?: KLOLpOKLfOj ?<FJH%L8%9$(1+%"M%@"1742$'41$24"3%#42@%/+N$/0%2"%1+O8 (00+3%)4/)('$2"/.% $//+12 94/)('$2"/.%M$4'(/+ +O ;('24"/N$3%43P(/. C2@+/ ?"2$' A%%%%%%%%%%%%%QRS A%%%%%%%%%%%%QRS A%%%%%%%%%%%%%%QRS A%%%%%%%%%%%QRS A%%%%%%%%%%QRS Women Ok f`m>`j N fKO>Kj O fW>Wj N fKO>Lj WW fOLLj Men KW fWm>Wj OW fO_>mj OM fKW>kj O` fKK>`j MN fOLLj B!(%: mO fmO>Lj KL fKL>Lj ON fON>Lj KK fKK>Lj OLL fOLLj 2 /oL>L` oN>_O ?<FJH%U8%9$(1+1%"M%@"1742$'41$24"3%#42@%/+N$/0%2"%$N+8 <N+ 9$(1+%"M%@"1742$'41$24"3 ;+$3 ;438 ;$O8 2$30$/0%0+T4$24"3 h)*/$.%(!.+r8$.81:%(!.+ $'*1GV8$)'8+ MM>`O Ok>LL _k>LL ON>LL Sudden circulatory arrest `N>O` O_>LL kL>LL OM>_O Z1:($!.2%' $'-1.+ WK>W` KL>LL `k>LL OK>_N 2 /qL>LLLLLOp o OM>kK ?<FJH%X8%9$(1+1%"M%@"1742$'41$24"3%#42@%/+N$/0%2"%1+O8 ?/$MV)%$))40+32 <))40+32%$2%@":+W#"/& <0:4114"3%M/":%"2@+/% 0+7$/2:+321 ?"2$' A%%%%%%%%%%%%%%%%%%QRS A%%%%%%%%%%%%%%%%%%QRS A%%%%%%%%%%%%%%%%%QRS A%%%%%%%%%%%%%%%%QRS Women O fW>LWj _ fKN>KNj KW fM_>NLj WW fOLLj Men OM fKW>kkj Om fKL>_Lj WN f``>KKj MN fOLLj B!(%: ON fON>LLj KW fKW>LLj ML fML>LLj OLL fOLLj +O /o L>LWp 2 oM>kK ?<FJH%Y8%H74)/4141%"M%7$24+321%#42@%/+N$/0%2"%2@+%2.7+%"M%+T+328 D41)@$/N+ ?/$31M+/%2"%B"2@+/% 0+7$/2:+321 D+$2@ ?"2$' A%%%%%%%%%%%%%%%%%%%QRS A%%%%%%%%%%%%%%%%%QRS A%%%%%%%%%%%%%%%%QRS A%%%%%%%%%%%%%%%%QRS 9$(1+%"M%@"1742$'41$24"3 B.%GV8 %88$")'( L L>LL OW NM>mN m KW>`W ON OLL E88$")'( %( <!3)r,!.4 O m>W` OO mN>kW OO mN>kW KW OLL E"3$**$!' G.!3 !(<). departments O O>MN WL `L>LL K_ mk>WW ML OLL B!(%: K K>LL `m `m>LL mm mm>LL OLL OLL /oL>WL 2 om>k_ 32 E *$2'$V8%'( '13?). !G 8%."$%8 %..)*(* $* "1) (! ?!(< (.%GV8 %88$")'( $'-1.$)* %'" $'-1.$)* $' (<) ,!.4/:%8) !. %( <!3)> a!3) $'-1.$)* 8!'*($(1() % <$2< /).8)'(%2) !G *).$!1* complications, including circulatory arrest, this also concerns 8<$:".)'> Other causes of sudden cardiac arrest due to circulatory *+*()3 "$*!.").* %.)T $*8<)3$8 <)%.( "$*)%*)0 %..<+(<3$%*0 acute and chronic cardiac failure, advanced valvular defects, hypovolemic and cardiogenic shock, pulmonary oedema, 3%-!. 7%*81:%. $'-1.$)* %'" /!*(R(.%13%($8 %')1.+*3 f"$**)8($'2 %')1.+*3 !G (<) %!.(%j> Most common causes of a sudden cardiac arrest related (! (<) .)*/$.%(!.+ *+*()3 %.)T %$.,%+ !?*(.18($!'0 8<)*( (.%13%0 /')13!(<!.%]0 /%.)'8<+3%: %'" !?*(.18($7) :1'2 "$*)%*) %'" (<) *(%() !G ?.!'8<$%: %*(<3%> B<) 3!*( 8!33!' causes of circulatory arrest on the part of the central nervous *+*()3 %.)T *(.!4) ,$(< $'(.%8.%'$%: <)3!..<%2)0 /!$*!'$'2 f!/$!$"*0 *)"%($7)*0 /!$*!'*j0 $'G)8($!'* f8).)?.!*/$'%: 3)'$'2$($* ,$(< *)7).) 3)(%?!:$8 %8$"!*$* /)')(.%($!'* %'" <+/).7)'($:%($!' %'" ?.%$' (13!.*j> B<) 3%$' 8%1*) !G <!*/$(%:$#%($!' $' (<) $'()'*$7) 8%.) 1'$( ,).)T .)*/$.%(!.+ G%$:1.) fW_lj0 % *1"")' 8%."$%8 %..)*( fKLlj %'" 31:($R!.2%' $'-1.$)* fONljp KKl !G (<) /%($)'(* ,).) %"3$(()" (! (<) 1'$( "1) (! !(<). .)%*!'* f*(%(1* )/$:)/($81*0 <)3!..<%2$8 *<!840 %81() .)'%: G%$:1.)j> A'-1.$)* %.) 8%::)" (<) :%.2)*( )/$")3$8* !G (<) (,)'($)(< 8)'(1.+> E3).$8%' *!1.8)* f>>>j $'"$8%() (<%( 7%.$!1* $'-1.$)* %GG)8( ML 3$::$!' 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