Pub Date : 2024-07-16DOI: 10.24884/2072-6716-2024-25-2-89-94
O. V. Lisovskii, D. Ivanov, K. Moiseeva, P. A. Pankratova, I. Lisitsa, D. S. Blizniakova, V. M. Mineeva
Introduction. Adolescence involves active personality formation and a variety of social networks. The educational environment has a significant impact and can predict the development of somatoform diseases. The assessment of the eating behaviour of high school students allows timely identification and prevention of adverse changes in the psyche, which has an impact on the formation of the mental and physical components of the quality of life of adolescents. Object. To study the peculiarities of eating behavior of senior schoolchildren and their dependence on physical development. Materials and methods. The study includes students of grades 8–11. Total 152 people. All teenagers passed an anonymous questionnaire. The questionnaire consisted of the questionnaire «Eating Attitudes Test» (EAT-26). Anthropometric data, physical health indicators and incidence of acute and chronic diseases were additionally determined. The statistical processing of the material was carried out using the application package IBM SPSS Statictics 26. When assessing the relationships between the factors, the one-factor variance analysis of ANOVA with determination of the level of reliability and significance of indicators was used. Results. The evaluation of the data revealed a correlation of sex and scales such as aspiration to lean, bulimia and body dissatisfaction. Among females, the walling levels are statistically higher (Scale 1: Pr = 0.091; Scale 2: Pr — 0.016; Scale 3: Pr = 0.039) compared to males. Age is associated with scales of body dissatisfaction, perfectionism and distrust in interpersonal relationships. It is revealed that the older the teenager, the higher the wallein in these scales. High values of wallets in each scale were from 14.3% to 28.1%. Conclusion. Adolescents experience high expectations, feelings of loneliness, insecurity and inability to control their own lives. The group at risk is the female students in high school.
{"title":"Dependence of eating behavior on health factors in adolescents","authors":"O. V. Lisovskii, D. Ivanov, K. Moiseeva, P. A. Pankratova, I. Lisitsa, D. S. Blizniakova, V. M. Mineeva","doi":"10.24884/2072-6716-2024-25-2-89-94","DOIUrl":"https://doi.org/10.24884/2072-6716-2024-25-2-89-94","url":null,"abstract":"Introduction. Adolescence involves active personality formation and a variety of social networks. The educational environment has a significant impact and can predict the development of somatoform diseases. The assessment of the eating behaviour of high school students allows timely identification and prevention of adverse changes in the psyche, which has an impact on the formation of the mental and physical components of the quality of life of adolescents. Object. To study the peculiarities of eating behavior of senior schoolchildren and their dependence on physical development. Materials and methods. The study includes students of grades 8–11. Total 152 people. All teenagers passed an anonymous questionnaire. The questionnaire consisted of the questionnaire «Eating Attitudes Test» (EAT-26). Anthropometric data, physical health indicators and incidence of acute and chronic diseases were additionally determined. The statistical processing of the material was carried out using the application package IBM SPSS Statictics 26. When assessing the relationships between the factors, the one-factor variance analysis of ANOVA with determination of the level of reliability and significance of indicators was used. Results. The evaluation of the data revealed a correlation of sex and scales such as aspiration to lean, bulimia and body dissatisfaction. Among females, the walling levels are statistically higher (Scale 1: Pr = 0.091; Scale 2: Pr — 0.016; Scale 3: Pr = 0.039) compared to males. Age is associated with scales of body dissatisfaction, perfectionism and distrust in interpersonal relationships. It is revealed that the older the teenager, the higher the wallein in these scales. High values of wallets in each scale were from 14.3% to 28.1%. Conclusion. Adolescents experience high expectations, feelings of loneliness, insecurity and inability to control their own lives. The group at risk is the female students in high school.","PeriodicalId":517874,"journal":{"name":"EMERGENCY MEDICAL CARE","volume":" 19","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141831856","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-07-16DOI: 10.24884/2072-6716-2024-25-2-68-74
A. L. Ershov, T. A. Kolomoitseva
Purpose and objectives of the study: the objective of the study is to provide a descriptive description of a group of patients who applied to the ambulance service due to an exacerbation of chronic obstructive pulmonary disease (COPD). The purpose of the study is to use the obtained data for the subsequent development of recommendations on the tactics of action for ambulance brigades when aiding with this group of patients. Materials and methods: retrospective analysis of patient charts (141 charts) for patients with exacerbation of COPD, performed in 2023 by emergency medical service (EMS) belonging to the district outpatient clinic No. 52 of St. Petersburg. The gender and age characteristics of this group of patients were studied, as well, as the duration of the exacerbation at the time of the brigade visit, the severity of the general condition and the severity of manifestations of respiratory failure (RF), comorbidity, the need for medical evacuation to the hospital. Results: the average age of patients with exacerbations of COPD who applied for EMS in 2023 was 69.5±9.88 years, among them 62.4% were male and 37.6% female. Comorbidity was detected in 68% of patients; among concomitant pathologies, bronchial asthma, diseases of the cardiovascular system, infectious diseases of the lower respiratory tract, and cancer predominated. In 81% of patients, the severity of the general condition was assessed as moderate to severe, mainly determined by the severity of RF. The duration of COPD exacerbation at the time of the brigade visit ranged from 1 to 14 days (average 5.5±6.9). Of the 141 patients, 75 (53.2%) were transmitted by ambulance teams to hospital ED. Conclusion: patients with exacerbation of COPD represent a specific group of patients, which is distinguished by older age, a high level of comorbidity, the presence of significant RF, and a high need for hospitalization.
{"title":"Descriptive characteristics of patients with acute respiratory failure due to exacerbation of chronic pulmonary disease who required emergency care","authors":"A. L. Ershov, T. A. Kolomoitseva","doi":"10.24884/2072-6716-2024-25-2-68-74","DOIUrl":"https://doi.org/10.24884/2072-6716-2024-25-2-68-74","url":null,"abstract":"Purpose and objectives of the study: the objective of the study is to provide a descriptive description of a group of patients who applied to the ambulance service due to an exacerbation of chronic obstructive pulmonary disease (COPD). The purpose of the study is to use the obtained data for the subsequent development of recommendations on the tactics of action for ambulance brigades when aiding with this group of patients. Materials and methods: retrospective analysis of patient charts (141 charts) for patients with exacerbation of COPD, performed in 2023 by emergency medical service (EMS) belonging to the district outpatient clinic No. 52 of St. Petersburg. The gender and age characteristics of this group of patients were studied, as well, as the duration of the exacerbation at the time of the brigade visit, the severity of the general condition and the severity of manifestations of respiratory failure (RF), comorbidity, the need for medical evacuation to the hospital. Results: the average age of patients with exacerbations of COPD who applied for EMS in 2023 was 69.5±9.88 years, among them 62.4% were male and 37.6% female. Comorbidity was detected in 68% of patients; among concomitant pathologies, bronchial asthma, diseases of the cardiovascular system, infectious diseases of the lower respiratory tract, and cancer predominated. In 81% of patients, the severity of the general condition was assessed as moderate to severe, mainly determined by the severity of RF. The duration of COPD exacerbation at the time of the brigade visit ranged from 1 to 14 days (average 5.5±6.9). Of the 141 patients, 75 (53.2%) were transmitted by ambulance teams to hospital ED. Conclusion: patients with exacerbation of COPD represent a specific group of patients, which is distinguished by older age, a high level of comorbidity, the presence of significant RF, and a high need for hospitalization.","PeriodicalId":517874,"journal":{"name":"EMERGENCY MEDICAL CARE","volume":" 35","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141832635","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-07-16DOI: 10.24884/2072-6716-2024-25-2-51-59
A. N. Tulupov, M. I. Gromov, L. Pivovarova, A. V. Nikitin, V. N. Lapshin, O. Ariskina, I. V. Osipova, A. V. Fedorov
The objective of the study: improve the course of traumatic disease and reduce the number of complications in victims with severe combined injury (SCI). Material and methods. Included were 60 patients with SCI who were consecutively admitted to a level I trauma center with shock of II or III severity and a positive prognosis for life. Design: double-blind, placebo-controlled, single-center study. For an additional 10 days in a row, starting from the 2nd day, all victims were injected once daily intramuscularly with 5 ml of a 0.015% solution of sodium deoxyribonucleate or placebo (saline solution). Results. The final distribution into groups: I main (27 people) — with the drug and II comparison (27 people) — with placebo. The groups did not differ in gender, age, severity of injury and shock, or treatment received. In 48% I group and 52% II group complications developed. Their sum (21) in I group was less than in II group (39), p=0.102. The reduction was achieved due to infectious non-life-threatening complications (gr. I — 1, gr. II — 12, p=0.001). Duration of anemia in days (blood hemoglobin <100 g/l) in I group was less (175 days) compared to group II. (316 days), p=0.010. Similarly, for hypoproteinemia (total protein <60 g/l): the sum of days in I group less (199 days) than in group II (343 days), p=0.036. In the subgroups with complications, after 7–14 days, the number of stem cells in the blood that stimulate healing increased only in patients of group I (CD117+ by 290%, p=0.000 and CD34+ by 200%, p=0.034). Also, only in them did the content of functionally mature neutrophilic granulocytes (NG) containing antimicrobial defensins (Def+NG) increase by 26%, p=0.019. Died in I group — 1 person, in II group — 2. Duration of hospitalization in group I — 32.8±4.1 days, in II group — 39.6±6.6 days. Conclusion. Administration of sodium deoxyribonucleate increases the number of stem cells and Def+NG in the blood, reduces the duration of anemia and hypoproteinemia, which leads to a reduction in the number of complications and treatment time for victims with SCI.
研究目的：改善严重合并损伤（SCI）患者的创伤性疾病病程，减少并发症数量。材料和方法。纳入 60 名连续入住一级创伤中心、休克程度为 II 或 III 且预后良好的 SCI 患者。设计：双盲、安慰剂对照、单中心研究。从第 2 天开始，所有患者连续 10 天每天肌肉注射一次 5 毫升 0.015%的脱氧核糖核酸钠溶液或安慰剂（生理盐水）。结果最终的分组情况如下I 主组（27 人）--使用药物，II 对比组（27 人）--使用安慰剂。两组在性别、年龄、受伤和休克的严重程度或接受的治疗方面没有差异。48% 的 I 组和 52% 的 II 组出现了并发症。I 组的并发症总数（21 例）少于 II 组（39 例），P=0.102。并发症减少的原因是感染性非致命并发症（I 组 1 例，II 组 12 例，P=0.001）。与第二组相比，第一组的贫血持续时间（血红蛋白小于 100 克/升）较短（175 天）（316 天），P=0.001。(316天），P=0.010。同样，对于低蛋白血症（总蛋白低于 60 克/升）：I 组的天数总和（199 天）少于 II 组（343 天），P=0.036。在有并发症的亚组中，7-14 天后，只有 I 组患者血液中促进愈合的干细胞数量增加（CD117+ 增加 290%，p=0.000；CD34+ 增加 200%，p=0.034）。此外，只有他们体内含有抗菌防御素（Def+NG）的功能成熟的中性粒细胞（NG）含量增加了 26%，P=0.019。I 组死亡 1 人，II 组死亡 2 人。I 组住院时间为（32.8±4.1）天，II 组住院时间为（39.6±6.6）天。结论脱氧核糖核酸钠能增加血液中干细胞和Def+NG的数量，缩短贫血和低蛋白血症的持续时间，从而减少脊髓损伤患者的并发症数量和治疗时间。
{"title":"Prevention of infectious complications in patients with severe combined injury using native deoxyribonucleic acid drug","authors":"A. N. Tulupov, M. I. Gromov, L. Pivovarova, A. V. Nikitin, V. N. Lapshin, O. Ariskina, I. V. Osipova, A. V. Fedorov","doi":"10.24884/2072-6716-2024-25-2-51-59","DOIUrl":"https://doi.org/10.24884/2072-6716-2024-25-2-51-59","url":null,"abstract":"The objective of the study: improve the course of traumatic disease and reduce the number of complications in victims with severe combined injury (SCI). Material and methods. Included were 60 patients with SCI who were consecutively admitted to a level I trauma center with shock of II or III severity and a positive prognosis for life. Design: double-blind, placebo-controlled, single-center study. For an additional 10 days in a row, starting from the 2nd day, all victims were injected once daily intramuscularly with 5 ml of a 0.015% solution of sodium deoxyribonucleate or placebo (saline solution). Results. The final distribution into groups: I main (27 people) — with the drug and II comparison (27 people) — with placebo. The groups did not differ in gender, age, severity of injury and shock, or treatment received. In 48% I group and 52% II group complications developed. Their sum (21) in I group was less than in II group (39), p=0.102. The reduction was achieved due to infectious non-life-threatening complications (gr. I — 1, gr. II — 12, p=0.001). Duration of anemia in days (blood hemoglobin <100 g/l) in I group was less (175 days) compared to group II. (316 days), p=0.010. Similarly, for hypoproteinemia (total protein <60 g/l): the sum of days in I group less (199 days) than in group II (343 days), p=0.036. In the subgroups with complications, after 7–14 days, the number of stem cells in the blood that stimulate healing increased only in patients of group I (CD117+ by 290%, p=0.000 and CD34+ by 200%, p=0.034). Also, only in them did the content of functionally mature neutrophilic granulocytes (NG) containing antimicrobial defensins (Def+NG) increase by 26%, p=0.019. Died in I group — 1 person, in II group — 2. Duration of hospitalization in group I — 32.8±4.1 days, in II group — 39.6±6.6 days. Conclusion. Administration of sodium deoxyribonucleate increases the number of stem cells and Def+NG in the blood, reduces the duration of anemia and hypoproteinemia, which leads to a reduction in the number of complications and treatment time for victims with SCI.","PeriodicalId":517874,"journal":{"name":"EMERGENCY MEDICAL CARE","volume":" 11","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141832426","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-07-16DOI: 10.24884/2072-6716-2024-25-2-82-88
I. A. Polyakov, D. S. Zinnatullina, I. Trukhanova, S. H. Sadreeva
Goal. To propose and justify a principle of assessing the severity of atrial fibrillation paroxysms at the prehospital stage. Materials and methods. The study included 398 patients who called an ambulance for paroxysms of atrial fibrillation. According to the results of the analysis of the call cards, the main severity criteria of paroxysm were identified: acute heart failure (HF), high heart rate, myocardial ischemia, hypotension, refractory to pharmacological antiarrhythmic therapy, as well as the impossibility of its use. Results. The contribution of each of the severity criteria to the determination of the degree was studied. The severity of paroxysm does not depend on its duration (p=0.81). The higher the severity of the paroxysm, the more difficult it is to stop (p=0.00) and the higher the need for hospitalization (p=0.01). Conclusion. We introduced the concept of «severity» of paroxysm and demonstrated its dependence on the effectiveness of antiarrhythmic therapy (p=0.00) and the number of hospitalizations (p=0.01). The number of patients whose sinus rhythm is restored at the prehospital stage decreases with increasing severity, and the number of hospitalizations increases.
{"title":"Features of severity assessment of atrial fibrillation paroxysms in emergency medical care","authors":"I. A. Polyakov, D. S. Zinnatullina, I. Trukhanova, S. H. Sadreeva","doi":"10.24884/2072-6716-2024-25-2-82-88","DOIUrl":"https://doi.org/10.24884/2072-6716-2024-25-2-82-88","url":null,"abstract":"Goal. To propose and justify a principle of assessing the severity of atrial fibrillation paroxysms at the prehospital stage. Materials and methods. The study included 398 patients who called an ambulance for paroxysms of atrial fibrillation. According to the results of the analysis of the call cards, the main severity criteria of paroxysm were identified: acute heart failure (HF), high heart rate, myocardial ischemia, hypotension, refractory to pharmacological antiarrhythmic therapy, as well as the impossibility of its use. Results. The contribution of each of the severity criteria to the determination of the degree was studied. The severity of paroxysm does not depend on its duration (p=0.81). The higher the severity of the paroxysm, the more difficult it is to stop (p=0.00) and the higher the need for hospitalization (p=0.01). Conclusion. We introduced the concept of «severity» of paroxysm and demonstrated its dependence on the effectiveness of antiarrhythmic therapy (p=0.00) and the number of hospitalizations (p=0.01). The number of patients whose sinus rhythm is restored at the prehospital stage decreases with increasing severity, and the number of hospitalizations increases.","PeriodicalId":517874,"journal":{"name":"EMERGENCY MEDICAL CARE","volume":" 8","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141832533","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-07-16DOI: 10.24884/2072-6716-2024-25-2-75-81
R. A. Narzikulov, A. H. Lodyagin, B. V. Batotsyrenov, O. Kuznetsov
According to the state report «On the state of sanitary and epidemiological welfare of the population in the Russian Federation in 2021», the indicator of acute poisoning with alcohol- containing products amounted to 21.19 cases per 100 thousand population [1]. The purpose of the study: analytical toxicological analysis, features of diagnosis and intensive care of patients hospitalized with acute methanol poisoning in the toxicological center of the metropolis. Materials and methods of research. The medical documents of 46 patients admitted to the Acute Poisoning Center were analyzed GBU St. Petersburg Research Institute of Joint Venture named after I. I. Janelidze in 2019–2022 with a diagnosis of «Acute methanol poisoning». Category ICD-10: T51.1. A statistical and chemical- toxicological study was conducted upon admission of patients to the hospital and in dynamics after intensive care. The results of the study. According to the data of the Central Research Center of the St. Petersburg Research Institute of Joint Venture named after I. I. Janelidze, the number of patients with acute methyl alcohol poisoning was: 2019, 10 patients were admitted (of which 3 patients died); 2020, 11 patients (3 died); 2021, 12 patients out of 15 patients died; 2022, out of 10 patients with acute poisoning 7 patients died with methanol. All admitted patients with acute methyl alcohol poisoning were in critical condition with severe disorders of vital organs. Conclusion: methanol poisoning occupies one of the leading places among acute poisoning of chemical etiology both in frequency and in the number of adverse outcomes. They are characterized by severe medical, social and economic consequences.
{"title":"Acute methanol poisoning","authors":"R. A. Narzikulov, A. H. Lodyagin, B. V. Batotsyrenov, O. Kuznetsov","doi":"10.24884/2072-6716-2024-25-2-75-81","DOIUrl":"https://doi.org/10.24884/2072-6716-2024-25-2-75-81","url":null,"abstract":"According to the state report «On the state of sanitary and epidemiological welfare of the population in the Russian Federation in 2021», the indicator of acute poisoning with alcohol- containing products amounted to 21.19 cases per 100 thousand population [1]. The purpose of the study: analytical toxicological analysis, features of diagnosis and intensive care of patients hospitalized with acute methanol poisoning in the toxicological center of the metropolis. Materials and methods of research. The medical documents of 46 patients admitted to the Acute Poisoning Center were analyzed GBU St. Petersburg Research Institute of Joint Venture named after I. I. Janelidze in 2019–2022 with a diagnosis of «Acute methanol poisoning». Category ICD-10: T51.1. A statistical and chemical- toxicological study was conducted upon admission of patients to the hospital and in dynamics after intensive care. The results of the study. According to the data of the Central Research Center of the St. Petersburg Research Institute of Joint Venture named after I. I. Janelidze, the number of patients with acute methyl alcohol poisoning was: 2019, 10 patients were admitted (of which 3 patients died); 2020, 11 patients (3 died); 2021, 12 patients out of 15 patients died; 2022, out of 10 patients with acute poisoning 7 patients died with methanol. All admitted patients with acute methyl alcohol poisoning were in critical condition with severe disorders of vital organs. Conclusion: methanol poisoning occupies one of the leading places among acute poisoning of chemical etiology both in frequency and in the number of adverse outcomes. They are characterized by severe medical, social and economic consequences.","PeriodicalId":517874,"journal":{"name":"EMERGENCY MEDICAL CARE","volume":" 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141831710","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-07-16DOI: 10.24884/2072-6716-2024-25-2-25-31
G. A. Rysev, I. M. Barsukova, A. I. Makhnovsky, A. V. Rysev
Introduction. Alcohol poisoning as a global medical problem requires detailed study to find new modern approaches to providing care to patients of this profile. Alcohol remains one of the leading causes of death among the working population of our country. This article examines the medical and statistical characteristics of patients with ethanol poisoning admitted to the St. Petersburg I. I. Dzhanelidze research institute of emergency care for the period 2018–2022. Purpose of the study: To identify the main medical and statistical characteristics of patients diagnosed with «Toxic effects of ethanol» admitted to the St. Petersburg I.I. Dzhanelidze research institute of emergency care from 2018 to 2022. Materials and methods. During the study, we analyzed data from 40,651 patients hospitalized at the St. Petersburg I.I. Dzhanelidze research institute of emergency care (city toxicology center) with a diagnosis of «Acute ethanol poisoning» in 2018–2022. Results and discussion. The annual count of patients was 8130.2±5751.3 people. There was a significant decrease in patients (by 77.6%, 10,257 people, p<0.05). The age range of the patients was from 18 to 90 (42.3±11.8) years. In 2022, the average age of patients is 42.1±8.8 years, mode — 36 years, median — 41 years. When assessing age indicators, it was found that the majority of hospitalized patients (30.7%) were aged from 31 to 40 years, p<0.05. The smallest number (1.8%) were of older patients (70 years or more), p<0.05. The gender distribution of patients is characterized by a 4.8-fold predominance of men (82.9%) compared to women (17.1%). There was no significant difference in the gender distribution of patients by year, p>0.05. Conclusions. A significant decrease in the number of admissions during this period — 4.5 times (77.6%) due to the redistribution of patients between city hospitals, the approval of new routing schemes in order to improve medical care for patients, and optimize the work of emergency hospitals. The average age of the patients was 42.1±8.8 years, with no significant differences in age-related quantitative indicators by year. The gender distribution is characterized by a 4.8-fold predominance of men (82.9%) compared to women (17.1%), without a significant difference in the gender distribution of patients by year.
{"title":"Medical and statistical characteristics of patients reflection of ethanol in the emergency hospital","authors":"G. A. Rysev, I. M. Barsukova, A. I. Makhnovsky, A. V. Rysev","doi":"10.24884/2072-6716-2024-25-2-25-31","DOIUrl":"https://doi.org/10.24884/2072-6716-2024-25-2-25-31","url":null,"abstract":"Introduction. Alcohol poisoning as a global medical problem requires detailed study to find new modern approaches to providing care to patients of this profile. Alcohol remains one of the leading causes of death among the working population of our country. This article examines the medical and statistical characteristics of patients with ethanol poisoning admitted to the St. Petersburg I. I. Dzhanelidze research institute of emergency care for the period 2018–2022. Purpose of the study: To identify the main medical and statistical characteristics of patients diagnosed with «Toxic effects of ethanol» admitted to the St. Petersburg I.I. Dzhanelidze research institute of emergency care from 2018 to 2022. Materials and methods. During the study, we analyzed data from 40,651 patients hospitalized at the St. Petersburg I.I. Dzhanelidze research institute of emergency care (city toxicology center) with a diagnosis of «Acute ethanol poisoning» in 2018–2022. Results and discussion. The annual count of patients was 8130.2±5751.3 people. There was a significant decrease in patients (by 77.6%, 10,257 people, p<0.05). The age range of the patients was from 18 to 90 (42.3±11.8) years. In 2022, the average age of patients is 42.1±8.8 years, mode — 36 years, median — 41 years. When assessing age indicators, it was found that the majority of hospitalized patients (30.7%) were aged from 31 to 40 years, p<0.05. The smallest number (1.8%) were of older patients (70 years or more), p<0.05. The gender distribution of patients is characterized by a 4.8-fold predominance of men (82.9%) compared to women (17.1%). There was no significant difference in the gender distribution of patients by year, p>0.05. Conclusions. A significant decrease in the number of admissions during this period — 4.5 times (77.6%) due to the redistribution of patients between city hospitals, the approval of new routing schemes in order to improve medical care for patients, and optimize the work of emergency hospitals. The average age of the patients was 42.1±8.8 years, with no significant differences in age-related quantitative indicators by year. The gender distribution is characterized by a 4.8-fold predominance of men (82.9%) compared to women (17.1%), without a significant difference in the gender distribution of patients by year.","PeriodicalId":517874,"journal":{"name":"EMERGENCY MEDICAL CARE","volume":" 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141831828","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-07-16DOI: 10.24884/2072-6716-2024-25-2-4-10
S. F. Bagnenko, V. V. Stozharov, V. M. Teplov, N. V. Razumnyi
Purpose: develop target indicators for modernizing the work of hospital departments admitting patients for emergency medical reasons. Tasks: analyze the reasons behind the need to modernize the work of hospital departments admitting patients for emergency medical reasons; study the experience of creating and operating inpatient emergency departments in the Russian Federation; justify the need for state support for modernizing the work of hospital departments admitting patients for emergency medical reasons, and target performance indicators for its implementation. Materials and methods: to conduct the study, statistical methods were used in order to study the work of the emergency medical service, materials from the analysis of regulatory legal acts regulating the provision of emergency medical care in inpatient conditions, and state programs of the Russian Federation for the development of emergency medical care. Results: in the Russian Federation, the increase in the number of patients admitted to hospitals for emergency medical reasons necessitates the modernization of these hospitals. This modernization should be carried out in the direction of creating inpatient emergency departments in large multidisciplinary hospitals and in the direction of organizing the provision of emergency medical care in inpatient conditions in smaller hospitals. Objective reasons were identified why the reorganization of hospital admissions departments with the creation of inpatient emergency departments on their basis was carried out only in certain constituent entities of the Russian Federation, and not in the majority of constituent entities of the Russian Federation. To modernize the work of hospital units that admit patients for emergency medical reasons, government support is needed to finance the construction (reconstruction) and equipment of such units. In order to assess the effectiveness of this modernization, it is advisable to use the developed target indicators. Conclusion: modernization of the work of hospital departments admitting patients for emergency medical reasons, and the developed target indicators for its assessment, will improve the availability and quality of emergency medical care in inpatient conditions.
{"title":"Target indicators for the development of emergency medical care provided in inpatient conditions","authors":"S. F. Bagnenko, V. V. Stozharov, V. M. Teplov, N. V. Razumnyi","doi":"10.24884/2072-6716-2024-25-2-4-10","DOIUrl":"https://doi.org/10.24884/2072-6716-2024-25-2-4-10","url":null,"abstract":"Purpose: develop target indicators for modernizing the work of hospital departments admitting patients for emergency medical reasons. Tasks: analyze the reasons behind the need to modernize the work of hospital departments admitting patients for emergency medical reasons; study the experience of creating and operating inpatient emergency departments in the Russian Federation; justify the need for state support for modernizing the work of hospital departments admitting patients for emergency medical reasons, and target performance indicators for its implementation. Materials and methods: to conduct the study, statistical methods were used in order to study the work of the emergency medical service, materials from the analysis of regulatory legal acts regulating the provision of emergency medical care in inpatient conditions, and state programs of the Russian Federation for the development of emergency medical care. Results: in the Russian Federation, the increase in the number of patients admitted to hospitals for emergency medical reasons necessitates the modernization of these hospitals. This modernization should be carried out in the direction of creating inpatient emergency departments in large multidisciplinary hospitals and in the direction of organizing the provision of emergency medical care in inpatient conditions in smaller hospitals. Objective reasons were identified why the reorganization of hospital admissions departments with the creation of inpatient emergency departments on their basis was carried out only in certain constituent entities of the Russian Federation, and not in the majority of constituent entities of the Russian Federation. To modernize the work of hospital units that admit patients for emergency medical reasons, government support is needed to finance the construction (reconstruction) and equipment of such units. In order to assess the effectiveness of this modernization, it is advisable to use the developed target indicators. Conclusion: modernization of the work of hospital departments admitting patients for emergency medical reasons, and the developed target indicators for its assessment, will improve the availability and quality of emergency medical care in inpatient conditions.","PeriodicalId":517874,"journal":{"name":"EMERGENCY MEDICAL CARE","volume":" 12","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141832578","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-07-16DOI: 10.24884/2072-6716-2024-25-2-18-24
Y. Khachaturov, N. F. Plavunov, A. M. Sidorov, V. A. Kadyshev, P. N. Vlasov
In recent years, the number of diagnosed cases of stroke in children and adolescents has significantly increased. Purpose: to study the prevalence and structure of calls from emergency medical teams (EMS) to children and adolescents with a preliminary diagnosis of stroke, taking into account age, gender and seasonality in Moscow. Objectives: to analyse calls from emergency medical services teams in Moscow to children and adolescents, to study the prevalence of childhood stroke. To establish the structure of childhood strokes and the most common types of stroke. To track the dynamics of average monthly indicators of EMS calls to pediatric patients with a preliminary diagnosis of stroke and to clarify the patterns specific to the prevalence of calls to EMS teams during the year. Materials and methods: there was carried out an analysis of the prevalence and structure of calls from emergency medical teams to patients with a preliminary diagnosis of acute cerebrovascular accident among the child population of Moscow. The distribution of cases of acute cerebrovascular accident was analysed depending on the gender and age of the child, and types of stroke. Results of the study: Age, gender and seasonal characteristics, prevalence and structure of nosological forms and types of stroke were identified. It was found that stroke is more common in children aged 7 to 15 years — 1 453 cases (57%). In 73.5% of cases, the visiting medical staff of the EMS diagnosed a transient ischemic attack, in 19.3% — a stroke not specified as a cerebral hemorrhage or infarction, in 4.4% — a subarachnoid hemorrhage, in 1.7% — a hemorrhagic stroke, and in 1.1% — cerebral infarction. An increase in the number of calls is observed from September to April (77.8% of all calls from emergency medical services teams).
{"title":"Prevalence and structure of calls from the Moscow emergency medical team to children with stroke","authors":"Y. Khachaturov, N. F. Plavunov, A. M. Sidorov, V. A. Kadyshev, P. N. Vlasov","doi":"10.24884/2072-6716-2024-25-2-18-24","DOIUrl":"https://doi.org/10.24884/2072-6716-2024-25-2-18-24","url":null,"abstract":"In recent years, the number of diagnosed cases of stroke in children and adolescents has significantly increased. Purpose: to study the prevalence and structure of calls from emergency medical teams (EMS) to children and adolescents with a preliminary diagnosis of stroke, taking into account age, gender and seasonality in Moscow. Objectives: to analyse calls from emergency medical services teams in Moscow to children and adolescents, to study the prevalence of childhood stroke. To establish the structure of childhood strokes and the most common types of stroke. To track the dynamics of average monthly indicators of EMS calls to pediatric patients with a preliminary diagnosis of stroke and to clarify the patterns specific to the prevalence of calls to EMS teams during the year. Materials and methods: there was carried out an analysis of the prevalence and structure of calls from emergency medical teams to patients with a preliminary diagnosis of acute cerebrovascular accident among the child population of Moscow. The distribution of cases of acute cerebrovascular accident was analysed depending on the gender and age of the child, and types of stroke. Results of the study: Age, gender and seasonal characteristics, prevalence and structure of nosological forms and types of stroke were identified. It was found that stroke is more common in children aged 7 to 15 years — 1 453 cases (57%). In 73.5% of cases, the visiting medical staff of the EMS diagnosed a transient ischemic attack, in 19.3% — a stroke not specified as a cerebral hemorrhage or infarction, in 4.4% — a subarachnoid hemorrhage, in 1.7% — a hemorrhagic stroke, and in 1.1% — cerebral infarction. An increase in the number of calls is observed from September to April (77.8% of all calls from emergency medical services teams).","PeriodicalId":517874,"journal":{"name":"EMERGENCY MEDICAL CARE","volume":" 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141831718","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-07-16DOI: 10.24884/2072-6716-2024-25-2-11-17
A. I. Makhnovskiy, O. N. Ergashev, K. N. Zvonik, V. V. Stozharov, A. Miroshnichenko, I. S. Kochoyan, E. K. Nikitina
Introduction. Medical and economic analysis makes it possible to evaluate the effectiveness of medical organizations and justify management decisions to optimize their activities. The purpose of the study: to conduct a medical and economic analysis of the activities of medical organizations in St. Petersburg in providing medical care to patients with injuries in inpatient settings. Materials and methods: according to the data of the Territorial Compulsory Medical Insurance Fund, a patient register has been formed with injuries (ICD-10 codes: S00.0–T09.9) for the period 01.01.2015–31.12.2023, n=1269235. The peculiarities of the application of compulsory health insurance tariffs for adults and children have been studied: The 1st group consisted of patients discharged from the emergency department (inpatient emergency department), the 2nd group consisted of patients admitted to the hospital and not treated in the intensive care unit, the 3rd group consisted of patients treated in the intensive care unit. The results of the study. During the specified period, the number of cases of inpatient medical care for patients with injuries in St. Petersburg decreased: among adult patients — by 32.5%, among children — by 50.3%; the decrease was due to a decrease in the number of patients of the 1st group. At the same time, the proportion of 1st group patients who received medical care in emergency beds (without hospitalization in hospital departments) increased: among adult patients to 65.1%, among children — to 20.1%. The cost of compulsory medical insurance to pay for medical care for adult patients increased by 66.9% to 1999.3 thousand rubles; the cost of paying for medical care for children increased by 71.0% to 575.6 thousand rubles.
{"title":"The working model of the regional register of patients with injuries: message two. Medical and economic aspects of providing medical care to patients with injuries in hospitals","authors":"A. I. Makhnovskiy, O. N. Ergashev, K. N. Zvonik, V. V. Stozharov, A. Miroshnichenko, I. S. Kochoyan, E. K. Nikitina","doi":"10.24884/2072-6716-2024-25-2-11-17","DOIUrl":"https://doi.org/10.24884/2072-6716-2024-25-2-11-17","url":null,"abstract":"Introduction. Medical and economic analysis makes it possible to evaluate the effectiveness of medical organizations and justify management decisions to optimize their activities. The purpose of the study: to conduct a medical and economic analysis of the activities of medical organizations in St. Petersburg in providing medical care to patients with injuries in inpatient settings. Materials and methods: according to the data of the Territorial Compulsory Medical Insurance Fund, a patient register has been formed with injuries (ICD-10 codes: S00.0–T09.9) for the period 01.01.2015–31.12.2023, n=1269235. The peculiarities of the application of compulsory health insurance tariffs for adults and children have been studied: The 1st group consisted of patients discharged from the emergency department (inpatient emergency department), the 2nd group consisted of patients admitted to the hospital and not treated in the intensive care unit, the 3rd group consisted of patients treated in the intensive care unit. The results of the study. During the specified period, the number of cases of inpatient medical care for patients with injuries in St. Petersburg decreased: among adult patients — by 32.5%, among children — by 50.3%; the decrease was due to a decrease in the number of patients of the 1st group. At the same time, the proportion of 1st group patients who received medical care in emergency beds (without hospitalization in hospital departments) increased: among adult patients to 65.1%, among children — to 20.1%. The cost of compulsory medical insurance to pay for medical care for adult patients increased by 66.9% to 1999.3 thousand rubles; the cost of paying for medical care for children increased by 71.0% to 575.6 thousand rubles.","PeriodicalId":517874,"journal":{"name":"EMERGENCY MEDICAL CARE","volume":" 20","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141832223","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-07-16DOI: 10.24884/2072-6716-2024-25-2-32-40
S. A. Gumenyuk, V. I. Yarema, S. A. Fedotov, A. B. Fedin, S. M. Lyavina, V. I. Vechorko
In Moscow, there are possibilities for evacuating victims by ambulance and ambulance helicopter, while pre-hospital diagnosis of bleeding resulting from trauma is important for the victim. The purpose of the study was to analyze the results of sanitary aviation evacuation in a metropolis of victims with trauma (isolated, multiple, combined or combined), including internal bleeding, the causes of which were the influence of external factors. The objective of the study was to assess the speed of hospitalization of emergency victims with the help of ambulance helicopters, as well as the results of their treatment, with the identification of possible places where the time of the start of the operation was delayed from the moment of injury. Materials and methods. Our study included patients (52 people) hospitalized with the help of AMB in specialized medical institutions in Moscow from 2019 to 2023, with diagnoses of trauma to various organs, bleeding (ICD-10 classes of trauma, poisoning and some other consequences of external causes (S00-T98)). Results. The time for evacuation of emergency victims to a multidisciplinary hospital using ambulance helicopters in Moscow ranged from 56.3 to 155.4 minutes, depending on the distance to the multidisciplinary hospital. When compared, the time of hospitalization of patients in hospitals by ambulance, at similar distances, ranged from 82.3 to 137.5 minutes when the victims were located up to 90 km from a multidisciplinary hospital. At distances of more than 90 km, ambulances did not go for hospitalization to multidisciplinary hospitals in Moscow, and there is currently practically no alternative to an ambulance helicopter in emergencies. Conclusion. In the article, we analyzed the results of treatment of victims of external factors, evacuated by a medical helicopter, with isolated, multiple, associated and combined trauma, including signs of intra-abdominal or intrathoracic bleeding. The number of evacuations of victims by ambulance helicopter in case of such damage in a metropolis per year was determined. The reasons that prevent the victim from getting to the operating table were identified and the results of treatment of these patients in hospitals were assessed. Creating a clear evacuation algorithm if the victim has hemoperitoneum or hemothorax will allow timely initiation of measures to finally stop bleeding and improve treatment results.
{"title":"Sanitary aviation evacuation of victims with combined trauma and intracavitary bleeding in a metrocity","authors":"S. A. Gumenyuk, V. I. Yarema, S. A. Fedotov, A. B. Fedin, S. M. Lyavina, V. I. Vechorko","doi":"10.24884/2072-6716-2024-25-2-32-40","DOIUrl":"https://doi.org/10.24884/2072-6716-2024-25-2-32-40","url":null,"abstract":"In Moscow, there are possibilities for evacuating victims by ambulance and ambulance helicopter, while pre-hospital diagnosis of bleeding resulting from trauma is important for the victim. The purpose of the study was to analyze the results of sanitary aviation evacuation in a metropolis of victims with trauma (isolated, multiple, combined or combined), including internal bleeding, the causes of which were the influence of external factors. The objective of the study was to assess the speed of hospitalization of emergency victims with the help of ambulance helicopters, as well as the results of their treatment, with the identification of possible places where the time of the start of the operation was delayed from the moment of injury. Materials and methods. Our study included patients (52 people) hospitalized with the help of AMB in specialized medical institutions in Moscow from 2019 to 2023, with diagnoses of trauma to various organs, bleeding (ICD-10 classes of trauma, poisoning and some other consequences of external causes (S00-T98)). Results. The time for evacuation of emergency victims to a multidisciplinary hospital using ambulance helicopters in Moscow ranged from 56.3 to 155.4 minutes, depending on the distance to the multidisciplinary hospital. When compared, the time of hospitalization of patients in hospitals by ambulance, at similar distances, ranged from 82.3 to 137.5 minutes when the victims were located up to 90 km from a multidisciplinary hospital. At distances of more than 90 km, ambulances did not go for hospitalization to multidisciplinary hospitals in Moscow, and there is currently practically no alternative to an ambulance helicopter in emergencies. Conclusion. In the article, we analyzed the results of treatment of victims of external factors, evacuated by a medical helicopter, with isolated, multiple, associated and combined trauma, including signs of intra-abdominal or intrathoracic bleeding. The number of evacuations of victims by ambulance helicopter in case of such damage in a metropolis per year was determined. The reasons that prevent the victim from getting to the operating table were identified and the results of treatment of these patients in hospitals were assessed. Creating a clear evacuation algorithm if the victim has hemoperitoneum or hemothorax will allow timely initiation of measures to finally stop bleeding and improve treatment results.","PeriodicalId":517874,"journal":{"name":"EMERGENCY MEDICAL CARE","volume":" 40","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141832201","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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