{"?xml":{"@version":"1.0"},"edm:RDF":{"@xmlns:dc":"http://purl.org/dc/elements/1.1/","@xmlns:edm":"http://www.europeana.eu/schemas/edm/","@xmlns:wgs84_pos":"http://www.w3.org/2003/01/geo/wgs84_pos","@xmlns:foaf":"http://xmlns.com/foaf/0.1/","@xmlns:rdaGr2":"http://rdvocab.info/ElementsGr2","@xmlns:oai":"http://www.openarchives.org/OAI/2.0/","@xmlns:owl":"http://www.w3.org/2002/07/owl#","@xmlns:rdf":"http://www.w3.org/1999/02/22-rdf-syntax-ns#","@xmlns:ore":"http://www.openarchives.org/ore/terms/","@xmlns:skos":"http://www.w3.org/2004/02/skos/core#","@xmlns:dcterms":"http://purl.org/dc/terms/","edm:WebResource":[{"@rdf:about":"http://www.dlib.si/stream/URN:NBN:SI:DOC-WHG70NUO/847848af-e4bf-4f40-98e1-21ca0f9e3b9a/HTML","dcterms:extent":"35 KB"},{"@rdf:about":"http://www.dlib.si/stream/URN:NBN:SI:DOC-WHG70NUO/20b72841-2cf1-4ab1-87af-f0a7464c2e73/PDF","dcterms:extent":"107 KB"},{"@rdf:about":"http://www.dlib.si/stream/URN:NBN:SI:DOC-WHG70NUO/d6ef9399-640d-4867-9105-387041cb825f/TEXT","dcterms:extent":"33 KB"}],"edm:TimeSpan":{"@rdf:about":"1929-2026","edm:begin":{"@xml:lang":"en","#text":"1929"},"edm:end":{"@xml:lang":"en","#text":"2026"}},"edm:ProvidedCHO":{"@rdf:about":"URN:NBN:SI:DOC-WHG70NUO","dcterms:isPartOf":[{"@rdf:resource":"https://www.dlib.si/details/urn:nbn:si:spr-a30mfzkp"},{"@xml:lang":"sl","#text":"Zdravniški vestnik"}],"dcterms:issued":"2003","dc:creator":["Dobovišek, Jurij","Horvat, Alojz","Keber, Irena","Lainščak, Mitja"],"dc:format":[{"@xml:lang":"sl","#text":"številka:3"},{"@xml:lang":"sl","#text":"letnik:72"},{"@xml:lang":"sl","#text":"str. 135-140"}],"dc:identifier":["ISSN:1318-0347","COBISSID:16472025","URN:URN:NBN:SI:doc-WHG70NUO"],"dc:language":"sl","dc:publisher":{"@xml:lang":"sl","#text":"Slovensko zdravniško društvo"},"dc:subject":[{"@xml:lang":"sl","#text":"Bolnišnice splošne"},{"@xml:lang":"sl","#text":"Bolnišnice univerzitetne"},{"@xml:lang":"en","#text":"cardiovascular disease"},{"@xml:lang":"en","#text":"Diagnosis"},{"@xml:lang":"en","#text":"diagnostika"},{"@xml:lang":"en","#text":"Drug Therapy"},{"@xml:lang":"en","#text":"heart"},{"@xml:lang":"en","#text":"Heart Failure, Congestive"},{"@xml:lang":"en","#text":"Hospitals, General"},{"@xml:lang":"en","#text":"Hospitals, University"},{"@xml:lang":"sl","#text":"kardiovaskularne bolezni"},{"@xml:lang":"en","#text":"Retrospective Studies"},{"@xml:lang":"sl","#text":"Retrospektivne študije"},{"@xml:lang":"sl","#text":"srce"},{"@xml:lang":"sl","#text":"Srce, odpoved kongestivna"},{"@xml:lang":"sl","#text":"srčno popuščanje"},{"@xml:lang":"en","#text":"Therapy"},{"@xml:lang":"sl","#text":"zdravljenje"}],"dcterms:temporal":{"@rdf:resource":"1929-2026"},"dc:title":{"@xml:lang":"sl","#text":"Obravnava bolnikov s srčnim popuščanjem v splošni in univerzitetni bolnišnici v letu 1997| Treatment of heart failure patients in university and general hospital in 1997|"},"dc:description":[{"@xml:lang":"sl","#text":"Background. Chronic heart failure is a serious condition with high morbidity and mortality. Prognosis can be improved with early diagnosis and adequate nonpharmacologic and pharmacologic treatment. Aims of the study. Aim of the study was a comparison of diagnostic and therapeutic management of patients who were hospitalized in the University or Community hospital Methods. The hospital records of patients, hospitalized for heart failure, from University hospital (UH, Internal clinic, Department of angiology, Department of hypertension) and Community hospital (CH, Department of Internal medicine) were reviewed retrospectively. We included all consecutive patients in the period from January 1, 1997 to June 30, 1997 (CH) and December 31, 1997 (UH) who were discharged or died with diagnosis of a heart failure. Results. Six hundred and twenty five patients (307 from CH and 318 from UH), aged 76 11 years, were included in the survey. In 308 (49%) patients heart failure was diagnosed prior to index hospitalization. Rehospitalization rate was 42%. Etiology of heart failure was ischemic heart disease (36%), arterial hypertension (37%), dilated cardiomyopathy (16%) and valvular heart disease (15%). The hospital stay was 14 10 days in UH and 10 6 days in CH (p < 0.001). Overall in-hospital mortality reached 16% (98 patients) and was 8% in UH and 24% in CH (< 0.001). Echocardiography was performed in UH in 45% and inCH in 13 % of all patients and in 50% vs. 22% of patients, hospitalized for the first time. At the discharge the following drugs were prescribed (UH vs. CH): diuretics (82% vs. 73%), ACE inhibitors (61% vs. 33%), digoxin (54% vs. 71 %) beta-adrenergic blockers (3% vs. 0%) and antiarrhytmics (7% vs. 32%). (Abstract truncated at 2000 characters)"},{"@xml:lang":"sl","#text":"Izhodišča. Kronično srčno popuščanje povzroča veliko zbolevnost in umrljivost.Prognozo lahko izboljšamo s hitro diagnostiko in pravilnim farmakološkim in nefarmakološkim zdravljenjem. Namen raziskave. Primerjali smodiagnostične in terapevtske postopke pri bolnikih s srčnim popuščanjem, ki so bili hospitalizirani v univerzitetni in regionalni splošni bolnišnici. Metode. V retrospektivni raziskavi smo podatke zbrali s pregledom bolnišnične dokumentacije zaporednih bolnikov, ki so bili hospitalizirani od 1. 1. 2997 do30. 6 1997 (Splošna bolnišnica Murska Sobota - SB) in do 31. 12. 1997 (Klinični center, Interne klinike, Klinični oddelek za žilne bolezni, Kliničnioddelek za hipertenzijo - UB) in so bili odpuščeni ali so umrli z diagnozo srčno popuščanje. Rezultati. Vključili smo 625 bolnikov, starih 76 +-12 let, 307 bolnikov iz SB in 318 iz UB. Pri 308 (49%) bolnikih je bila diagnoza srčnega popuščanja postavljena je pred sedanjo hospitalizacijo, pri 260 (42%) bolnikih je šlo za ponovno hospitalizacijo. Etiološko je bil vzrok srčnega popuščanja ishemična bolezen srca pri 36%, arterijska hipertenzija pri37%, dilatativna kardiomiopatija pri 16% in valvulna hiba pri 15%. Med hospitalizacijo je umrlo 98 bolnikov (16%), v SB 24% in v UB 8% (p < 0, 001). Trajanje hospitalizacije je bilo v UB 14 +- 10 in v SB 10 +- 6 dni (p < p, 001). Ultrazvočna preiskava srca je bila opravljena v UB pri 45% in v SB pri 13% vseh bolnikov (p < 0, 001) in pri 50% ter 22% bolnikov, prvikrat hospitaliziranih zaradi srčnega popuščanja. Farmakološko zdravljenje, predpisano ob odpustu, je bilo (UB vs. SB): diuretiki (82% vs. 73%), zaviralciangiotenzinske konvertaze (61 % vs. 33%), digitalis (54% vs. 71 %), zaviralci beta-adrenergičnih receptorjev (3% vs. 0%), antiaritmiki (7% vs. 32%). Med bolniki s sistolično disfunkcijo jih je 69% iz UB in 32% iz SB prejemalo zaviralce ACE. (Izvleček prekinjen pri 2000 znakih)"}],"edm:type":"TEXT","dc:type":[{"@xml:lang":"sl","#text":"znanstveno časopisje"},{"@xml:lang":"en","#text":"journals"},{"@rdf:resource":"http://www.wikidata.org/entity/Q361785"}]},"ore:Aggregation":{"@rdf:about":"http://www.dlib.si/?URN=URN:NBN:SI:DOC-WHG70NUO","edm:aggregatedCHO":{"@rdf:resource":"URN:NBN:SI:DOC-WHG70NUO"},"edm:isShownBy":{"@rdf:resource":"http://www.dlib.si/stream/URN:NBN:SI:DOC-WHG70NUO/20b72841-2cf1-4ab1-87af-f0a7464c2e73/PDF"},"edm:rights":{"@rdf:resource":"http://creativecommons.org/licenses/by-nc/4.0/"},"edm:provider":"Slovenian National E-content Aggregator","edm:intermediateProvider":{"@xml:lang":"en","#text":"National and University Library of Slovenia"},"edm:dataProvider":{"@xml:lang":"sl","#text":"Slovensko zdravniško društvo"},"edm:object":{"@rdf:resource":"http://www.dlib.si/streamdb/URN:NBN:SI:DOC-WHG70NUO/maxi/edm"},"edm:isShownAt":{"@rdf:resource":"http://www.dlib.si/details/URN:NBN:SI:DOC-WHG70NUO"}}}}