Avtor/Urednik		Veninšek, Gregor
Naslov		Nekateri vidiki kakovosti ambulantne obravnave bolnikov s sladkorno boleznijo v Splošni bolnišnici Celje
Prevedeni naslov		Diabetes management in Celje general hospital
Tip		članek
Vir		Zdrav Vestn
Vol. in št.		Letnik 70, št. Suppl 1
Leto izdaje		2001
Obseg		str. I-7-10
Jezik		slo
Abstrakt		Background. The prevalence of diabetes is growing. Development of chronic complications of diabetes can be prevented by intensive treatment. It is of utmost importance to know characteristics of treated population to follow it up and adjust measures. We conducted an evaluation of population of diabetic patients treated in Celje General Hospital. Methods. We studied 156 outpatients treated in Celje General Hospital in January 2000. We collected data on basic anthropologic characteristics, data on type, duration and treatment modality of diabetes, metabolic parameters, risk factors for development and presence of chronic complications. We specially a subgroup of diabetics treated in our outpatient service less than two years. Results. The mean age of patients was 58 years. They have been treated for diabetes in average for 10 years. 94% of patients were type 2.3% of patients had secundary diabetes and 3% had type 1 diabetes. 74% were overweight. 37% of patients had HbA1c equal or below 7.5%. 45% of patients had LDL equal or below 3.0 mmol/l, and 52% of patients had blood pressure equal or below 140/90 mmHg. Retinopathy was present in 34%, renal failure in 10% and neuropathy in 35%. Amputation on a lower limb had had 1% of patients. 56% of patients were treated only with oral hypoglycaemic drugs, 6% diet only and 38% of patients were treated with insulin either alone or in combination with oral hypoglycaemic drugs. In diabetics that we treat less than two years at least one late complication was present in 73%. Conclusions. Diabetics are referred to our service when complications of treatment of diabetes or chronic complications of diabetes are present. In the beginning of year 2000 we achieved acceptable value of HbA1c in 37% of patients, that of LDL and blood pressure in 45% and 52%, respectively. Prevalence of chronic complications of diabetes was comparable with the data from the literature.
Izvleček		Izhodišča. Prevalenca sladkorne bolezni v svetu hitro narašča. Učinkovito zdravljenje sladkorne bolezni zmanjša oziroma upočasni razvoj poznih zapletov. Za spremljanje učinka in prilagajanje ukrepov je nujno poznavanje obravnavane populacije. Napravili smo pregled nekaterih kazalnikov kakovosti oskrbe bolnikov, ki jih obravnavamo v Ambulanti za sladkorno bolezen SB Celje. Metode. Pregledali smo lastno zdravstveno dokumentacijo 156 naključno izbranih bolnikov, ki smo jih obravnavali v Ambulanti za sladkorno bolezen v januarju 2000. Zbrali smo splošne antropološke podatke, podatke o vrsti, trajanju in načinu zdravljenja sladkorne bolezni, podatke o dejavnikih tveganja za razvoj kroničnih zapletov in podatke o prisotnosti kroničnih zapletov sladkorne bolezni. Posebej smo predstavil podskupino bolnikov, ki jo v naši Ambulanti obravnavamo manj kot dve leti. Rezultati. Povprečna starost pri nas obravnavanega sladkornega bolnika je 58 let. Sladkorna bolezen je bila v obravnavani skupini zdravljenja v povprečju 10 let. 94% bolnikov je imelo sladkorno bolezen tip 2, 3% bolnikov so imeli sekundarno sladkorno bolezen, preostali bolniki pa so imeli sladkorno bolezen tip 1. 74% bolnikov ima čezmerno telesno težo. 37% bolnikov je imelo vrednost HbA1c manjše ali enako 7,5%, LDL manjši ali enak 3,0 mmol/l45% in krvni tlak manjši ali enak 140/90 mmHg52%. Retinopatija je bila prisotna pri 34%, kronična ledvična insuficienca pri 10%, diabetična nevropatija pri 35%. Amputacijo na spodnjih udih je imel 1% bolnikov. 56% bolnikov je bilo zdravljenih samo s peroralnimi antidiabetiki, 6% samo z dieto, 38% je prejemalo inzulin samostojno ali v kombinaciji s peroralno terapijo. Pri bolnikih, ki smo jih abravnavali manj kot dve leti, je bil prisoten vsaj en kronični zaplet sladkorne bolezni v 73%. Zaključki. (Izvleček prekinjen pri 2000 znakih).
Deskriptorji		DIABETES MELLITUS AMBULATORY CARE RISK FACTORS DIABETIC ANGIOPATHIES DIABETIC NEUROPATHIES