Croatian medical journal
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Croatian medical journal · Dec 2005
Evaluation of single intensive care unit performance by simplified acute physiology score II system.
To evaluate effectiveness and quality of care in a single intensive care unit (ICU) by the Simplified Acute Physiology Score II (SAPS II). ⋯ SAPS II system is a useful tool for the assessment of ICU performance. This system demonstrated a good ability of discrimination, but an under-prediction of the actual mortality rate in our ICU.
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Croatian medical journal · Dec 2005
Randomized Controlled Trial Clinical TrialLevosimendan as a new strategy during off-pump coronary artery bypass grafting: double-blind randomized placebo-controlled trial.
To determine if levosimendan could improve cardiac performance during off-pump coronary artery bypass grafting in patients with normal preoperative left ventricular function. ⋯ Administration of 12 microg/kg of levosimendan enhances the left ventricular performance and offers a promising therapeutic option during off-pump coronary artery bypass grafting in patients with good preoperative left ventricular function.
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Croatian medical journal · Dec 2005
In-hospital cardiac arrest and resuscitation outcomes: rationale for sudden cardiac death approach.
To assess the frequency of cardiac arrest and outcomes and predictors of survival after cardiopulmonary resuscitation in hospitalized patients. ⋯ The rate of successful resuscitation was higher in the coronary care unit, during the day and in younger witnessed cardiac arrest patients with ventricular fibrillation or pulseless ventricular tachycardia.
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Croatian medical journal · Dec 2005
Comparative StudyComparison of on-demand vs planned relaparotomy for treatment of severe intra-abdominal infections.
To compare morbidity and mortality of patients with severe intra-abdominal infections after two types of surgical treatment, on-demand ("wait and see") relaparotomy and modified planned relaparotomy. ⋯ Patients with severe peritonitis treated with planned relaparotomy seemed to have lower mortality. However, the relative risk of dying was not statistically different between the on-demand and planned relaparotomy groups after adjustment for preoperative APACHE II scores. The severity of disease rather than surgical approach plays more important role in survival of these patients.
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Croatian medical journal · Dec 2005
Trends in acute myocardial infarction mortality and morbidity from 1979 to 2001 in the City of Zagreb, Croatia.
To define trends in age-adjusted acute myocardial infarction mortality and morbidity in women and men in the city of Zagreb, Croatia, in the period 1979-2001. ⋯ The age-adjusted attack rates, mortality rates, prehospital death rates, and case-fatality rates showed a definite decline since the early 1990s for both men and women, but the decline was greater for men.