Changing the structure of the hospitalized patients at the Psychiatric Clinic Vrapce.

Abstract:

INTRODUCTION:Psychiatric treatment in developed countries has significantly changed in the last few decades, with a significant shortening of the duration of hospitalization. Numerous West European countries are undertaking health system reforms to improve treatment efficiency. OBJECTIVE:The aim of the study was to present the structure of hospitalized patients according to diagnostic categories of International Classification of Diseases and Related Health Problems - 10th Revision (ICD-10), and average duration of hospitalization from 2001 till 2010. METHODS:Data was collected from hospital medical charts for the period from 2001 till 2010 on the number of hospitalized patients, diagnosis and duration of hospitalization. RESULTS:Number of hospitalized patients increased by 27% (6309 vs. 8032). Average duration of hospitalization decreased for 45.1% (72.3 vs. 39.7 days), while the number of hospitalized patients decreased from 1284 (20.4%) in 2001 to 995 (12.4%) in 2010, the number of patients hospitalized because of depressive disorder increased from 309 (4.9%) in 2001 to 994 (12.4%) in 2010. The number of patients hospitalized because of enduring personality changes increased from 104 (1.7%) in 2001 to 449 (5.6%) in 2010. CONCLUSION:In the last decade the number of hospitalized patients suffering from schizophrenia at the Psychiatric Clinic Vrapce decreased, while the number of those suffering from depression and enduring personality change increased. The number of hospitalizations in the observed period increased overall. Observed changes can be explained by new therapeutic approaches, but also by objective social and economic factors and organization of the healthcare system.

journal_name

Srp Arh Celok Lek

authors

Bilić P,Ivanis A,Vidović D,Jukić V

subject

Has Abstract

pub_date

2011-12-01 00:00:00

pages

33-5

eissn

0370-8179

issn

2406-0895

journal_volume

139 Suppl 1

pub_type

杂志文章
  • [Metastasis in axillary lymph nodes in breast carcinoma--possibilities of mammographic diagnosis].

    abstract:INTRODUCTION:Enlarged axillary lymph nodes are often found during routine examinations. They are usually circular, oval, lobular, smaller than 1 cm, with typically changed fat centers. The condition of axillary lymph nodes in breast cancer is of great importance for timely diagnosis, because its metastatic spread is a ...

    journal_title:Srpski arhiv za celokupno lekarstvo

    pub_type: 杂志文章

    doi:

    authors: Dimcić M,Stevanović O,Jakovljević B

    更新日期:1997-03-01 00:00:00

  • [Surgical management of developmental disorder of the hip in older children by double osteotomy of the pelvis].

    abstract::Our results of surgery of developmental disorder of the hip (DDH) in older children and adolescents by using the combination of Selter's innominate osteotomy and osteotomy of the superior pubis ramus were presented in this paper, enclosing the period from 1993 to 1995. The study included 11 hips, i.e. 9 patients, aged...

    journal_title:Srpski arhiv za celokupno lekarstvo

    pub_type: 杂志文章

    doi:10.2298/sarh04s1023b

    authors: Brdar R

    更新日期:2004-10-01 00:00:00

  • [Ewing sarcoma--analysis of epidemiological parameters and their relation to clinical characteristics].

    abstract::The purpose of this investigation was to evaluate epidemiologic features of Ewing sarcoma in children treated in the Institute for Orthopedic Surgery "Banjica: as well as to establish relation of these features to clinical findings. Study involved 78 patients treated over 20-year period (1980-2000). Analysis included ...

    journal_title:Srpski arhiv za celokupno lekarstvo

    pub_type: 杂志文章

    doi:10.2298/sarh0608310s

    authors: Stevanović V,Vukasinović Z,Spasovski D

    更新日期:2006-07-01 00:00:00

  • Early intervention in first episode psychosis: hope for a better future.

    abstract::In the last two decades the clinical and research focus in psychotic disorders has shifted to first episode psychosis, early detection of the prodromal phase of psychosis and an effective integrated treatment model known as "Early Intervention". The first five years of psychosis that is described as a "critical period...

    journal_title:Srpski arhiv za celokupno lekarstvo

    pub_type: 杂志文章,评审

    doi:

    authors: Goldner-Vukov M,Cupina DD,Moore LJ,Baba-Milkić N,Milovanović S

    更新日期:2007-11-01 00:00:00

  • Preoperative administration of cephalosporins for elective caesarean delivery.

    abstract:INTRODUCTION:Antibiotic prophylaxis means administration of antibiotics in prevention of infections. OBJECTIVE:To investigate the efficacy of a single dose preoperative administration of ceftriaxone and cefazolin in the prevention of intra- and postoperative infections in the parturients without high risk of inflammat...

    journal_title:Srpski arhiv za celokupno lekarstvo

    pub_type: 杂志文章

    doi:10.2298/sarh1010600g

    authors: Grujić Z,Popović J,Bogavac M,Grujić I

    更新日期:2010-09-01 00:00:00

  • [The effect of preliminary administration of dimethylsulfoxide on the development of experimental myocardial necrosis in rats treated with isoprenaline].

    abstract::It has been suggested that in the genesis of isoprenaline-induced myocardial necrosis in rats, along with the intracellular calcium homeostasis and energy production breakdown, the mechanism of cytotoxic oxygen free radical generation is also included. The effects of dimethylsulphoxide, a hydroxyl radical scavenger, o...

    journal_title:Srpski arhiv za celokupno lekarstvo

    pub_type: 杂志文章

    doi:

    authors: Ljubuncić P,Mujić F,Stojiljković MP,Vinterhalter-Jadrić M

    更新日期:1991-09-01 00:00:00

  • [Ultrasound in the diagnosis of hypertrophic pyloric stenosis].

    abstract::The paper deals with the advantages of ultrasound diagnosis of hypertrophic pyloric stenosis in newborns. Ultrasound decreases the number of radiological examinations of gastroduodenum and reduces diagnostic exposure of children to X-rays. In the last three years 107 children had manifested clinical signs of hypertrop...

    journal_title:Srpski arhiv za celokupno lekarstvo

    pub_type: 杂志文章

    doi:

    authors: Smoljanić Z,Zivić G,Milovanović D,Krstić Z,Sindjić S,Lukac M,Vukadinović V

    更新日期:2000-05-01 00:00:00

  • [An accident after an accident--an unusual death in a hospitalized patient].

    abstract::The authors present a case of accidental fatal laryngopharyngeal obstruction with bolus of food, in hospital, in a patient who has been treated for twenty days because of injuries sustained in a traffic accident. The injuries were multiple fractures and brain contusions that were not clinically diagnosed, while their ...

    journal_title:Srpski arhiv za celokupno lekarstvo

    pub_type: 杂志文章

    doi:10.2298/sarh0308333n

    authors: Nikolić S,Micić J,Savić S

    更新日期:2003-07-01 00:00:00

  • [Therapeutic and prognostic significance of cardiac biomarkers in patients with the acute coronary syndrome].

    abstract::Diagnostics in patients with the acute coronary syndromes (ACS) is becoming even more complex with the increase of number of available options. In addition, the number of treatment options accessible to patients with ACS keeps on growing rapidly. Physicians must now choose from a wide variety of antiplatelet and antit...

    journal_title:Srpski arhiv za celokupno lekarstvo

    pub_type: 杂志文章,评审

    doi:

    authors: Matunović R,Stojanović A,Mijailović Z,Rabrenović M

    更新日期:2006-03-01 00:00:00

  • Lesion of the femoral nerve caused by a hydatid cyst of the right psoas muscle.

    abstract:INTRODUCTION:Hydatidosis is a human disease caused by the larval form of Echinococcus granulosus. All organs in the human body may be affected by hydatid disease, but excluding liver and lungs, all other organs are considered as uncommon locations. Hydatid disease located in the psoas muscle is uncommon. CASE OUTLINE:...

    journal_title:Srpski arhiv za celokupno lekarstvo

    pub_type: 杂志文章

    doi:10.2298/sarh1008502b

    authors: Bilanović D,Zdravković D,Randjelović T,Tosković B,Gacić J

    更新日期:2010-07-01 00:00:00

  • [Impact of the level of metabolic control on the non-surgical periodontal therapy outcomes in diabetes mellitus type 2 patients--clinical effects].

    abstract:INTRODUCTION:Diabetes mellitus as a complex metabolic disease influences functioning of numerous organs. Chronic periodontitis is one of frequent diabetic complications. OBJECTIVE:The aim of this study was to compare the clinical effects of non-surgical periodontal therapy between diabetes mellitus type 2 patients (DM...

    journal_title:Srpski arhiv za celokupno lekarstvo

    pub_type: 杂志文章

    doi:10.2298/sarh1312738m

    authors: Mirnić J,Djurić M,Predin T,Gusić I,Petrović D,Andjelković A,Bajkin B

    更新日期:2013-11-01 00:00:00

  • The impact of education on adolescents' sun behavior: experiences from Serbia.

    abstract:INTRODUCTION:In Serbia, there have been no broad campaigns or educational programs focused on adolescents' sun protection. OBJECTIVE:The aim of the study was to assess whether an educational program would have impact on changes of attitudes and sun-protective behaviors of high school students. More specific aim was to...

    journal_title:Srpski arhiv za celokupno lekarstvo

    pub_type: 杂志文章,随机对照试验

    doi:10.2298/sarh1406330m

    authors: Miljković S,Baljozović D,Krajnović D,Tasić L,Sbutega-Milosević G

    更新日期:2014-05-01 00:00:00

  • [Breech presentation at term: caesarean section or vaginal delivery?].

    abstract:INTRODUCTION:Term breech presentation occurs in 3-4% of all deliveries. Most obstetricians are completely sure how to end delivery when the foetus is in breech presentation, by caesarean section as the only option. OBJECTIVE:The main goal of the paper was to present the method of delivery for term breech presentation ...

    journal_title:Srpski arhiv za celokupno lekarstvo

    pub_type: 杂志文章

    doi:10.2298/sarh1104155d

    authors: Djurić J,Arsenijević S,Banković D,Protrka Z,Sorak M,Dimitrijević A,Zivanović A

    更新日期:2011-03-01 00:00:00

  • [Radiographic changes in the sella turcica in female patients on chronic hemodialysis].

    abstract::The bone disease in chronic renal failure patients with secondary hyperparathyroidism is usually termed renal osteodystrophy. Radiographic methods have been applied in renal bone disease mainly to discover lesions on long bones, hands and fee. During the evaluation of hormonal disturbances of hemodialysed chronic rena...

    journal_title:Srpski arhiv za celokupno lekarstvo

    pub_type: 杂志文章

    doi:

    authors: Dimitrijević Z,Stojimirović B,Nesić V,Jovanović D,Stosović M,Poskurica M

    更新日期:1996-01-01 00:00:00

  • [Importance of nonspecific and specific bronchoprokocative test in diagnosing allergic bronchial asthma].

    abstract::The paper is aimed at illustrating the importance of nonspecific and specific bronchoprovokative tests for diagnosing allergic bronchial asthma by pathophysiologic mechanisms of hyperiritability of airways and making of specific "schok tissue". Besides we tried to explain these exeptional cases which we encounter in o...

    journal_title:Srpski arhiv za celokupno lekarstvo

    pub_type: 杂志文章

    doi:

    authors: Tanuridzić S,Balaban J,Stefanović Lj,Stosović R,Mitrović N,Djurasinović M

    更新日期:1994-01-01 00:00:00

  • [Congestive heart failure in patients with chronic kidney disease].

    abstract::Cardiovascular disorders are the most frequent cause of death (46-60%) among patients with advanced chronic renal failure (CRF), and on dialysis treatment. Uremic cardiomyopathy is the basic pathophysiologic substrate, whereas ischemic heart disease (IHD) and anemia are the most important contributing factors. Associa...

    journal_title:Srpski arhiv za celokupno lekarstvo

    pub_type: 杂志文章,评审

    doi:10.2298/sarh1412747p

    authors: Poskurica M,Petrović D

    更新日期:2014-11-01 00:00:00

  • [Relation between QT dispersion, left ventricle systolic function and frequency of ventricular arrhythmias in coronary patients].

    abstract:INTRODUCTION:QT dispersion (QTd) is a measure of non-homogeneous repolarisation of the myocardium and is used as an indicator of arrhythmogenicity. OBJECTIVE:The aim of this study was to assess the relation between QT dispersion, left ventricle systolic function and frequency of ventricular arrhythmias in coronary pat...

    journal_title:Srpski arhiv za celokupno lekarstvo

    pub_type: 杂志文章

    doi:10.2298/sarh0708395s

    authors: Stoickov V,Ilić S,Deljanin-Ilić M

    更新日期:2007-07-01 00:00:00

  • Compliance with hypertension guidelines in general practice in Slovenia.

    abstract:INTRODUCTION:Compliance with hypertension guidelines in clinical practice is generally poor, but there was no data about compliance with any guidelines in general practice in Slovenia. OBJECTIVE:Our aim was to find out whether general practitioners in Slovenia managed their hypertensive patients according to the natio...

    journal_title:Srpski arhiv za celokupno lekarstvo

    pub_type: 杂志文章

    doi:10.2298/sarh0704191p

    authors: Petek-Ster M,Kersnik J,Svab I

    更新日期:2007-03-01 00:00:00

  • [The cellular immune reaction in synovial fluid lymphocytes to Ureaplasma antigens in patients with Reiter's syndrome].

    abstract:INTRODUCTION:Reiter's syndrome (RS) is an seronegative arthritis that occurs after urogenital or enteric infection which in addition with occular and/or mucocutaneous manifestations presents complete form of disease. According to previous understanding arthritis in the RS is the reactive one, which means that it is imp...

    journal_title:Srpski arhiv za celokupno lekarstvo

    pub_type: 杂志文章

    doi:10.2298/sarh0308285p

    authors: Pavlica L,Pejnović N,Drasković N

    更新日期:2003-07-01 00:00:00

  • Influence of different methods of internal bone fixation on characteristics of bone callus in experimental animals.

    abstract:INTRODUCTION:Correct choice of osteosynthesis method is a very important factor in providing the optimal conditions for appropriate healing of the fracture. There are still disagreements about the method of stabilization of some long bone fractures. Critically observed, no method of fracture fixation is ideal. Each ost...

    journal_title:Srpski arhiv za celokupno lekarstvo

    pub_type: 杂志文章

    doi:10.2298/sarh1402040g

    authors: Gajdobranski D,Mitkovic M,Vucković N,Milankov M,Jovanović S,Manić M,Mitković M

    更新日期:2014-01-01 00:00:00

  • [Auricular Acantholytic Squamous Cell Carcinoma with Neck Metastasis and Lethal Outcome - Case Report].

    abstract:INTRODUCTION:Acantholytic squamous cell (adenosquamous) carcinoma of the skin are relatively rare subtype of squamous cell carcinoma, usually found in elderly on sun-exposed areas of the skin, predominately head, neck and upper extremities. Incidence of metastasis is 2-14%. CASE OUTLINE:A case of a 76-year-old male, w...

    journal_title:Srpski arhiv za celokupno lekarstvo

    pub_type: 杂志文章

    doi:10.2298/sarh1510599j

    authors: Jotić A,Ješić S,Milovanović J,Krstić B

    更新日期:2015-09-01 00:00:00

  • [Higher dose of erythropoietin for anemia correction in balkan endemic nephropathy patients].

    abstract:INTRODUCTION:Balkan endemic nephropathy (BEN) patients maintained with hemodialysis have more severe anemia than patients with other kidney diseases. OBJECTIVE:The aim of the study was to compare the improvement of anemia in BEN patients and those with other kidney diseases during treatment with human recombinant eryt...

    journal_title:Srpski arhiv za celokupno lekarstvo

    pub_type: 杂志文章

    doi:10.2298/sarh1208456l

    authors: Lukić L,Mitrović D,Kovačević S,Stanišić M,Pelemiš S

    更新日期:2012-07-01 00:00:00

  • [Effect of slow repetitive transcranial magnetic stimulation on depression in patients with Parkinson 's disease].

    abstract::Parkinson's disease (PD), that has usually been associated with movement disorders, is also associated with depression in about 40% of patients [9]. Transcranial magnetic stimulation (TMS) is a new non-invasive technique for direct stimulation of the cerebral cortical neurons [1]. Several open studies have shown that ...

    journal_title:Srpski arhiv za celokupno lekarstvo

    pub_type: 杂志文章

    doi:

    authors: Potrebić A,Dragasević N,Svetel M,Kostić VS

    更新日期:2001-09-01 00:00:00

  • [Guillain-Barre syndrome and antibodies to ganglioside GM1. Case report].

    abstract::A sudden onset of the syndrome Guillain-Barré in 48-year-old woman presenting as an acute motor neuropathy was associated with antibodies against ganglioside GM1 detected by ELISA. The neurological examination revealed flaccid quadriplegia without affection of the sensory system, and the additional investigation showe...

    journal_title:Srpski arhiv za celokupno lekarstvo

    pub_type: 杂志文章

    doi:

    authors: Trisković I,Dimitrijević Lj,Rakocević-Stojanović V,Trikić R,Apostolski S

    更新日期:1996-07-01 00:00:00

  • [Pseudoarthrosis of the scaphoid bone associated with carpal collapse: factors in choice of surgical approach].

    abstract:INTRODUCTION:The most common fracture involving the wrist is a fracture of the scaphoid bone [1], and only 5% to 10% of these fractures proceed to nonunion. Although not symptomatic initially, most (if not all) nonunions later produce a painful wrist with impaired function, clinically significant loss of motion, increa...

    journal_title:Srpski arhiv za celokupno lekarstvo

    pub_type: 杂志文章

    doi:

    authors: Miric D,Senohradski K,Vucetic C,Djordjevic Z

    更新日期:2001-05-01 00:00:00

  • [Left-handedness and health].

    abstract::Hand dominance is defined as a proneness to use one hand rather than another in performing the majority of activities and this is the most obvious example of cerebral lateralization and an exclusive human characteristic. Left-handed people comprise 6-14% of the total population, while in Serbia, this percentage is 5-1...

    journal_title:Srpski arhiv za celokupno lekarstvo

    pub_type: 杂志文章,评审

    doi:10.2298/sarh1006387m

    authors: Milenković S,Belojević G,Kocijancić R

    更新日期:2010-05-01 00:00:00

  • Effect of gluten-free diet on the growth and nutritional status of children with coeliac disease.

    abstract:INTRODUCTION:Gluten-free diet (GFD) presents the basis of coeliac disease (CD) treatment. If strictly applied, the disorders of the small bowel mucosa and other disease signs rapidly resolve. OBJECTIVE:The goal of the study was to evaluate the effect of GFD on the growth and nutritional status of children with the cla...

    journal_title:Srpski arhiv za celokupno lekarstvo

    pub_type: 杂志文章

    doi:10.2298/sarh0912632r

    authors: Radlović N,Mladenović M,Leković Z,Zivanović D,Brdar R,Radlović V,Ristić D,Pavlović M,Stojsić Z,Vuletić B,Djurdjević J,Gajić M

    更新日期:2009-11-01 00:00:00

  • [Post-traumatic systemic fat embolism syndrome. Retrospective autopsy study].

    abstract:INTRODUCTION:The obstruction of blood vessels or heart chambers with fat globules, reached by circulation, is fat embolism [1, 2]. Clinical manifestation of the presence of fat emboli in vital organs is Fat Embolism Syndrome (FES). This syndrome is characterized by neurologic, respiratory and cutaneous signs and differ...

    journal_title:Srpski arhiv za celokupno lekarstvo

    pub_type: 杂志文章

    doi:

    authors: Nikolić S,Micić J,Savić S,Uzelac-Belovski Z

    更新日期:2000-01-01 00:00:00

  • [Anniversaries of the Serbian Medical Society, 1952: 80 years since the founding of the Society--first results and confrontations].

    abstract::The celebration of the 80th anniversary of the foundation of the Serbian Medical Association as an important jubilee "for all cultural and social life of our country", "the importance of which" we many not be able to apprehend yet, "falls in times that show to us all the complexity of social and political situation in...

    journal_title:Srpski arhiv za celokupno lekarstvo

    pub_type: 历史文章,杂志文章

    doi:

    authors: Vuković Z

    更新日期:1998-11-01 00:00:00

  • [Gonadotropin-releasing hormone analogues in the treatment of metastatic breast carcinoma].

    abstract::The recent data about the treatment of advanced breast cancer patients with synthetic LH-RH analogues are presented. Although synthetized 20 years ago, the agonistic analogues of LH-RH were introduced in clinical oncology recently. The inhibition of pituitary and gonadal function that occurs after chronic administrati...

    journal_title:Srpski arhiv za celokupno lekarstvo

    pub_type: 杂志文章

    doi:

    authors: Nesković-Konstantinović Z,Radulović S,Vuletić L

    更新日期:1993-01-01 00:00:00