{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,10,30]],"date-time":"2023-10-30T15:23:32Z","timestamp":1698679412729},"reference-count":0,"publisher":"Akademiai Kiado Zrt.","issue":"15","license":[{"start":{"date-parts":[[2020,4,1]],"date-time":"2020-04-01T00:00:00Z","timestamp":1585699200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["akjournals.com"],"crossmark-restriction":true},"short-container-title":["OH"],"published-print":{"date-parts":[[2020,4]]},"abstract":"<jats:title>Absztrakt: <\/jats:title>\n        <jats:p>\n          <jats:italic>Bevezet\u00e9s:<\/jats:italic> A nyel\u0151cs\u0151-varixruptura a portalis hypertensio \u00e9letet\n                    vesz\u00e9lyeztet\u0151 sz\u00f6v\u0151dm\u00e9nye. A 6 hetes mortalit\u00e1s kb. 20%.\n                        <jats:italic>C\u00e9lkit\u0171z\u00e9s:<\/jats:italic> Annak elemz\u00e9se, hogy a varixeredet\u0171\n                    gastrointestinalis v\u00e9rz\u00e9s ell\u00e1t\u00e1s\u00e1ban a 2015-ben oszt\u00e1lyunkon bevezetett\n                    v\u00e1ltoz\u00e1sok hat\u00e1ssal voltak-e ezen betegek k\u00f3rh\u00e1zi hal\u00e1loz\u00e1s\u00e1ra.\n                        <jats:italic>M\u00f3dszer:<\/jats:italic> Retrospekt\u00edv m\u00f3dszerrel hasonl\u00edtottuk \u00f6ssze a\n                    2014-ben \u00e9s 2015-ben ell\u00e1tott varixv\u00e9rz\u0151 betegek adatait. 2015-ben a varixv\u00e9rz\u0151\n                    betegek ell\u00e1t\u00e1s\u00e1ban k\u00e9t v\u00e1ltoztat\u00e1s t\u00f6rt\u00e9nt: szubintenz\u00edv ell\u00e1t\u00f3egys\u00e9gben\n                    l\u00e1ttunk el minden beteget, \u00e9s minden, varixv\u00e9rz\u00e9sre gyan\u00fas betegn\u00e9l alkalmaztunk\n                    terlipresszint. A v\u00e9rz\u00e9scsillap\u00edt\u00e1s sclerotherapi\u00e1val \u00e9s\/vagy ligati\u00f3val\n                    t\u00f6rt\u00e9nt. A szignifikanci\u00e1t Student-f\u00e9le t-pr\u00f3b\u00e1val sz\u00e1moltuk. A betegek adatai\n                    2014 vs. 2015: betegsz\u00e1m: 24 vs. 30, \u00e1tlag\u00e9letkor: 59,8 vs. 57,6 \u00e9v, f\u00e9rfi (%):\n                    70,8 vs. 66,7. A Child\u2013Pugh-st\u00e1diumokban nem volt szignifik\u00e1ns k\u00fcl\u00f6nbs\u00e9g a k\u00e9t\n                    \u00e9v k\u00f6z\u00f6tt, p = 0,53. A betegeket \u00fagy is csoportos\u00edtottuk az elemz\u00e9skor, hogy az\n                    ell\u00e1t\u00e1s \u00e9v\u00e9t\u0151l f\u00fcggetlen\u00fcl kaptak-e terlipresszint vagy sem. Ekkor az adatok:\n                    betegsz\u00e1m: 22 vs. 32, \u00e1tlag\u00e9letkor: 60,4 vs. 57,4, f\u00e9rfi (%): 63,6 vs. 70,6.\n                        <jats:italic>Eredm\u00e9nyek:<\/jats:italic> A mortalit\u00e1s 2015-ben 23%, 2014-ben 33% volt! A\n                    terlipresszint kap\u00f3 \u00e9s nem kap\u00f3 betegek hal\u00e1loz\u00e1sa: 18,2% vs. 34,4%, p = 0,09. A\n                    k\u00f3rh\u00e1zi mortalit\u00e1st a leger\u0151sebben befoly\u00e1sol\u00f3 t\u00e9nyez\u0151 a beteg felv\u00e9telkori\n                    Child\u2013Pugh-st\u00e1diuma (A- vs. B-st\u00e1dium p = 0,05, A- vs. C-st\u00e1dium p = 0,02). A\n                    Child\u2013Pugh-f\u00e9le C-st\u00e1dium\u00fa betegekn\u00e9l alkalmazott terlipresszinter\u00e1pia\n                    mortalit\u00e1scs\u00f6kkent\u0151 hat\u00e1sa a szignifikancia hat\u00e1r\u00e1n volt (p = 0,055).\n                        <jats:italic>K\u00f6vetkeztet\u00e9s:<\/jats:italic> Oszt\u00e1lyunkon az elm\u00falt \u00e9vben a varixeredet\u0171\n                    gastrointestinalis v\u00e9rz\u00e9sek ell\u00e1t\u00e1s\u00e1ban bevezetett v\u00e1ltoz\u00e1sok a viszonylag kis\n                    esetsz\u00e1mok mellett is l\u00e9nyeges mortalit\u00e1scs\u00f6kken\u00e9shez vezettek. Orv Hetil. 2020;\n                    161(15): 583\u2013587.<\/jats:p>","DOI":"10.1556\/650.2020.31650","type":"journal-article","created":{"date-parts":[[2020,4,14]],"date-time":"2020-04-14T14:29:30Z","timestamp":1586874570000},"page":"583-587","update-policy":"http:\/\/dx.doi.org\/10.1556\/policypage.crossmark.crossref.1","source":"Crossref","is-referenced-by-count":1,"title":["A varixeredet\u0171 gastrointestinalis v\u00e9rz\u00e9s ell\u00e1t\u00e1s\u00e1nak v\u00e1ltoz\u00e1sa oszt\u00e1lyunkon"],"prefix":"10.1556","volume":"161","author":[{"given":"S\u00e1ndor","family":"R\u00e1cz","sequence":"first","affiliation":[{"name":"Gasztroenterol\u00f3giai Oszt\u00e1ly, Jahn Ferenc D\u00e9l-pesti K\u00f3rh\u00e1z \u00e9s Rendel\u0151int\u00e9zetBudapest, K\u00f6ves \u00fat 1., 1204"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"P\u00e9ter","family":"Moln\u00e1r","sequence":"additional","affiliation":[{"name":"Gasztroenterol\u00f3giai Oszt\u00e1ly, Jahn Ferenc D\u00e9l-pesti K\u00f3rh\u00e1z \u00e9s Rendel\u0151int\u00e9zetBudapest, K\u00f6ves \u00fat 1., 1204"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"L\u00e1szl\u00f3","family":"H\u00e9ra","sequence":"additional","affiliation":[{"name":"Gasztroenterol\u00f3giai Oszt\u00e1ly, Jahn Ferenc D\u00e9l-pesti K\u00f3rh\u00e1z \u00e9s Rendel\u0151int\u00e9zetBudapest, K\u00f6ves \u00fat 1., 1204"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Piroska","family":"\u00dajhelyi","sequence":"additional","affiliation":[{"name":"Gasztroenterol\u00f3giai Oszt\u00e1ly, Jahn Ferenc D\u00e9l-pesti K\u00f3rh\u00e1z \u00e9s Rendel\u0151int\u00e9zetBudapest, K\u00f6ves \u00fat 1., 1204"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Istv\u00e1n","family":"P\u00e1ll","sequence":"additional","affiliation":[{"name":"Gasztroenterol\u00f3giai Oszt\u00e1ly, Jahn Ferenc D\u00e9l-pesti K\u00f3rh\u00e1z \u00e9s Rendel\u0151int\u00e9zetBudapest, K\u00f6ves \u00fat 1., 1204"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrea","family":"Seb\u0151k","sequence":"additional","affiliation":[{"name":"Gasztroenterol\u00f3giai Oszt\u00e1ly, Jahn Ferenc D\u00e9l-pesti K\u00f3rh\u00e1z \u00e9s Rendel\u0151int\u00e9zetBudapest, K\u00f6ves \u00fat 1., 1204"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"P\u00e9ter","family":"Sahin","sequence":"additional","affiliation":[{"name":"Gasztroenterol\u00f3giai Oszt\u00e1ly, Jahn Ferenc D\u00e9l-pesti K\u00f3rh\u00e1z \u00e9s Rendel\u0151int\u00e9zetBudapest, K\u00f6ves \u00fat 1., 1204"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"425","container-title":["Orvosi Hetilap"],"original-title":[],"link":[{"URL":"https:\/\/akjournals.com\/view\/journals\/650\/161\/15\/article-p583.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/akjournals.com\/downloadpdf\/journals\/650\/161\/15\/article-p583.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,10,11]],"date-time":"2021-10-11T01:12:57Z","timestamp":1633914777000},"score":1,"resource":{"primary":{"URL":"https:\/\/akjournals.com\/view\/journals\/650\/161\/15\/article-p583.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,4]]},"references-count":0,"journal-issue":{"issue":"15"},"URL":"https:\/\/doi.org\/10.1556\/650.2020.31650","relation":{},"ISSN":["0030-6002","1788-6120"],"issn-type":[{"value":"0030-6002","type":"print"},{"value":"1788-6120","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,4]]}}}