{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,4,9]],"date-time":"2025-04-09T02:01:28Z","timestamp":1744164088295},"reference-count":0,"publisher":"Akademiai Kiado Zrt.","issue":"18","license":[{"start":{"date-parts":[[2020,5,1]],"date-time":"2020-05-01T00:00:00Z","timestamp":1588291200000},"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":[[2020,5]]},"abstract":"<jats:title>Absztrakt: <\/jats:title>\n                <jats:p><jats:italic>Bevezet\u00e9s \u00e9s c\u00e9lkit\u0171z\u00e9s:<\/jats:italic> A perif\u00e9ri\u00e1s art\u00e9ri\u00e1s betegs\u00e9gek\n                    legnagyobb alcsoportj\u00e1t az als\u00f3 v\u00e9gtagi ver\u0151\u00e9rbetegs\u00e9gek k\u00e9pezik, melyek a\n                    n\u00e9pess\u00e9g mintegy 4\u20136%-\u00e1ban fordulnak el\u0151. Magyarorsz\u00e1gon a vizsg\u00e1lt id\u0151szakban\n                    \u00f6sszesen 6798 major amput\u00e1ci\u00f3ra ker\u00fclt sor. Az id\u0151ben \u00e9s megfelel\u0151 m\u00f3dszerrel\n                    elv\u00e9gzett kezel\u00e9ssel az als\u00f3 v\u00e9gtagi amput\u00e1ci\u00f3k (melyek 30 napos mortalit\u00e1sa\n                    20%, 2 \u00e9ves mortalit\u00e1sa pedig 40\u201360% k\u00f6z\u00f6tti) sz\u00e1ma hat\u00e9konyan cs\u00f6kkenthet\u0151.\n                    Tanulm\u00e1nyunk c\u00e9lja felt\u00e1rni az ell\u00e1t\u00e1sban rejl\u0151 ter\u00fcleti k\u00fcl\u00f6nbs\u00e9geket.\n                        <jats:italic>M\u00f3dszer:<\/jats:italic> A perif\u00e9ri\u00e1s erek kezel\u00e9se finansz\u00edroz\u00e1si\n                    adatainak bemutat\u00e1sa sor\u00e1n retrospekt\u00edv adatelemz\u00e9st v\u00e9gezt\u00fcnk a Nemzeti\n                    Eg\u00e9szs\u00e9gbiztos\u00edt\u00e1si Alapkezel\u0151 2015\u20132017. \u00e9vi finansz\u00edroz\u00e1si adatainak\n                    felhaszn\u00e1l\u00e1s\u00e1val. A hal\u00e1loz\u00e1si ar\u00e1ny ter\u00fcleti k\u00fcl\u00f6nbs\u00e9geit le\u00edr\u00f3 statisztik\u00e1val\n                    vizsg\u00e1ltuk, elemezve a hal\u00e1loz\u00e1si ar\u00e1nysz\u00e1m \u00e9s egy\u00e9b faktorok k\u00f6z\u00f6tti esetleges\n                    \u00f6sszef\u00fcgg\u00e9seket. <jats:italic>Eredm\u00e9nyek:<\/jats:italic> A kist\u00e9rs\u00e9gi \u2013 j\u00e1r\u00e1si szint\u0171 \u2013\n                    elemz\u00e9s (n = 174) nagy k\u00fcl\u00f6nbs\u00e9geket t\u00e1rt fel az orsz\u00e1gon bel\u00fcl az amput\u00e1ci\u00f3k 10\n                    ezer lakosra jut\u00f3 ar\u00e1ny\u00e1t tekintve. Igazolta, hogy az amput\u00e1ci\u00f3k d\u00f6nt\u0151 t\u00f6bbs\u00e9g\u00e9t\n                    a j\u00e1r\u00e1sok 30%-\u00e1ban v\u00e9gzik, vagyis a kiemelked\u0151 rossz hazai amput\u00e1ci\u00f3s\n                    ar\u00e1nysz\u00e1mot a j\u00e1r\u00e1sok mintegy 30%-\u00e1nak nagyon kedvez\u0151tlen adata okozza.\n                    Regresszi\u00f3s elemz\u00e9s t\u00e1masztotta al\u00e1 a j\u00e1r\u00e1si szint\u0171, ak\u00e1r n\u00e9gyszeres ter\u00fcleti\n                    k\u00fcl\u00f6nbs\u00e9gek m\u00f6g\u00f6tt megh\u00faz\u00f3d\u00f3 kapcsolatot az amput\u00e1ci\u00f3s r\u00e1ta \u00e9s az egyes\n                    szocio\u00f6kon\u00f3miai t\u00e9nyez\u0151k, illetve az endovascularis radiol\u00f3giai ell\u00e1t\u00e1s\n                    el\u00e9rhet\u0151s\u00e9ge k\u00f6z\u00f6tt. A r\u00e9tegzett t\u00f6bbsz\u00f6r\u00f6s regresszi\u00f3s elemz\u00e9s r\u00e1vil\u00e1g\u00edtott\n                    arra, hogy azokban a j\u00e1r\u00e1sokban, ahol nem \u00e9rhet\u0151 el az endovascularis ell\u00e1t\u00e1s (n\n                    = 159), az egyetemi v\u00e9gzetts\u00e9g\u0171ek ar\u00e1nya sokkal alacsonyabb (\u03b2<jats:sub>1<\/jats:sub> =\n                    \u20130,13, 95% CI: \u20130,18 \u2013 \u20130,09) \u00e9s a 65 \u00e9v felettiek ar\u00e1nya magasabb\n                        (\u03b2<jats:sub>1<\/jats:sub> = 0,14, 95% CI: 0,03\u20130,24), ami egym\u00e1s hat\u00e1s\u00e1t\u00f3l f\u00fcggetlen\u00fcl\n                    szignifik\u00e1nsan befoly\u00e1solja az amput\u00e1ci\u00f3s r\u00e1t\u00e1t. Azokban a j\u00e1r\u00e1sokban viszont,\n                    ahol el\u00e9rhet\u0151 volt az intervenci\u00f3s radiol\u00f3giai ell\u00e1t\u00e1s (n = 14), a lakoss\u00e1g\n                    \u00e9letkori megoszl\u00e1sa hatott a legink\u00e1bb (\u03b2<jats:sub>1<\/jats:sub> = 0,7, 95% CI: 0,42\u20130,98)\n                    az amput\u00e1ci\u00f3k gyakoris\u00e1g\u00e1ra. <jats:italic>K\u00f6vetkeztet\u00e9s:<\/jats:italic> Ter\u00fcleti \u00e9s\n                    szoci\u00e1lis alapon jelent\u0151s k\u00fcl\u00f6nbs\u00e9gek tapasztalhat\u00f3k az orsz\u00e1gban incidenci\u00e1ban,\n                    prevalenci\u00e1ban \u00e9s hal\u00e1loz\u00e1si r\u00e1t\u00e1ban is. A betegs\u00e9g kialakul\u00e1s\u00e1ban,\n                    el\u0151rehalad\u00e1s\u00e1ban er\u0151teljesen megjelennek a szoci\u00e1lis, k\u00e9pzetts\u00e9gbeli \u00e9s\n                    j\u00f6vedelmi k\u00fcl\u00f6nbs\u00e9gek, illetve a lak\u00f3helyk\u00f6zeli ell\u00e1t\u00f3helyi kapacit\u00e1sok hat\u00e1sa\n                    is. Orv Hetil. 2020; 161(18): 747\u2013755.<\/jats:p>","DOI":"10.1556\/650.2020.31742","type":"journal-article","created":{"date-parts":[[2020,4,27]],"date-time":"2020-04-27T11:20:11Z","timestamp":1587986411000},"page":"747-755","update-policy":"http:\/\/dx.doi.org\/10.1556\/policypage.crossmark.crossref.1","source":"Crossref","is-referenced-by-count":6,"title":["Az amput\u00e1ci\u00f3k ter\u00fcleti gyakoris\u00e1ga t\u00e1rsadalmi \u00e9s ell\u00e1t\u00f3rendszeri \u00f6sszef\u00fcgg\u00e9sben Magyarorsz\u00e1gon 2016\u20132017-ben"],"prefix":"10.1556","volume":"161","author":[{"given":"Csaba","family":"D\u00f3zsa","sequence":"first","affiliation":[{"name":"1 Eg\u00e9szs\u00e9g\u00fcgyi Kar, Miskolci Egyetem Miskolc"},{"name":"3 Med-Econ Hum\u00e1n Szolg\u00e1ltat\u00f3 Kft. Ver\u0151ce, Meredek u. 2., 2621"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zolt\u00e1n","family":"Szeberin","sequence":"additional","affiliation":[{"name":"2 \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, V\u00e1rosmajori Sz\u00edv- \u00e9s \u00c9rgy\u00f3gy\u00e1szati Klinika, Semmelweis Egyetem Budapest"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"P\u00e9ter","family":"S\u00f3tonyi","sequence":"additional","affiliation":[{"name":"2 \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, V\u00e1rosmajori Sz\u00edv- \u00e9s \u00c9rgy\u00f3gy\u00e1szati Klinika, Semmelweis Egyetem Budapest"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bal\u00e1zs","family":"Nemes","sequence":"additional","affiliation":[{"name":"2 \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, V\u00e1rosmajori Sz\u00edv- \u00e9s \u00c9rgy\u00f3gy\u00e1szati Klinika, Semmelweis Egyetem Budapest"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zsombor","family":"T\u00f3th-Vajna","sequence":"additional","affiliation":[{"name":"2 \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, V\u00e1rosmajori Sz\u00edv- \u00e9s \u00c9rgy\u00f3gy\u00e1szati Klinika, Semmelweis Egyetem Budapest"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rita","family":"K\u00f6vi","sequence":"additional","affiliation":[{"name":"3 Med-Econ Hum\u00e1n Szolg\u00e1ltat\u00f3 Kft. Ver\u0151ce, Meredek u. 2., 2621"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Petra","family":"Fadgyas-Freyler","sequence":"additional","affiliation":[{"name":"4 Nemzeti Eg\u00e9szs\u00e9gbiztos\u00edt\u00e1si Alapkezel\u0151 (NEAK) Budapest"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gyula","family":"Korponai","sequence":"additional","affiliation":[{"name":"4 Nemzeti Eg\u00e9szs\u00e9gbiztos\u00edt\u00e1si Alapkezel\u0151 (NEAK) Budapest"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Adrienn","family":"Herczeg","sequence":"additional","affiliation":[{"name":"5 Epidy Health Research Kft. Debrecen"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"425","container-title":["Orvosi Hetilap"],"original-title":[],"link":[{"URL":"https:\/\/akjournals.com\/view\/journals\/650\/161\/18\/article-p747.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/akjournals.com\/downloadpdf\/journals\/650\/161\/18\/article-p747.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,10,11]],"date-time":"2021-10-11T01:12:18Z","timestamp":1633914738000},"score":1,"resource":{"primary":{"URL":"https:\/\/akjournals.com\/view\/journals\/650\/161\/18\/article-p747.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,5]]},"references-count":0,"journal-issue":{"issue":"18"},"URL":"https:\/\/doi.org\/10.1556\/650.2020.31742","relation":{},"ISSN":["0030-6002","1788-6120"],"issn-type":[{"value":"0030-6002","type":"print"},{"value":"1788-6120","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,5]]}}}