ISSN 2310-8363
Репозитарій Харківського національного медичного університету – це відкритий електронний архів академічних текстів, матеріалів наукового та навчально-методичного призначення, створених науковцями, викладачами, іншими працівниками університету та здобувачами
- Положення про Репозитарій Харківського національного медичного університету
- Авторський договір про передачу невиключних прав на використання твору
- Репозитарій ХНМУ: поради автору-депозитору
- Приклади бібліографічного опису документів
З усіх питань щодо Репозитарію ХНМУ звертайтеся до координатора Тетяни Павленко за адресою: repository@knmu.edu.ua
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Прогресивні технології в діагностиці та лікуванні генетично- асоційованих захворювань
(2025-04-25) Іманова, Наталія Інгілабівна; Удовенко, Діана Олександрівна
Впровадження технологій штучного інтелекту в медичну освіту
(2025-05-15) Дорошенко, Оксана; Пожар, Віра
Інклюзивний напрямок в роботі деканату стоматологічного факультету
(2025) Томіліна, Тетяна Вікторівна; Старкова, Ірина Володимирівна; Кондрусик, Наталія Юріївна
З урахуванням індивідуальних потреб здобувачів освіти стоматологічного факультету Харківського національного медичного університету формується сприятливе, підтримувальне освітнє середовище, яке забезпечує умови для якісного засвоєння знань, діяльність деканату набуває виразного інклюзивного вектора, орієнтованого на рівність можливостей і академічну підтримку кожного студента.
Simple risk scales for predicting mortality in multiple trauma patients with severe thoracic trauma during early posttraumatic period
(2025-09) Stupnytskyi, Myroslav; Biletskyi, Oleksii
Continuous severity assessment of polytrauma patients is critical for triage, quality management, mortality prediction, and trauma research. Existing data stay dubious about final predictive risk assessment. The goal of this study was to develop simple scales for predicting outcome at three time points during the early posttraumatic period for blunt multiple trauma patients with severe thoracic trauma. Multiple trauma patients with severe thoracic trauma (ISS ≥ 16, age ≥ 18, blunt mechanism, two or more injured body regions with AIS thorax ≥ 3) were included in this single-center prospective observational cohort study. The examinations were performed on the 1st -2 nd, 3rd -4 th and 5th -6 th days after the trauma. Multivariate logistic regression analyses were used to identify independent predictors of mortality. On the 1st -2 nd day after trauma, risk factors for adverse outcome were identified among the severity of the head injury, RTS score, hemoglobin, total protein, urea and creatinine concentrations. On the 3rd -4 th day – among RTS, NISS scores, total protein concentration and WBC, lymphocytes, band and segmented neutrophils counts. On the 5th -6 th day – oxygen content, total protein concentration and RBC, monocytes, band neutrophils counts. Based on routine diagnostic tests performed daily in the ICU, the proposed scoring method, based on three regression equations, was developed to estimate the individual mortality risk of blunt multiple trauma patients with severe thoracic trauma during the first 5-6 days after trauma. Depending on the day of the early posttraumatic intensive care, the prognostic value of clinical and laboratory markers varies.
Outcome prediction criteria for multiple trauma patients with combined cranio-thoracic injuries
(2025-03-30) Stupnytskyi, Myroslav; Biletskyi, Oleksii
Blunt chest trauma and traumatic brain injury are considered two of the most significant injury entities with a high potential for complications. In the early post-traumatic period, trauma care frequently encounters limitations in diagnostic capabilities within trauma centers. The objective of this study was to develop simple signs to predict outcomes at three time points during the early post-traumatic period for patients with multiple blunt trauma with combined cranio-thoracic injuries. This retrospective cohort study was conducted on 51 polytraumatized male patients. Examinations of the patients were performed on the 1st–2nd, 3rd–4th,and 5th–6th day after trauma. Mortality was set as the primary outcome. Receiver operating characteristic curve analysis was used to investigate the predictive capacity of the estimated markers for each time period. The most significant differences between survivors and non-survivors on the 1st to 2nd day after trauma were observed in terms of SpO2/FiO2 index, hemoglobin and red blood cell count. On the 3rd–4th day – SpO2/FiO2 index. The oxygen content, SpO2/FiO2 index and hemoglobin exhibited the greatest disparity between patients groups on the 5th–6th day. A set of criteria can be employed to monitor the clinical course of multiple trauma patients with combined cranio-thoracic injuries. The predictive value of special markers varies depending on the time period. Each of the investigated time periods is characterized by its own specific predictive signs. The predictive capacity of the estimated markers varies depending on the time period under consideration. It is not an accurate approach to employ the same predictive markers throughout the entire posttraumatic period