Improving the organization of providing medical care to servicemen with pyelonephritis

Abstract

The purpose is to improve the organization of medical care for servicemen with pyelonephritis (PN) in the Armed Forces of Ukraine. Methods. We studied the course of PN in 118 servicemen treated in the clinic of nephrology in the National Military Medical Clinical Center "Main Military Clinical Hospital" (2021-2023). The primary sources of information were the military serviceman's medical book (form 2), the medical card of an inpatient (form 003/o), and the record book of patients in the clinic. Diseases of service members were established following IСD-10. Statistical processing was carried out using Excel and Statistica 12 programs. Results. Pyelonephritis (PN) is a widespread pathology both among the civilian population and military personnel. The risk group includes service members aged 35-45 and older. Service members were divided into age groups: 21-30, 31-40, 41-50 and 51-60 years old (average age 44.23±10.12). Associated pathology was noted in 102 persons. (83.05%) and by classes of diseases: diseases of the endocrine system (11; 9.32%), diseases of the circulatory system (56; 47.46%), diseases of the respiratory system (8; 6.78%), diseases of organs digestion (14; 11.86%), diseases of the musculoskeletal system (5; 4.24%), other classes of diseases (8; 6.78%). The influence of age on the course and duration of treatment of servicemen in hospital conditions was evaluated, and it was also shown that with increasing age of servicemen, the share of acute PN decreases and the share of chronic PN increases. It was established that an increase in the period from the onset of the disease to hospitalization significantly affects the number of bed-days of hospital stay. Conclusions. We proposed a functional and organizational model for medical care to service members with nephrology pathology. This model is based on measures for the prevention of diseases and the provision of timely and adequate medical care in the event of an illness, as well as the prevention of persistent health disorders, early discharge from the ranks of the Armed Forces of Ukraine, and disability.

Keywords

• pyelonephritis, duration of therapy, functional-organizational model, Delivery of Health Care, Military Personnel.