slovakia - upjs.sk · •cardiology • angiology • cardiac surgery • vascular surgery •...
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Slovakiapopulation
Slovakialife expectancy
Slovakiahealth care spending
Slovakiapublic/private expenditure
Slovakiamortality cause
woman men
Slovakiacardiovascular mortality
Page 7
INFOSTAT SR 2012
SlovakiaEastern Slovakian region
population of 1.6 mil
• 1.1.2003 VUSCH
•
A bit of History
15. Vascular surgery
5. Cardiac surgery
4. Arytmolgy
3.
2. Invasive
cardiology
1. ICU, OP-theatre
G
A bit of history1.1.2003 VUSCH
• 1.1.2003 VUSCH
• 1.1. 2006 – VÚSCH Košice, a.s. – joint stock company
• Building a new House
•
A bit of History
A bit of History2006
•
A bit of History2006
•
• 26.6. 2009 – new building
A bit of history
• cardiology
• angiology
• cardiac surgery
• vascular surgery
• anestesiology
• utpatient care
VUSCH, a.s.
2012 2013 2014 2015
Ambulantné
Hospitalizácie
Numbers
2012 2013 2014 2015 2016 2017
hospit. 11 934 11 981 12 132 12 552
outpatient 39 559 38 906 40 317 43 448
Staff
year 2012 2015 2018
staff 562 636 785
0
200
400
600
800
1000
2012 2015 2018
year 2012 2014 2017
profit 1.146.162 1.002.414
Economic results
standard 195
Beds
General wardstandard
General wardhigher standard
ICU – cardiology – angiology-vascular surgery
48
Beds
Coronary care unit
ICU - Dept. Of Anestesiology 27
Beds
ICU
Ambulatory care
Ambulatory care
• Cardiology ( Heart failure, HCMP, congenital,pulmonaryhypertension)
• Arytmology
• Angiology
• Cardiac surgery
• Vascular surgery
• Algesiology
• Psychology
Echo
11440 11234
9910
7464
1209711531
6346
10798
15301215
16811356
1887 18411472 1595
0
2000
4000
6000
8000
10000
12000
14000
2010 2011 2012 2013 2014 2015 2016 2017
TTE/TEE
TTE TEE
•
3D-echo
3D-for TAVI
3Dmitral valve
3D Print
CT
• Dual Source - 3. generation
• Rotation time: max 250 msec
• slice: 384 (2x192)
• speed: 73 cm / sec
Cardio CT
• Ecg synchronisation
• 4D dynamic CTA
Cardio CT
CT coronargography
Function
TAVI calibration
Cardiac surgery
• 3 op. theaters
• 1 Hybrid
Cardiac surgery
1551
14251365
1427
1105
1032
1389
1058
280
652
315281
488544
444492
0
200
400
600
800
1000
1200
1400
1600
1800
2010 2011 2012 2013 2014 2015 2016 2017
Hospit/ambulatory
počet hospitalizácií počet ambulantných výkonov
Cardiac surgeryECC/off pump /total
144
88117 105 106
73121 120
905
839794
840 833859
782 790
1355
1242 1233
11461109
1440
12301255
0
200
400
600
800
1000
1200
1400
1600
2010 2011 2012 2013 2014 2015 2016 2017
warfarin
Cardiac surgery
Cardiac surgeryvalvular reconstructions
12 12 1210
16 16 16 15
50
4543
52
69
72
65 66
25
29
37
44
38
63
48
64
0
10
20
30
40
50
60
70
80
2010 2011 2012 2013 2014 2015 2016 2017
Cardiac surgeryvalvular reconstructions
Cardiac surgeryvalvular reconstructions
AVIATOR Prospective Study
Aortic Valve insufficiency and ascending aorta aneurysm InternATiOnal Registry
cievna protéza
reimplant. ASS
Congenital
coarctationExtra - anatomická korekcia CoADistálna anastomóza na DA
Atypical
Mininvasive
Clinic of cardiology
3766 3841
4411
4040
44184537
4405
4124
0
500
1000
1500
2000
2500
3000
3500
4000
4500
5000
2010 2011 2012 2013 2014 2015 2016 2017
hospitalisations
Clinic of cardiology
Clinic of cardiology
35383718
43074114
4269
4483
42214032
0
500
1000
1500
2000
2500
3000
3500
4000
4500
5000
2010 2011 2012 2013 2014 2015 2016 2017
catetrisations
13951403
1635
1551
1485 1483
1615
1658
1250
1300
1350
1400
1450
1500
1550
1600
1650
1700
2010 2011 2012 2013 2014 2015 2016 2017
PCI
Nitinol self-expandable
porcine pericardial tissue
valve
Clinic of cardiology
Balloon expandable, cobalt
chromium frame with bovine
pericardial tissue leaflets
Clinic of cardiology
Clinic of cardiology
ECMO program
Clinic of cardiologyarytmology
Clinic of cardiologyarytmology
18391709
1858
2151 2165
2377 2420 2455
0
500
1000
1500
2000
2500
3000
2010 2011 2012 2013 2014 2015 2016 2017
hospitalisations
12970
13403
14614
14972
1549815294
14537 14618
11500
12000
12500
13000
13500
14000
14500
15000
15500
16000
2010 2011 2012 2013 2014 2015 2016 2017
ambulantory
Clinic of cardiologyarytmology
718
673 675694
667639
614
577
0
100
200
300
400
500
600
700
800
2010 2011 2012 2013 2014 2015 2016 2017
electrophysiology
RF ablationAF
Kryoablation3D Rtg fusion
RF ablationischemic VT
LA occlusion
Clinic of cardiologyarytmology
409
512489 503
590608
677648
668
0
100
200
300
400
500
600
700
800
2009 2010 2011 2012 2013 2014 2015 2016 2017
pacemaker
324313
325 317337
363
327
390
0
50
100
150
200
250
300
350
400
450
2010 2011 2012 2013 2014 2015 2016 2017
ICD
Clinic of angiology
Clinic of angiology
4799
5312
6737 67967033 7080 7196
7443
0
1000
2000
3000
4000
5000
6000
7000
8000
2010 2011 2012 2013 2014 2015 2016 2017
ambulantory
1105
1191
1714
16181660
1483
1391 1388
0
200
400
600
800
1000
1200
1400
1600
1800
2010 2011 2012 2013 2014 2015 2016 2017
hospitalisations
Hospitalisations
1105
1191
1714
16181660
1483
1391 1388
0
200
400
600
800
1000
1200
1400
1600
1800
2010 2011 2012 2013 2014 2015 2016 2017
hospitalisations
Clinic of angiology
36553818
47905094
52335381 5428
5845
14141622
20051948 1981
18531684 1749
831
11521486
1529 1514 15211338 1325
0
1000
2000
3000
4000
5000
6000
7000
2010 2011 2012 2013 2014 2015 2016 2017
Sonography/angiography/intervention
Aortic grafting
Clinic of vascular surgery
8921114 1217
1413 14371637 1758
1438
7180 72547019
71947358
75657711 7790
0
1000
2000
3000
4000
5000
6000
7000
8000
9000
2010 2011 2012 2013 2014 2015 2016 2017
ambulant . / hospit.
Clinic of vascular surgery
12361207 1217
1416
1507
1592 16031636
0
200
400
600
800
1000
1200
1400
1600
1800
2010 2011 2012 2013 2014 2015 2016 2017
surgery
Clinic of vascular surgery
Clinic of anestesiology
1310
1268
1369
1332
13471356
1413 1416
1150
1200
1250
1300
1350
1400
1450
2010 2011 2012 2013 2014 2015 2016 2017
hospitalisations
2673 27132826
30863264
3496 34983595
0
500
1000
1500
2000
2500
3000
3500
4000
2010 2011 2012 2013 2014 2015 2016 2017
anestesia