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959 records – page 1 of 96.

A 30-year survey of pulmonary embolism verified at autopsy: an analysis of 1274 surgical patients.

https://arctichealth.org/en/permalink/ahliterature239210
Source
Br J Surg. 1985 Feb;72(2):105-8
Publication Type
Article
Date
Feb-1985
Author
D. Bergqvist
B. Lindblad
Source
Br J Surg. 1985 Feb;72(2):105-8
Date
Feb-1985
Language
English
Publication Type
Article
Keywords
Adult
Age Factors
Aged
Autopsy
Humans
Length of Stay
Middle Aged
Postoperative Complications - epidemiology
Postoperative Period
Pulmonary Embolism - epidemiology - mortality
Retrospective Studies
Surgical Procedures, Operative
Sweden
Abstract
A retrospective study was undertaken of all surgical patients in Malmö, Sweden, during the period 1951-1980, in whom pulmonary emboli were found at autopsy. The autopsy rate was high throughout the period, ranging from 73 to 100 per cent. Of 5477 patients who died during the period, 1274 had pulmonary emboli (23.6 per cent), 349 of which were considered fatal, 353 contributory to death and 572 incidental. Fifty-one per cent of the patients were not operated upon. The number of contributory and incidental emboli increased over the period, to some extent probably reflecting greater thoroughness in postmortems. The frequency of fatal pulmonary emboli decreased in the last 5 year period. Pulmonary embolism was more rare in patients under 50 years of age. The proportion of females increased. In 24 cases major embolism emanated from thrombi around central venous catheters. This retrospective analysis of a large number of patients shows that pulmonary embolism continues to be a major cause of death in surgical patients, and in Malmö as common a cause of death in operated as in nonoperated patients.
PubMed ID
3971113 View in PubMed
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Accuracy of surgical complication rate estimation using ICD-10 codes.

https://arctichealth.org/en/permalink/ahliterature302167
Source
Br J Surg. 2019 02; 106(3):236-244
Publication Type
Journal Article
Multicenter Study
Observational Study
Date
02-2019
Author
A Storesund
A S Haugen
M Hjortås
M W Nortvedt
H Flaatten
G E Eide
M A Boermeester
N Sevdalis
E Søfteland
Author Affiliation
Department of Anaesthesia and Intensive Care, Haukeland University Hospital, Bergen, Norway.
Source
Br J Surg. 2019 02; 106(3):236-244
Date
02-2019
Language
English
Publication Type
Journal Article
Multicenter Study
Observational Study
Keywords
Adolescent
Adult
Aged
Aged, 80 and over
Clinical Coding
Female
Humans
International Classification of Diseases
Length of Stay - statistics & numerical data
Male
Middle Aged
Norway - epidemiology
Operative Time
Postoperative Complications - epidemiology
Prospective Studies
Sensitivity and specificity
Young Adult
Abstract
The ICD-10 codes are used globally for comparison of diagnoses and complications, and are an important tool for the development of patient safety, healthcare policies and the health economy. The aim of this study was to investigate the accuracy of verified complication rates in surgical admissions identified by ICD-10 codes and to validate these estimates against complications identified using the established Global Trigger Tool (GTT) methodology.
This was a prospective observational study of a sample of surgical admissions in two Norwegian hospitals. Complications were identified and classified by two expert GTT teams who reviewed patients' medical records. Three trained reviewers verified ICD-10 codes indicating a complication present on admission or emerging in hospital.
A total of 700 admissions were drawn randomly from 12 966 procedures. Some 519 possible complications were identified in 332 of 700 admissions (47·4 per cent) from ICD-10 codes. Verification of the ICD-10 codes against information from patients' medical records confirmed 298 as in-hospital complications in 141 of 700 admissions (20·1 per cent). Using GTT methodology, 331 complications were found in 212 of 700 admissions (30·3 per cent). Agreement between the two methods reached 83·3 per cent after verification of ICD-10 codes. The odds ratio for identifying complications using the GTT increased from 5·85 (95 per cent c.i. 4·06 to 8·44) to 25·38 (15·41 to 41·79) when ICD-10 complication codes were verified against patients' medical records.
Verified ICD-10 codes strengthen the accuracy of complication rates. Use of non-verified complication codes from administrative systems significantly overestimates in-hospital surgical complication rates.
PubMed ID
30229870 View in PubMed
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Acute and long-term outcome of cryoablation therapy of typical atrioventricular nodal reentrant tachycardia.

https://arctichealth.org/en/permalink/ahliterature95190
Source
Europace. 2009 Aug;11(8):1077-82
Publication Type
Article
Date
Aug-2009
Author
Bastani Hamid
Schwieler Jonas
Insulander Per
Tabrizi Fariborz
Braunschweig Frieder
Kennebäck Göran
Drca Nikola
Sadigh Bita
Jensen-Urstad Mats
Author Affiliation
Department of Cardiology at the Karolinska Institute, Karolinska University Hospital, S-141 86 Stockholm, Sweden. hamid.bastani@karolinska.se
Source
Europace. 2009 Aug;11(8):1077-82
Date
Aug-2009
Language
English
Publication Type
Article
Keywords
Adolescent
Adult
Aged
Aged, 80 and over
Child
Cryosurgery - statistics & numerical data
Female
Humans
Incidence
Longitudinal Studies
Male
Middle Aged
Postoperative Complications - epidemiology
Risk assessment
Risk factors
Sweden - epidemiology
Tachycardia, Atrioventricular Nodal Reentry - epidemiology - surgery
Treatment Outcome
Young Adult
Abstract
AIMS: The purpose of this study was to evaluate the safety and efficacy of cryoablation in a large series of patients with typical (slow-fast) atrioventricular nodal reentrant tachycardia (AVNRT). METHODS AND RESULTS: Between 2003 and 2007, 312 patients with typical AVNRT--median age of 53 years (range 10-92), 200 women (64%)--underwent cryoablation, using exclusively a 6 mm tip catheter tip. Acute success was achieved in 309 of 312 patients (99%). The overall recurrence rate was 18 of 309 (5.8%) during a mean follow-up of 673 +/- 381 days. Sixteen of these patients (89%) were successfully reablated. The recurrence rate was 9% in patients with residual dual atrioventricular (AV) nodal pathway post-ablation compared with 4% in those with complete elimination of slow pathway conduction (P = 0.05). No patient developed permanent AV block. CONCLUSION: Cryoablation of AVNRT can be achieved with a high acute success rate and a reasonable recurrence rate at long-term follow-up. Complete abolition of slow pathway conduction seems to predict better late outcome.
PubMed ID
19578176 View in PubMed
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Acute appendicitis in patients above and below 60 years of age. Incidence rate and clinical course.

https://arctichealth.org/en/permalink/ahliterature40202
Source
Acta Chir Scand. 1983;149(2):165-70
Publication Type
Article
Date
1983
Author
C I Rydén
T. Grunditz
L. Janzon
Source
Acta Chir Scand. 1983;149(2):165-70
Date
1983
Language
English
Publication Type
Article
Keywords
Acute Disease
Adolescent
Adult
Age Factors
Aged
Appendectomy - adverse effects
Appendicitis - diagnosis - epidemiology
Child
Child, Preschool
Female
Fever - etiology
Humans
Infant
Length of Stay
Male
Middle Aged
Postoperative Complications - epidemiology
Retrospective Studies
Surgical Wound Infection - epidemiology
Sweden
Abstract
Malmö General Hospital is the single referral unit for 240000 people living in Malmö, Sweden. In order to assess the influence of age on annual risk and clinical course in acute appendicitis we reviewed hospital records of 673 randomly selected patients operated on 1972-1978. Annual incidence in 20-year-olds 4/1000 was four times higher than in the 59-70-year-olds. Perforation was more common in old than in young patients. Fifty-four percent of all cases above 60 were perforated. Patients older than 60 with perforation had the longest duration of symptoms. Age above 60 and perforation were both associated with an increased body temperature at arrival an increased risk of wound infection and other complications and a longer period of hospitalization.
PubMed ID
6880551 View in PubMed
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Acute mastoidectomy in a Danish county from 1977 to 1997--operative findings and long-term results.

https://arctichealth.org/en/permalink/ahliterature32665
Source
Acta Otolaryngol Suppl. 2000;543:122-6
Publication Type
Article
Date
2000
Author
C G Petersen
T. Ovesen
C B Pedersen
Author Affiliation
Ear, Nose and Throat Department, Aarhus University Hospital, Denmark.
Source
Acta Otolaryngol Suppl. 2000;543:122-6
Date
2000
Language
English
Publication Type
Article
Keywords
Acute Disease
Adolescent
Adult
Catchment Area (Health)
Child
Child, Preschool
Denmark - epidemiology
Female
Follow-Up Studies
Gram-Positive Bacterial Infections - microbiology
Humans
Infant
Male
Mastoiditis - epidemiology - microbiology - surgery
Otitis Media with Effusion - microbiology
Otologic Surgical Procedures - methods - statistics & numerical data
Postoperative Complications - epidemiology
Prevalence
Retrospective Studies
Tympanic Membrane - microbiology
Abstract
Data from patients undergoing acute mastoidectomy were examined retrospectively to evaluate if the nature of acute mastoiditis (AM) treated surgically has changed during the last 20 years (1977-97). Moreover, a prevalence study was conducted to clarify the otological and audiological course following acute mastoidectomy. Patients with cholesteatoma and intracranial complications were excluded. Thus, 79 patients with a median age of 16 months were included. Thirty-seven percent had a history of middle ear disease, and the mean duration from onset of symptoms to admission was 9 days. Well-being was affected in 46%, and 82% had fever. The clinical picture was dominated by auricular protrusion (77%) and pathological tympanic membrane (94%). Postauricular oedema, hyperaemia and tenderness were demonstrated in 89%, 78% and 49% of cases, respectively. Peroperatively, purulent middle ear effusion was recognized in 92%, subperiosteal abscess in 66% and pus in the mastoid in 90%. Specimens revealed growth of pathogens in 58%, predominantly Gram-positive bacteria. The observation period was 1-20 years. The findings in operated ears were not significantly different from the contralateral non-operated ears concerning incidence of otitis media, hearing and ear canal volume. Conclusively, acute mastoidectomy is a safe and effective treatment to eliminate infection. The operation can be done with negligible risk and does not leave long-term sequelae.
PubMed ID
10908998 View in PubMed
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Adenoidectomy during early life and the risk of asthma.

https://arctichealth.org/en/permalink/ahliterature182650
Source
Pediatr Allergy Immunol. 2003 Oct;14(5):358-62
Publication Type
Article
Date
Oct-2003
Author
Petri S Mattila
Sari Hammarén-Malmi
Jussi Tarkkanen
Harri Saxen
Janne Pitkäniemi
Marjatta Karvonen
Jaakko Tuomilehto
Author Affiliation
Department of Otorhinolaryngology, Helsinki University Central Hospital, Helsinki, Finland. petri.mattila@hus.fi
Source
Pediatr Allergy Immunol. 2003 Oct;14(5):358-62
Date
Oct-2003
Language
English
Publication Type
Article
Keywords
Adenoidectomy
Adolescent
Adult
Asthma - epidemiology - etiology
Bronchial Hyperreactivity - epidemiology - etiology
Bronchitis - epidemiology - etiology
Child
Child Welfare
Diabetes Mellitus, Type 1 - epidemiology - surgery
Female
Finland - epidemiology
Follow-Up Studies
Humans
Male
Multivariate Analysis
Otitis Media with Effusion - epidemiology - surgery
Postoperative Complications - epidemiology - etiology
Questionnaires
Recurrence
Respiratory Sounds
Risk factors
Statistics as Topic
Treatment Outcome
Abstract
The objective of the study was to evaluate the risk of asthma in children who had undergone an adenoidectomy, an operation frequently performed on children with glue ear or recurrent otitis media. Two surveys were carried out, a nation-wide questionnaire returned by 483 individuals (survey A) and a survey of hospital discharge records involving 1616 children who had undergone an adenoidectomy and 161 control children who had undergone probing of the nasolacrimal duct due to congenital obstruction (survey B). The questionnaire (survey A) showed that an adenoidectomy before the age of 4 years was associated with asthma (OR 3.19, 95% CI 1.25; 8.13) and with allergy to animal dust (OR 2.50, 95% CI 1.27; 4.95). In survey B, asthma diagnosis was retrieved from the national asthma register. It showed also that adenoidectomy at an early age was associated with an increased risk of asthma (OR 6.74, 95% CI 2.99; 15.2). There was an association between asthma and adenoidectomy, even before adenoidectomy had actually been performed. The risk of asthma was highest among children who had had adenoidectomy because of recurrent otitis media. The observed association between an adenoidectomy and asthma may be explained by an underlying factor predisposing to both recurrent otitis media and asthma.
PubMed ID
14641605 View in PubMed
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Adherence to the enhanced recovery after surgery protocol and outcomes after colorectal cancer surgery.

https://arctichealth.org/en/permalink/ahliterature137832
Source
Arch Surg. 2011 May;146(5):571-7
Publication Type
Article
Date
May-2011
Author
Ulf O Gustafsson
Jonatan Hausel
Anders Thorell
Olle Ljungqvist
Mattias Soop
Jonas Nygren
Author Affiliation
Department of Surgery, Ersta Hospital, 116 91 Stockholm, Sweden. ulf.gustafsson@erstadiakoni.se
Source
Arch Surg. 2011 May;146(5):571-7
Date
May-2011
Language
English
Publication Type
Article
Keywords
Aged
Aged, 80 and over
Beverages
Cohort Studies
Colorectal Neoplasms - rehabilitation - surgery
Critical Pathways - statistics & numerical data
Cross-Sectional Studies
Dietary Carbohydrates - administration & dosage
Early Ambulation - statistics & numerical data
Female
Fluid Therapy - statistics & numerical data
Guideline Adherence - statistics & numerical data
Humans
Laparoscopy - statistics & numerical data
Length of Stay - statistics & numerical data
Logistic Models
Male
Middle Aged
Patient Discharge - statistics & numerical data
Perioperative Care - statistics & numerical data
Postoperative Complications - epidemiology
Prospective Studies
Sweden
Abstract
To study the impact of different adherence levels to the enhanced recovery after surgery (ERAS) protocol and the effect of various ERAS elements on outcomes following major surgery.
Single-center prospective cohort study before and after reinforcement of an ERAS protocol. Comparisons were made both between and across periods using multivariate logistic regression. All clinical data (114 variables) were prospectively recorded.
Ersta Hospital, Stockholm, Sweden.
Nine hundred fifty-three consecutive patients with colorectal cancer: 464 patients treated in 2002 to 2004 and 489 in 2005 to 2007.
The association between improved adherence to the ERAS protocol and the incidence of postoperative symptoms, complications, and length of stay following major colorectal cancer surgery was analyzed.
Following an overall increase in preoperative and perioperative adherence to the ERAS protocol from 43.3% in 2002 to 2004 to 70.6% in 2005 to 2007, both postoperative complications (odds ratio, 0.73; 95% confidence interval, 0.55-0.98) and symptoms (odds ratio, 0.53; 95% confidence interval, 0.40-0.70) declined significantly. Restriction of intravenous fluid and use of a preoperative carbohydrate drink were major independent predictors. Across periods, the proportion of adverse postoperative outcomes (30-day morbidity, symptoms, and readmissions) was significantly reduced with increasing adherence to the ERAS protocol (>70%, >80%, and >90%) compared with low ERAS adherence (
Notes
Comment In: Arch Surg. 2011 May;146(5):577-821739654
PubMed ID
21242424 View in PubMed
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[Adherence to Therapy as a Factor Determining Prognosis of Coronary Artery Bypass Grafting].

https://arctichealth.org/en/permalink/ahliterature269009
Source
Kardiologiia. 2015;55(5):48-53
Publication Type
Article
Date
2015
Author
S A Pomeshkina
I V Borovik
I N Zavyrylina
E S Kagan
O L Barbarash
Source
Kardiologiia. 2015;55(5):48-53
Date
2015
Language
Russian
Publication Type
Article
Keywords
Adult
Aged
Coronary Artery Bypass
Coronary Artery Disease - surgery
Female
Follow-Up Studies
Humans
Incidence
Male
Middle Aged
Patient compliance
Postoperative Care - methods
Postoperative Complications - epidemiology - prevention & control
Prognosis
Retrospective Studies
Siberia - epidemiology
Survival Rate - trends
Abstract
to study the influence of the patients adherence to the recommended therapy after coronary artery bypass grafting (CABG) on prognosis of postoperative period.
We examined 197 consecutive patients with stable coronary artery disease (CAD) who had undergone CABG. Age of patients was 38-75 years.
Assessment of modifiable cardiovascular risk factors showed that about half of patients had smoked before CABG and only a few gave up smoking after surgery. Number of patients with abdominal obesity increased by 8% after surgery. Number of patients involved in physical trainings remained unchanged. Adherence to drug therapy before CABG was low. Less than half of the patients took antiplatelet agents, beta-blockers, angiotensin-converting enzyme inhibitors, only 25% took statins. One year after CABG number of patients taking appropriate medications significantly increased. However, only half of patients managed to achieve the main objectives of secondary prevention.
PubMed ID
26615624 View in PubMed
Less detail
Source
Ugeskr Laeger. 2008 Dec 8;170(50):4113-6
Publication Type
Article
Date
Dec-8-2008
Author
Jan Viberg Jepsen
Bjarne Kromann-Andersen
Anette Bendixen
Jørgen Norling
Henrik Kehlet
Author Affiliation
Urologisk Afdeling, Herlev Hospital, DK-2730 Herlev. JAVIJE02@heh.regionh.dk
Source
Ugeskr Laeger. 2008 Dec 8;170(50):4113-6
Date
Dec-8-2008
Language
Danish
Publication Type
Article
Keywords
Adrenalectomy - adverse effects - methods - mortality
Denmark - epidemiology
Humans
Laparoscopy
Length of Stay
Outcome Assessment (Health Care)
Postoperative Complications - epidemiology - mortality
Risk factors
Abstract
Laparoscopic adrenalectomy is replacing open adrenalectomy. The advantages are reduced mortality and morbidity, and shorter postoperative hospitalisation. The organization and short-term outcomes of adrenalectomy in Denmark are largely unknown.
Extraction, review, and analysis of data from the National Patient Register and discharge notes from 2002-2006.
A total of 297 adrenalectomies, of which 161 were laparoscopic, were identified. Discharge notes were reviewed in 221 of these cases (2002-2005). All except three were performed in a university hospital setting. The laparoscopic to open conversion rate was 7.6%, mortality 1%, and complication rates for open/laparoscopic adrenalectomy 25%/16%. The mean postoperative hospital stays on surgical/urological wards were 6.0/2.9 days for open and laparoscopic procedures, respectively.
In Denmark, the share of adrenalectomies performed laparoscopically is growing, currently reaching about 65%. Laparoscopic adrenalectomies are only performed at departments with a high frequency of laparoscopic surgery and specialized endocrinological and anaesthesiological support. For educational and research purposes, adrenalectomy should be performed at an even smaller number of departments. Postoperative hospital stay and mortality are at par with internationally reported levels, but the conversion rate of laparoscopic adrenalectomies should be reduced.
PubMed ID
19091188 View in PubMed
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959 records – page 1 of 96.