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- Asplund, Kjell
(författare)
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Att mäta vårdens kvalitet
- 2010
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Ingår i: Allmänmedicin. ; :3, s. 5-7
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Tidskriftsartikel (övrigt vetenskapligt/konstnärligt)
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- Asplund, Kjell, et al.
(författare)
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Etiska dilemman i strokevården : [Frequent ethical issues encountered in stroke care]
- 2023
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Ingår i: Läkartidningen. - : Sveriges läkarförbund. - 0023-7205 .- 1652-7518. ; 120
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Forskningsöversikt (refereegranskat)abstract
- We review some of the most frequent ethical issues encountered in stroke care. Priorities in stroke care should be based on the principles of the Swedish prioritization platform: human dignity, needs/solidarity, and cost-effectiveness. The prognosis is often uncertain very early after stroke. We therefore advocate time for careful assessment before taking decisions on treatment restrictions such as do-not-resuscitate orders. Swedish law permits acute treatment for patients unable to consent because of severe stroke. For selected patients already living in home-based medical care or institutional care when afflicted by stroke, it may be appropriate not to transfer them to an acute care hospital, provided that sufficient skills in acute evaluation and stroke care are available. Likewise, if a stroke patient is discharged from hospital with a percutaneous endoscopic gastrostomy, adequate competence is needed in home-based or institutional care. It is not ethically appropriate to continue advanced medical treatment that is without benefit for the patient during the last days of life.
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- Asplund, Kjell, et al.
(författare)
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Hemikraniektomi är livräddande, visar Riks-Stroke : erfarenheter av ingreppet vid malign hjärninfarkt och intracerebral blödning
- 2014
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Ingår i: Läkartidningen. - : Sveriges läkarförbund. - 0023-7205 .- 1652-7518. ; 111:3-4
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Tidskriftsartikel (refereegranskat)abstract
- From 2009 to mid-2013, 229 hemicraniectomies were reported in Riks-Stroke, of which 43 were performed in patients with intracerebral hemorrhage. In patients with brain infarction, it was performed in 0.19% (all ages) and 1.07% (below 60 years), higher than reported from the US. Of the hemicraniectomies, 45% were performed in patients above 60 years. Survival was 83% at 3 months and 81% at 12 months, similar to survival reported in the literature. Three months after hemicraniectomy, 69% of survivors responded to a follow-up questionnaire. Of these, 31% were independent in personal ADL and 46% were living at home. Case fatality was higher but functional outcome in survivors was similar in patients above 60 years compared to below 60. In conclusion, outcomes are similar in Sweden to those reported in randomized trials and international observational studies. With proper patient selection, it seems that hemicraniectomy may also benefit patients above 60 years.
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- Asplund, Kjell
(författare)
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Hur kan tandhälsans stora gap bestå?
- 2017
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Ingår i: Tandläkartidningen. - 0039-6982. ; :2, s. 37-37
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Tidskriftsartikel (övrigt vetenskapligt/konstnärligt)
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- Asplund, Kjell
(författare)
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Hur tungt får kollegialiteten väga?
- 2017
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Ingår i: Tandläkartidningen. - 0039-6982. ; :7, s. 43-43
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Tidskriftsartikel (övrigt vetenskapligt/konstnärligt)
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