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Sökning: WFRF:(Hansson M) > Högskolan i Borås

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2.
  • Herlitz, Johan, et al. (författare)
  • Characteristics and outcome among women and men transported by ambulance due to symptoms arousing suspicion of acute coronary syndrome
  • 2002
  • Ingår i: Medical Science Monitor. - : Medical Science International Sp. z o.o.. - 1234-1010 .- 1643-3750. ; 8:4, s. 251-256
  • Tidskriftsartikel (refereegranskat)abstract
    • BACKGROUND: The purpose of this study was to describe the characteristics and outcome in relation to sex in consecutive patients who were transported by an ambulance due to symptoms arousing suspicion of acute coronary syndrome. MATERIAL/METHODS: Our research involved all patients transported by ambulance over a 3-month period in the community of Göteborg due to such symptoms. The P-values were age adjusted. RESULTS: Of the 930 transported patients fulfilling the given criteria, 452 (49%) were of women. The women were older and had a lower incidence of previous acute myocardial infarction, angina pectoris, and current smoking. Women less frequently had a final diagnosis of acute coronary syndrome (22.3% vs 36.6%; p<0.0001) or acute myocardial infarction (10.1% vs 17.9%; p<0.0001). However, the mortality rate during one year was the same in women (17.2%) and men (18.7%). Women were less frequently clammy on admission to the ambulance (17% vs 30%; p<0.0001) and less frequently showed signs of myocardial ischemia in ECG upon admission to the emergency department (26% vs 38%; p<0.0001) compared to men. Among those patients with an acute coronary syndrome, women more frequently complained of dyspnea than men (27% vs 12%; p=0.018). CONCLUSIONS: Our study suggests that among ambulance transported patients with suspicion of acute coronary syndrome there are some differences between women and men in terms of their characteristics and underlying etiology, but not in terms of the risk of mortality.
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3.
  • Herlitz, Johan, et al. (författare)
  • Early identification of patients with an acute coronary syndrome as assessed by dispatchers and the ambulance crew
  • 2002
  • Ingår i: American Journal of Emergency Medicine. - : W.B. Saunders Co. - 0735-6757 .- 1532-8171. ; 20:3, s. 196-201
  • Tidskriftsartikel (refereegranskat)abstract
    • This study was performed to evaluate the possibility of early identification of patients with an acute coronary syndrome who are transported by ambulance. All patients in the community of Göteborg who were transported by ambulance over a period of 3 months owing to symptoms raising any suspicion of an acute coronary syndrome were studied. In all 930 cases that were included in the survey, 130 (14%) had a final diagnosis of acute myocardial infarction (AMI) and 276 (30%) had a final diagnosis of an acute coronary syndrome. Independent risk indicators for development of AMI were: male sex (odds ratio 1.70; 95% confidence limits 1.02-2.84), cold and clammy on admission of the ambulance crew (odds ratio 2.07; 95% confidence limits 1.23-3.49) and showing electrocardiogram (ECG) signs of myocardial ischemia on admission to the emergency department (odds ratio 8.78; 95%confidence limits 5.28-14.61). Independent predictors for development of an acute coronary syndrome were: male sex (odds ratio 1.97; 95% confidence limits 1.30-2.99), a history of angina pectoris (odds ratio 3.41; 95% confidence limits 2.24-5.26), cold and clammy on admission of the ambulance crew (odds ratio 1.95; 95% confidence limits 1.21-3.15), and ECG signs of myocardial ischemia on admission to the emergency department (odds ratio 5.55; 95% confidence limits 3.63-8.58). Among patients seen by the ambulance crew with symptoms raising any suspicion of an acute coronary syndrome, predictors for that diagnosis included male sex, a history of angina pectoris, patients being cold and clammy on admission of the ambulance crew, and ECG signs of myocardial ischemia on admission to the emergency department.
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4.
  • Herlitz, Johan, et al. (författare)
  • Predicting a life-threatening disease and death among ambulance transported patients with chest pain or other symptoms raising suspicion of an acute coronary syndrome
  • 2002
  • Ingår i: American Journal of Emergency Medicine. - : W.B. Saunders Co.. - 0735-6757 .- 1532-8171. ; 20:7, s. 588-594
  • Tidskriftsartikel (refereegranskat)abstract
    • The purpose of this study was to evaluate the possibility to predict in the prehospital phase the occurrence of a life-threatening disease or death among ambulance transported patients with acute chest pain or other symptoms raising any suspicion of an acute coronary syndrome. All patients transported by ambulance during 3 months in the community of Göteborg because of symptoms raising any suspicion of an acute coronary syndrome were included in the study. In all, 930 transports (of 859 patients) fulfilled the inclusion criteria, of which 235 (25.3%) fulfilled the criteria for a life-threatening disease. The overall 30-day mortality was 8.8%, and the 1-year mortality was 18.0%. Independent predictors for a life-threatening disease were a low oxygen saturation on admission of the ambulance crew, patient being clammy on admission of the ambulance crew, a history of myocardial infarction and ST elevation and T-wave inversion on admission to the emergency department. Independent predictors for 30-day mortality were age greater than 70 years, symptoms of dyspnoea, a low oxygen saturation, hypotension and decreased consciousness on admission of the ambulance crew, and ST-depression on electrocardiogram (ECG) on admission to the emergency department. Predictors of 1 year mortality were age greater than 70 years, a history of myocardial infarction, symptoms of dyspnoea, a low oxygen saturation on admission of the ambulance crew and ST-depression, and no sinus rhythm on admission to the emergency department. Among patients with acute chest pain or other symptoms raising any suspicion of an acute coronary syndrome, factors associated with a life-threatening disease and death could be defined. Predictors for the risk of death during the first 30 days were age greater than 70 years, symptoms of dyspnoea, a low oxygen saturation, hypotension and decreased consciousness on admission of the ambulance crew, and ST-depression on ECG on admission to the emergency department.
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5.
  • Kurkinen, Kimmo, et al. (författare)
  • Sammanfattning av tidigare mätningar av fukt- och temperaturförhållanden för trä i klimatskärmen
  • 2009
  • Rapport (övrigt vetenskapligt/konstnärligt)abstract
    • The report is a summary of earlier measurements of moisture and temperature measurement in the building envelope. The content is based on an overview of research reports, scientific papers and conference papers in the field of building physics. The main purpose is to get an understanding for the moisture- and temperature conditions for wood in the building envelope. Another purpose is to identify the need of additional measurements in laboratory and in field. The report is a deliverable in project WPB Exposure of wood in the building envelope. This project is part of WoodBuild, a research programme within the Sectoral R&D Programme 2006-2012 for the Swedish forest-based industry. This Programme is jointly funded by the government, industry and other stakeholders with interests related to the Swedish forest-based industry.
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  • Resultat 1-5 av 5

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