| 1. |
|
|
| 2. |
- Dryver, Eric, et al.
(författare)
-
Checklistor och »crowdsourcing« för ökad patientsäkerhet på akutmottagningen
- 2014
-
Ingår i: Läkartidningen. - 0023-7205. ; 111:11, s. 493-494
-
Tidskriftsartikel (övrigt vetenskapligt/konstnärligt)abstract
- Checklists make it easier for the emergency physician. This is the idea behind a website launched this month. The site will contain suggestions for checklists on what information which should be obtained for the assessment of the patient at the emergency department. All emergency staff are invited to participate in the development of the project.
|
|
| 3. |
|
|
| 4. |
- Mokhtari, Arash X, et al.
(författare)
-
Determinants of increasing pulse pressure during 23 years' follow-up as a marker of arterial stiffness and vascular ageing.
- 2008
-
Ingår i: Blood Pressure. - : Informa UK Limited. - 0803-7051 .- 1651-1999. ; 17:5-6, s. 291-297
-
Tidskriftsartikel (refereegranskat)abstract
- The aim was to investigate clinical characteristics of increased brachial pulse pressure (PP) during long-term follow-up (23 years) as a marker of arterial stiffness in 9704 healthy subjects. The association of baseline variables with an increasing PP burden during the study period was analysed by univariate analysis. In addition, the association between different biological variables at baseline and increasing PP at follow-up, as well as the cross-sectional association with PP at follow-up, were examined by multiple regression analysis. The prospective analysis showed in men that the following baseline variables predicted (p<0.05) increased PP at follow-up: age, fasting glucose, triglycerides, heart rate, smoking, family history of hypertension and cholesterol. Among women, the same predictors were established (p<0.05), except for smoking and triglycerides, but in addition body mass index (BMI). The cross-sectional analysis obtained at the last survey, showed that the following variables (p<0.05) were associated with increased PP in men: fasting glucose, age, BMI, cholesterol and family history of hypertension. In females, similar findings were noted (p<0.05), but in addition there was a negative correlation with smoking. In conclusion, several well-known cardiovascular risk factors, such as glucose, BMI, heart rate, family history of hypertension and cholesterol in particular, are long-term predictors of increased PP in both genders.
|
|
| 5. |
- Mokhtari, Arash X, et al.
(författare)
-
Diagnostic values of chest pain history, ECG, troponin and clinical gestalt in patients with chest pain and potential acute coronary syndrome assessed in the emergency department.
- 2015
-
Ingår i: SpringerPlus. - : Springer Science and Business Media LLC. - 2193-1801. ; 4
-
Tidskriftsartikel (refereegranskat)abstract
- In the assessment of chest pain patients with suspected acute coronary syndrome (ACS) in the emergency department (ED), physicians rely on global diagnostic impressions ('gestalt'). The aim of this study was to determine the diagnostic value of the ED physician's overall assessment of ACS likelihood, and the values of the main diagnostic modalities underlying this assessment, namely the chest pain history, the ECG and the initial troponin result. 1,151 consecutive ED chest pain patients were prospectively included. The ED physician's interpretation of the chest pain history, the ECG, and the global likelihood of ACS were recorded on special forms. The discharge diagnoses were retrieved from the medical records. A chart review was carried out to determine whether patients with a non-ACS diagnosis at the index visit had ACS or suffered cardiac death within 30 days. The gestalt was better than its components both at ruling in ("Obvious ACS", LR 29) and at ruling out ("No Suspicion of ACS", LR 0.01) ACS. In the "Strong suspicion of ACS" group, 60% of the patients did not have ACS. A positive TnT (LR 24.9) and an ischemic ECG (LR 8.3) were strong predictors of ACS and seemed superior to pain history for ruling in ACS. In patients with a normal TnT and non-ischemic ECG, chest pain history typical of AMI was not a significant predictor of AMI (LR 1.9) while pain history typical of unstable angina (UA) was a moderate predictor of UA (LR 4.7). Clinical gestalt was better than its components both at ruling in and at ruling out ACS, but overestimated the likelihood of ACS when cases were assessed as strong suspicion of ACS. Among the components of the gestalt, TnT and ECG were superior to the chest pain history for ruling in ACS, while pain history was superior for ruling out ACS.
|
|
| 6. |
- Mokhtari, Arash X, et al.
(författare)
-
Halssmärta och andningsstillestånd
- 2012
-
Ingår i: Akutmedicinsk Update. - 1890-9493. ; 5:2, s. 33-35
-
Tidskriftsartikel (refereegranskat)
|
|
