| 51. |
- Wennergren, David, et al.
(författare)
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Treatment and re-operation rates in one thousand and three hundred tibial fractures from the Swedish Fracture Register
- 2021
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Ingår i: European Journal of Orthopaedic Surgery and Traumatology. - : Springer Science and Business Media LLC. - 1633-8065 .- 1432-1068. ; 31:1, s. 143-154
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Tidskriftsartikel (refereegranskat)abstract
- Purpose: Approximately, 50 persons per 100,000 per year sustain a tibial fracture. There is, however, a lack of large cohort studies that describe the treatment and re-operation frequencies of tibial fractures. The aim of this study was to describe the treatment and re-operation rates of tibial fractures in all segments of the tibia. Methods: Data related to all patients aged 16 and above treated for tibial fractures (ICD-10 S82.10-31) at Sahlgrenska University Hospital in 2011–2015 were extracted from the Swedish Fracture Register. To make sure all re-operations were included in the study, the operation planning system was checked for all patients included in the study. Results: The study comprised 1371 tibial fractures − 712 proximal, 417 diaphyseal and 242 distal tibial fractures. Among the proximal and distal tibial fractures, plate fixation was the most commonly used surgical method, whereas among tibial shaft fractures, an intramedullary nail was the most commonly used surgical method. Almost 30% (29.8%) of all surgically treated tibial fractures underwent re-operation. Among proximal tibial fractures, 24.0% underwent re-operation; tibial shaft fractures 37.0% and distal tibial fractures 26.8%. Re-operations due to infection were more or less equally common in all segments (3.9–5.4%). Conclusion: This study describes the treatment and re-operation rates after tibial fractures in a cohort of 1371 tibial fractures at Sahlgrenska University Hospital during a period of 5years. The study shows an overall re-operation rate of 29.8% for fractures in all segments of the tibia. © 2020, The Author(s).
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| 52. |
- Zabala, A., et al.
(författare)
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Early and long-term prognosis in patients with and without type 2 diabetes after carotid intervention: a Swedish nationwide propensity score matched cohort study
- 2021
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Ingår i: Cardiovascular Diabetology. - : Springer Science and Business Media LLC. - 1475-2840. ; 20
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Tidskriftsartikel (refereegranskat)abstract
- Objectives To investigate early and long-term outcomes after treatment of carotid artery stenosis in patients with type 2 diabetes (T2D) compared to patients without T2D. Design/method This observational nationwide population-based retrospective cohort study investigated all T2D patients treated for carotid stenosis registered in the National Swedish Vascular Surgery and the National Diabetes Registries. Data was collected prospectively for all patients after carotid intervention, during 2009-2015. We estimated crude early (within 30-days) hazard ratios (HRs) risk of stroke and death, and long-term HRs risk, adjusted for confounders with 95% confidence intervals (CIs), for stroke and death and major adverse cardiovascular events (MACE) by using inverse probability of treatment weighting matching. Results A total of 1341 patients with T2D and 4162 patients without T2D were included; 89% treated for symptomatic carotid stenosis, 96% with carotid endarterectomy. There was an increased early risk, HRs (95% CI), for stroke in T2D patients 1.65 (1.17-2.32), whereas risk for early death 1.00 (0.49-2.04) was similar in both groups. During a median follow-up of 4.3 (T2D) and 4.6 (without T2D), with a maximum of 8.0 years; after propensity score matching there was an increased HRs (95% CI) of stroke 1.27 (1.05-1.54) and death 1.27 (1.10-1.47) in T2D patients compared to patients without T2D. Corresponding numbers for MACE were 1.21 (1.08-1.35). Conclusions Patients with T2D run an increased risk for stroke, death, and MACE after carotid intervention. They also have an increased perioperative risk for stroke, but not for death.
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| 53. |
- Åkeson, Jonas, et al.
(författare)
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Simulatorträning ger nya läkare självförtroende vid akuta tillstånd
- 2022
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Ingår i: Läkartidningen. - 0023-7205. ; 119:44-45, s. 1454-1456
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Tidskriftsartikel (refereegranskat)abstract
- Current national objectives of Swedish medical schools state that new doctors should be able to independently start rapid and appropriate early treatment and diagnostic assessment in life-threatening situations. Since 2017 more than one thousand senior undergraduate students at Lund University have undergone compulsory five-week training in initial management of potentially reversible medical emergency conditions. The students participate in thematic full-scale simulations of life-threatening bedside challenges associated with chest or abdominal pain, vital organ dysfunction, and major trauma, and also take part in lectures, case-based seminars and clinical emergency practice under individual supervision. The course is concluded by a structured simulation-based holistic examination, designed to test individual abilities of relevant decision-making, rapid and appropriate bedside action, and professional approach.
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