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| 2. |
- Glasbey, JC, et al.
(author)
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- 2021
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swepub:Mat__t
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| 3. |
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| 4. |
- Bravo, L, et al.
(author)
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- 2021
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swepub:Mat__t
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| 5. |
- Tabiri, S, et al.
(author)
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- 2021
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swepub:Mat__t
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| 6. |
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| 7. |
- Khatri, C, et al.
(author)
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Outcomes after perioperative SARS-CoV-2 infection in patients with proximal femoral fractures: an international cohort study
- 2021
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In: BMJ open. - : BMJ. - 2044-6055. ; 11:11, s. e050830-
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Journal article (peer-reviewed)abstract
- Studies have demonstrated high rates of mortality in people with proximal femoral fracture and SARS-CoV-2, but there is limited published data on the factors that influence mortality for clinicians to make informed treatment decisions. This study aims to report the 30-day mortality associated with perioperative infection of patients undergoing surgery for proximal femoral fractures and to examine the factors that influence mortality in a multivariate analysis.SettingProspective, international, multicentre, observational cohort study.ParticipantsPatients undergoing any operation for a proximal femoral fracture from 1 February to 30 April 2020 and with perioperative SARS-CoV-2 infection (either 7 days prior or 30-day postoperative).Primary outcome30-day mortality. Multivariate modelling was performed to identify factors associated with 30-day mortality.ResultsThis study reports included 1063 patients from 174 hospitals in 19 countries. Overall 30-day mortality was 29.4% (313/1063). In an adjusted model, 30-day mortality was associated with male gender (OR 2.29, 95% CI 1.68 to 3.13, p<0.001), age >80 years (OR 1.60, 95% CI 1.1 to 2.31, p=0.013), preoperative diagnosis of dementia (OR 1.57, 95% CI 1.15 to 2.16, p=0.005), kidney disease (OR 1.73, 95% CI 1.18 to 2.55, p=0.005) and congestive heart failure (OR 1.62, 95% CI 1.06 to 2.48, p=0.025). Mortality at 30 days was lower in patients with a preoperative diagnosis of SARS-CoV-2 (OR 0.6, 95% CI 0.6 (0.42 to 0.85), p=0.004). There was no difference in mortality in patients with an increase to delay in surgery (p=0.220) or type of anaesthetic given (p=0.787).ConclusionsPatients undergoing surgery for a proximal femoral fracture with a perioperative infection of SARS-CoV-2 have a high rate of mortality. This study would support the need for providing these patients with individualised medical and anaesthetic care, including medical optimisation before theatre. Careful preoperative counselling is needed for those with a proximal femoral fracture and SARS-CoV-2, especially those in the highest risk groups.Trial registration numberNCT04323644
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| 9. |
- Bejerholm, Ulrika, et al.
(author)
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Vardagslivet
- 2005
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In: Att leva med psykiska funktionshinder – livssituation och effektiva stödinsatser. - 9144033168 ; , s. 103-103
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Book chapter (other academic/artistic)abstract
- Det här kapitlet tar upp hur vardagslivet kan te sig för personer som har ett psykiskt funktionshinder. Vardagen består för oss människor av olika sysslor, och vi upplever dem på olika sätt och de betyder olika saker. Många av dem utförs automatiskt utan reflektion, som exempelvis att duscha på morgonen eller att handla på hemvägen från jobbet. Det kan sägas vara en slags autopilot inkopplad som gör att minimalt med energi och koncentration behöver läggas på sådana uppgifter. Andra saker som utförs kräver mer koncentration och innebär kanske anspänning, som att hålla ett föredrag eller klättra i berg. För en person som drabbats av psykisk sjukdom slås mycket av autopilotfunktionen ut, och därmed blir vardagens olika sysslor en ansträngande och ibland övermäktig uppgift. Vardagslivet får ett annorlunda utseende, och det vanliga mönstret av arbete, fritid, vila och egenvård förändras. Även upplevelsen av det som en person gör förändras vanligtvis. Rent generellt kan det sägas att det psy
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| 10. |
- Brunt, D, et al.
(author)
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A comparison of the psychosocial environment of two types of residences for persons with severe mental illness: Small congregate community residences and psychiatric inpatient settings
- 2002
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In: International Journal of Social Psychiatry. - : SAGE Publications. - 1741-2854 .- 0020-7640. ; 48:4, s. 243-252
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Journal article (peer-reviewed)abstract
- Background: Legislation was passed in Sweden to stimulate the development of different housing solutions for persons suffering from severe mental illness. Among these solutions are small congregate residences built in the community to provide suitable housing and support for those not able or willing to live independently. Aims: The general aim of the present study was to compare the psychosocial environment of two types of residences for the persons with severe mental illness - congregate community residences and psychiatric inpatient settings. A specific aim was to see if the former provided higher levels of autonomy than the latter. Methods: In this cross-sectional study the real version of the Community Oriented Program Environmental Scale (COPES) was administered to residents, patients and staff members. Results: The study showed that the psychosocial environment differs between the two types of settings. Residents and staff in small congregate residences rated higher levels of Autonomy and lower levels of Practical Orientation, Anger and Aggression and Order and Organisation than patients and staff in inpatient settings. Conclusions: The psychosocial environment profiles for psychiatric settings in different phases of the care process may vary in terms of the aforementioned subscales.
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