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Validation of adver...
Validation of adverse events after hip arthroplasty : a Swedish multi-centre cohort study.
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- Magnéli, Martin (författare)
- Karolinska Institutet
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- Unbeck, Maria (författare)
- Department of Molecular Medicine and Surgery, Karolinska Institutet, Stockholm, Sweden; Trauma and Reparative Medicine Theme, Karolinska University Hospital, Stockholm, Sweden
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- Rogmark, Cecilia (författare)
- Skanes universitetssjukhus, Malmo, Sweden,Skåne University Hospital, Sweden
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- Rolfson, Ola, 1973 (författare)
- Gothenburg University,Göteborgs universitet,Institutionen för kliniska vetenskaper, Avdelningen för ortopedi,Institute of Clinical Sciences, Department of Orthopaedics
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- Hommel, Ami (författare)
- Malmö universitet,Institutionen för vårdvetenskap (VV),Department of Orthopaedics, Skåne University Hospital, Lund, Sweden,Malmö University, Sweden;Skåne University Hospital, Sweden
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- Samuelsson, Bodil (författare)
- Karolinska Institutet
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- Schildmeijer, Kristina, 1959- (författare)
- Linnéuniversitetet,Institutionen för hälso- och vårdvetenskap (HV),reaction
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- Sjöstrand, Desirée (författare)
- Education Unit, Skånevård Kryh, Kristianstad, Sweden
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- Gordon, Max (författare)
- Department of Clinical Sciences at Danderyd Hospital, Division of Orthopaedics, Karolinska Institutet, Stockholm, Sweden; Department of Orthopaedics, Danderyd University Hospital Corp., Stockholm, Sweden
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- Sköldenberg, Olof (författare)
- Karolinska Institutet
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(creator_code:org_t)
- 2019-03-07
- 2019
- Engelska.
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Ingår i: BMJ Open. - : BMJ. - 2044-6055. ; 9:3
- Relaterad länk:
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https://bmjopen.bmj....
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https://doi.org/10.1...
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https://mau.diva-por... (primary) (Raw object)
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https://lnu.diva-por... (primary) (Raw object)
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https://urn.kb.se/re...
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https://doi.org/10.1...
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https://urn.kb.se/re...
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https://urn.kb.se/re...
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http://kipublication...
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https://gup.ub.gu.se...
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Abstract
Ämnesord
Stäng
- OBJECTIVES: Preventing adverse events (AEs) after orthopaedic surgery is a field with great room for improvement. A Swedish instrument for measuring AEs after hip arthroplasty based on administrative data from the national patient register is used by both the Swedish Hip Arthroplasty Register and the Swedish Association of Local Authorities and Regions. It has never been validated and its accuracy is unknown. The aim of this study was to validate the instrument's ability to detect AEs, and to calculate the incidence of AEs following primary hip arthroplasties.DESIGN: Retrospective cohort study using retrospective record review with Global Trigger Tool methodology in combination with register data.SETTING: 24 different hospitals in four major regions of Sweden.PARTICIPANTS: 2000 patients with either total or hemi-hip arthroplasty were recruited from the SHAR. We included both acute and elective patients.PRIMARY AND SECONDARY OUTCOME MEASURES: The sensitivity and specificity of the instrument. Adjusted cumulative incidence and incidence rate.RESULTS: The sensitivity for all identified AEs was 5.7% (95% CI: 4.9% to 6.7%) for 30 days and 14.8% (95% CI: 8.2 to 24.3) for 90 days, and the specificity was 95.2% (95% CI: 93.5% to 96.6%) for 30 days and 92.1% (95% CI: 89.9% to 93.8%) for 90 days. The adjusted cumulative incidence for all AEs was 28.4% (95% CI: 25.0% to 32.3%) for 30 days and 29.5% (95% CI: 26.0% to 33.8%) for 90 days. The incidence rate was 0.43 AEs per person-month (95% CI: 0.39 to 0.47).CONCLUSIONS: The AE incidence was high, and most AEs occurred within the first 30 days. The instrument sensitivity for AEs was very low for both 30 and 90 days, but the specificity was high for both 30 and 90 days. The studied instrument is insufficient for valid measurements of AEs after hip arthroplasty.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Ortopedi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Orthopaedics (hsv//eng)
Nyckelord
- adverse events
- global trigger tool
- hip arthroplasty
- orthopaedics
- validation
- Hälsovetenskap
- risk-factors
- hospitals
- General & Internal Medicine
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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- Av författaren/redakt...
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Magnéli, Martin
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Unbeck, Maria
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Rogmark, Cecilia
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Rolfson, Ola, 19 ...
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Hommel, Ami
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Samuelsson, Bodi ...
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Schildmeijer, Kr ...
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Sjöstrand, Desir ...
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Gordon, Max
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Sköldenberg, Olo ...
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- Om ämnet
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- MEDICIN OCH HÄLSOVETENSKAP
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MEDICIN OCH HÄLS ...
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och Hälsovetenskap
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- MEDICIN OCH HÄLSOVETENSKAP
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MEDICIN OCH HÄLS ...
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och Klinisk medicin
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och Ortopedi
- Artiklar i publikationen
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BMJ Open
- Av lärosätet
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Högskolan Dalarna
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Malmö universitet
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Linnéuniversitetet
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Karolinska Institutet
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Göteborgs universitet