Læknablađiđ
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Osteoarthrosis (OA) is a growing medical problem in western societies and the cost of the treatment has grown accordingly in the last years. Patients with OA often need to be operated on with arthroplasties and one important outcome measure for this type of surgery is the revision rate. The purpose of this study was to assess the results of knee arthroplasties performed at Akureyri University Hospital during 1983-2003, with special emphasis on revision rates, infections and other complications. ⋯ Our high revision rate for the PCA implant is consistent with what has been seen in other studies. This prosthesis was found to have mechanical problems and was withdrawn from the market. Our revision rate for the AGC implant as well as the rate of infections are low and the results are quite comparable to what has been found in Sweden by the Swedish Knee Arthroplasty Registry. The results of knee arthroplasties performed at Akureyri University Hospital, regarding revision rates, infections and complications, are fully comparable to other known results internationally.
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To analyze the long-term outcome for recipients of disability pension in Iceland. ⋯ In Iceland few people return to work once they have started receiving disability pension.
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To acquire information of organ donations and organ waiting lists in Iceland 1992-2002, the beginning of an organ procurement system. ⋯ 87% of organ donations in Iceland come from patients with cerebral haemorrhage, traumatic brain injury or ischaemic stroke. Organ donations in Iceland seem to fulfill the nations need of organs. It is a possible worry that refusal of organ donation by relatives seemed to increase during the period.
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Comparative Study
[Comparison of MDS-AC registration and conventional medical records in Iceland and other Nordic countries. A part of a Nordic study].
Complex functional decline and comorbid state is an important indicator of outcome for hospital care of older adults. In today acute care it is important to quickly be able to target those who might benefit from geriatric assessment. The MDS-AC is an evaluation system for geriatric acute care patients that records functional impairment and co-morbid states. The object of this study was to compare the MDS-AC registration with the traditional nurses and doctors records for chosen variables important to older patient care in Iceland and other Nordic countries. ⋯ The MDS-AC documents better than traditional medical records several important variables relating to function among the elderly. It may be possible to improve documentation with a standardized instrument such as the MDS-AC.
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Comparative Study
[Retrospective analysis of health variables in a Reykjavík nursing home 1983-2002 (corrected)].
A municipal nursing home with 68 beds in Reykjavík, opened in mid-year 1982. ⋯ This retrospective analysis indicates increasing frailty in nursing home patients admitted over a period of 20 years. With time the residents are more often admitted directly from a hospital rather than from an individual dwelling. Most deaths took place in the nursing home and were preceded with informal or formal palliative care directives, which was a significant change over time. The data indicates growing efficiency in the nursing home selection processes due to the NHPA and improvements in holistic geriatric care. This development is in keeping with the Icelandic health care policy for elderly people to stay longer in their own home with access to a nursing home placement when needed.