Nederlands tijdschrift voor geneeskunde
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Ned Tijdschr Geneeskd · Jun 2003
[Resuscitations in the hospital: reporting using the Utstein-style form and a study of 183 patients in the St. Radboud University Medical Center, Nijmegen, the Netherlands, between 1997-2000].
To evaluate the completion of the Utstein-style forms after cardiopulmonary resuscitation (CPR) in the St Radboud University Medical Center, Nijmegen (UMCN), the Netherlands, and to assess the outcomes of the CPR attempts. ⋯ The variables on the Utstein-style form relating to the acute phase were poorly completed, and even fewer variables were completed for later phases. CPR was successful in 57% of the patients, and 30% left the hospital alive.
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Ned Tijdschr Geneeskd · Jun 2003
[Epiploic appendagitis: an underestimated self-limiting acute abdominal condition].
To describe the clinical findings in patients with epiploic appendagitis and to evaluate its natural course. ⋯ Due to the increased use of diagnostic imaging in patients with acute abdominal symptoms, epiploic appendagitis is much more frequently diagnosed than before. Presenting symptoms of epiploic appendagitis are non-specific, leading to misdiagnosis in most cases. Epiploic appendagitis has a benign natural course and if patients are correctly diagnosed using ultrasonography and CT, unnecessary surgery and medical treatment may be avoided.
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Ned Tijdschr Geneeskd · May 2003
Comment[Intensive care medicine in the Netherlands, 1997-2001. I. Patient population and treatment outcome].
To describe the patients admitted to intensive care units (ICUs) in the Netherlands between 1997-2001 and the treatment outcome. ⋯ Hospital mortality for ICU-admitted patients in the NICE registration was 12.9%. For patients who could be evaluated with the APACHE II model, actual hospital mortality was lower than predicted by this model. Significant differences in length of admission, hospital mortality and SMR were found between individual hospitals.
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Ned Tijdschr Geneeskd · May 2003
Comparative Study[Intensive care medicine in the Netherlands, 1997-2001. II. Changes over time and differences between hospitals].
To describe efficacy (mortality) and efficiency (length of admission) of intensive care (IC) treatment after admission due to a prior cardiothoracic operation or pneumonia, based on data from the Dutch National Intensive Care Evaluation (NICE) foundation. ⋯ With the NICE registration it is possible to detect differences and trends. This is a valuable tool for indicating where and how quality and efficiency in intensive care medicine can be improved.