Danish medical journal
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Danish medical journal · Oct 2013
Bronchoschopy should always be performed in children on suspicion of foreign body aspiration.
Foreign body aspiration (FBA) can have a fatal outcome, and the diagnosis is challenging since symptoms and signs may vary. We therefore investigated whether it was possible to identify predictors indicating the presence of a foreign body. ⋯ Parental suspicion of an FBA indicates acute bronchoscopy in children regardless of signs, symptoms and findings.
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Danish medical journal · Oct 2013
Patients highly value routine follow-up of skin cancer and cutaneous melanoma.
Skin cancer follow-up is a substantial burden to outpatient clinics. Few studies have investigated patients' views on skin cancer follow-up and cutaneous melanoma. The objective was to investigate patients' perceived benefits and the impact of follow-up. ⋯ The majority of patients who attended found that the follow-up had been useful. Certain demographic characteristics were associated with higher levels of anxiety and may be addressed by supportive efforts targeting these groups.
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The epidemiology and prognosis of ''fainting'' or syncope has puzzled physicians over the years. Is fainting dangerous? This is a question often asked by the patient--and the answer is ''it depends on a lot of things''. The diverse pathophysiology of syncope and the underlying comorbidites of the patients play an essential role. ⋯ The last studies showed that syncope is a common cause for hospital contact in Denmark and that the risk of syncope is tightly associated with cardiovascular co-morbidities and use of pharmacotherapy. Furthermore in patients with no co-morbidities (or healthy individuals), syncope is a significant and independent prognostic factor of adverse cardiovascular outcome and death compared to the background population. Lastly, evaluation of the CHADS2 score, as a tool for risk stratification, showed that it provided additional prognostic information on short- and long-term cardiovascular mortality in syncope patients compared to controls.
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Danish medical journal · Sep 2013
Comparative Study Observational StudyFront-end specialists reduce time to a treatment plan for patients with acute abdomen.
Emergency departments (EDs) are replacing acute specialised wards in Denmark. The aim was to compare time to a treatment plan for patients with acute abdomen at a surgical assessment unit (SAU) and at an ED, respectively. ⋯ University of Southern Denmark, Odense University Hospital and Novo Nordisk Foundation.
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Danish medical journal · Sep 2013
Observational StudyVariable assessment of the circulation in intensive care unit patients with shock.
Circulatory failure is frequent in intensive care unit (ICU) patients and is associated with a high mortality and morbidity. There is no current consensus on which parameters best evaluate circulatory failure, and clinical practice regarding haemodynamic assessment is unknown. This study describes current clinical practice regarding circulatory assessment in ICU patients with shock. ⋯ Righospitalet's Research Council supported the study.