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7. Cognitive dysfunction after minor surgery in the elderly

Author

CANET, J., RAEDER, J., RASMUSSEN, L. S., ENLUND, M., KUIPERS, H. M., HANNING, C. D., JOLLES, J., KORTTILA, K., SIERSMA, V. D., DODDS, C., ABILDSTROM, H., SNEYD, J. R., VILA, P., JOHNSON, T., CORSINI, L. MUÑOZ, SILVERSTEIN, J. H., NIELSEN, I. K., and MOLLER, J. T.

Published
2003

13. Reply

Author

Enlund, M., Miregard, M., and Wennmalm, K.

Published
2002

21. Improvements in logistics could increase survival after out-of-hospital cardiac arrest in Sweden

Author

Strömsöe, Anneli, Afzelius, S., Axelsson, C., Kallestedt, M. L. Sodersved, Enlund, M., Svensson, L., Herlitz, J., Strömsöe, Anneli, Afzelius, S., Axelsson, C., Kallestedt, M. L. Sodersved, Enlund, M., Svensson, L., and Herlitz, J.

Abstract

Objectives. In a review based on estimations and assumptions, to report the estimated number of survivors after out-of-hospital cardiac arrest (OHCA) in whom cardiopulmonary resuscitation (CPR) was started and to speculate about possible future improvements in Sweden. Design. An observational study. Setting All ambulance organisations in Sweden. Subjects Patients included in the Swedish Cardiac Arrest Registry who suffered an OHCA between January 1, 2008 and December 31, 2010. Approximately 80% of OHCA cases in Sweden in which CPR was started are included. Interventions None Results. In 11005 patients, the 1-month survival rate was 9.4%. There are approximately 5000 OHCA cases annually in which CPR is started and 30-day survival is achieved in up to 500 patients yearly (6 per 100000 inhabitants). Based on findings on survival in relation to the time to calling for the Emergency Medical Service (EMS) and the start of CPR and defibrillation, it was estimated that, if the delay from collapse to (i) calling EMS, (ii) the start of CPR, and (iii) the time to defibrillation were reduced to <2min, <2min, and <8min, respectively, 300400 additional lives could be saved. Conclusion. Based on findings relating to the delay to calling for the EMS and the start of CPR and defibrillation, we speculate that 300400 additional OHCA patients yearly (4 per 100000 inhabitants) could be saved in Sweden.

Published
2013
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22. Cognitive dysfunction after minor surgery in the elderly

Author

Canet, J., Raeder, J., Rasmussen, L.S., Enlund, M., Kuipers, Harrie M., Hanning, C.D., Jolles, J., Korttila, Kari, Siersma, Volkert Dirk, Dodds, C., Abildstrøm, H., Sneyd, J.R., Vila, P., Johnson, T.D., Corsini, L.M., Silverstein, J.H., Nielsen, I.K., Møller, J.T., Canet, J., Raeder, J., Rasmussen, L.S., Enlund, M., Kuipers, Harrie M., Hanning, C.D., Jolles, J., Korttila, Kari, Siersma, Volkert Dirk, Dodds, C., Abildstrøm, H., Sneyd, J.R., Vila, P., Johnson, T.D., Corsini, L.M., Silverstein, J.H., Nielsen, I.K., and Møller, J.T.

Abstract

General anasthesia; minor surgery; out-patient surgery; cognitive dysfunction

Published
2004

41. Andningssystem i centrum.

Author

Ahlstedt, B, Edmark, L, Enlund, M, Hansson, A, Mentell, O, Revenas, B, Ahlstedt, B, Edmark, L, Enlund, M, Hansson, A, Mentell, O, and Revenas, B

Published
1995

49. In-hospital cardiac arrest characteristics and outcome after defibrillator implementation and education: from 1 single hospital in Sweden.

Author

Källestedt ML, Berglund A, Enlund M, and Herlitz J

Abstract

BACKGROUND: Survival after in-hospital cardiac arrest (CA) has been reported to be surprisingly low without any major improvement during the last decade. AIMS: The aim of this study is to evaluate the clinical impact (delay to defibrillation and survival after CA) of an intervention within 1 single hospital (Västerås, Sweden), including (1) a systematic education of all health care professionals in cardiopulmonary resuscitation and (2) the implementation of 18 automated external defibrillators. METHODS: Information was retrieved from the Swedish National Register of Cardiopulmonary Resuscitation. The differences between the 2 calendar periods were evaluated by [chi](2) and Fisher exact tests. Logistic regression was used to control for potential confounders. RESULTS: In total, there were 73 in-hospital CAs before (12 months) and 133 after (18 months) the intervention. The overall delay to defibrillation was not reduced after the intervention, and the proportion of survivors to hospital discharge was 26% before and 32% after the intervention (P =.51). Cerebral function, however, was improved after the intervention (as judged by the cerebral performance categories score; P < .001). Thus, the proportion of survivors among all CA patients discharged with a cerebral performance scale score of 1 or 2 (good or acceptable cerebral function) increased from 20% to 32%. CONCLUSION: An intervention within 1 single hospital (systematic training of all health care professionals in cardiopulmonary resuscitation and implementation of automated external defibrillators) did not reduce treatment delay or increase overall survival. Our results, however, suggest indirect signs of an improved cerebral function among survivors. [ABSTRACT FROM AUTHOR]

Published
2012
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