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Danish Medical Journal

Louise Tækker, Susanne Lunn
INTRODUCTION: Psychosocial assessment of pre-bariatric patients is an internationally recommended practice. However, the applicability of the assessments remains unaccounted for. This study investigated if the allocation of bariatric surgery candidates to a high-risk category on the basis of a psychosocial assessment correlates with attenuated weight loss and reduced mental health improvements. METHODS: The assessment procedure consisted of standardised psychometric questionnaires, structured diagnostic interviews and semi-structured interviews...
February 2019: Danish Medical Journal
Magnus Strøh Schmidt, Louise Preisler, Rasmus Fabricius, Peter Svenningsen, Jens Hillingsø, Lars Bo Svendsen, Martin Sillesen
INTRODUCTION: Treatment-requiring acute non-variceal upper gastrointestinal bleeding (NVUGIB) is a common, potentially life-threatening emergency. This study investigated whether hospital admittance volume of patients with NVUGIB was associated with reduced mortality, reduced lasting failure of haemostatic procedures defined as rate of re-endoscopy with repeated haemostasis intervention (ReWHI), transfusion requirements and conversion to surgery. METHODS: Data on Danish nationwide admissions of patients with acute NVUGIB from 2011-2013 were analysed to estimate 30-day mortality, re-bleeding (ReWHI), transfusion rates and rates of conversion to surgery...
February 2019: Danish Medical Journal
Mette Thrane Øhrstrøm, Christian Sander Danstrup, Tejs Ehlers Klug
INTRODUCTION: We aimed to investigate doctors' ad-herence to the local antibiotic guidelines for treatment of patients admitted with acute pharyngeal infections and to identify patient-related risk factors for non-adherence. METHODS: All patients with acute tonsillitis, peritonsillar abscess (PTA), and parapharyngeal abscess admitted to the Ear-Nose-Throat Department, Aarhus University Hospital, in the 2001-2014 period were included in the study. RESULTS: In total, 2,567 patients were hospitalised with acute pharyngeal infection...
February 2019: Danish Medical Journal
Josephine Zachodnik, Jakob Hessel Andersen, Anja Geisler
INTRODUCTION: Post-operative pain is associated with poor patient satisfaction and severe complications. It is often underreported and poorly managed. The aim of this study was to investigate which factors influence and prevent optimal pain treatment according to healthcare providers. METHODS: We conducted an electronic questionnaire survey, which was distributed by e-mail to 364 doctors, nurses, dentists and social and healthcare assistants employed at the emergency and surgical departments of Zealand University Hospital, Koege, Denmark...
February 2019: Danish Medical Journal
Julie Vinkel, Nicolai Lohse, Ole Hyldegaard
INTRODUCTION: Patients with diabetic foot ulcers (DFU) suffer from diabetes-related complications and comor-bidities. Hyperbaric oxygen therapy (HBOT) is a treatment modality with limited capacity used in the treatment of DFUs. It is important to ensure that HBOT is offered to patients who are suitable for this treatment regarding effect, compliance and life expectancy. The objective of the present study was to describe the population of patients with DFU who were referred to HBOT in Denmark in the 1999-2016 period...
February 2019: Danish Medical Journal
Charlotte Hartig-Andreasen, Lena Schroll, Jeppe Lange
INTRODUCTION: The optimal minimal invasive treatment for Dupuytren's contractures (DC) remains debated. The aim of this study was to evaluate the effect of Clostridium histo-lyticum collagenase after 1-4 years of follow-up. The out-comes of this study were 1) overall improvements in degrees from baseline to follow-up; 2) contraction recurrence defined as an extension deficit above 20°, and 3) Hurst endpoint defined as an extension deficit below 5°. METHODS: All patients treated with C...
February 2019: Danish Medical Journal
Stig Molsted, Anne Sofie Dam Bjørkman, Lars H Lundstrøm
INTRODUCTION: Chronic kidney disease is associated with several negative factors that may counteract the potential effects of strength training. The purpose of this systematic review was to explore the effects of strength training on muscle mass, muscle strength, physical function and quality of life in patients undergoing dialysis. METHODS: A literature search was conducted in The Cochrane Library, MEDLINE, Embase, CINAHL and PEDro. Eight randomised, controlled trials of patients undergoing haemodialysis (n = 290) were included...
January 2019: Danish Medical Journal
Ebbe Thinggaard, Flemming Bjerrum, Jeanette Strandbygaard, Lars Konge, Ismail Gögenur
INTRODUCTION: Simulation-based training in surgery helps trainees master laparoscopic skills, and training at home on mobile box trainers may allow trainees to reach proficiency faster. The aim of this study was to examine the added effects of training at home. METHODS: Participants were trainees from departments of surgery, gynaecology and urology who were recruited while taking part in a laparoscopic training course. The interven-tion consisted of added access to a mobile box trainer allowing participants to train at home...
January 2019: Danish Medical Journal
Maja Mønster Jeppesen, Lau Caspar Thygesen, Sarah Ekeloef, Ismail Gögenur
INTRODUCTION: Emergency laparotomy is a high-risk procedure associated with severe post-operative morbidity and high mortality. The aim was to conduct a nationwide cohort consisting of all patients undergoing emergency laparotomy during an 11-year period and to examine both short- and long-term outcomes. METHODS: Adult patients treated with emergency laparotomy due to gastrointestinal conditions from 2003 through 2013 were identified in the Danish National Patient Register...
January 2019: Danish Medical Journal
Sebastian Lund Karlsson, Vibeke Backer, Nina Godtfredsen
INTRODUCTION: Oral use of glucocorticoids is a well-described therapy in the treatment of acute exacerbations of chronic obstructive pulmonary disease (COPD). Patients with COPD occasionally report subjective benefits of glucocorticoids in terms of fewer symptoms and better exercise performance, even when they do not experience exacerbation. This study investigated whether a single high therapeutic dose of oral glucocorticoid improves short-term exercise tolerance in patients with moderate-to-very severe COPD...
January 2019: Danish Medical Journal
Cecilie Okholm, Talie Khadem Mollerup, Nicolai Aagaard Schultz, Rune Broni Strandby, Michael Patrick Achiam
INTRODUCTION: Liver metastases are the most common complication to colorectal cancer, and the presence of metastatic disease severely impacts the overall prognosis of the disease. Since the diagnostic work-up of metastasised colorectal cancer has undergone tremendous changes in past decades, an impact on the incidence of metastatic disease is anticipated. The aim of this study was to evaluate the incidence and prognosis of liver metastasis in patients with colorectal cancer. METHODS: From 1 January 2005 to 31 December 2011, all patients with a primary diagnosis of colorectal cancer were identified...
December 2018: Danish Medical Journal
Gustav Valentin Blichfeldt Sørensen, Jacob Stegger, Jørgen Møller Munkhof, Erika Frischknecht Christensen
INTRODUCTION: Pain is a frequent symptom in patients attending emergency departments (EDs), but it remains unknown whether all patients with pain want pain-relieving treatment. The primary aim of this study was to investigate the frequency and intensity of pain. The secondary aim was to establish the proportion of patients wanting pain-relieving treatment. METHODS: A cross-sectional study was performed at Aalborg University Hospital, Denmark. We interviewed all patients attending the ED using a structured questionnaire to evaluate patient and pain characteristics as well as pain management in the ED...
December 2018: Danish Medical Journal
Morten T Schmiegelow, Nikolaj Sode, Troels Riis, Jes Bruun Lauritzen, Benn R Duus, Martin Lindberg-Larsen
INTRODUCTION: From January 2013, we changed the surgical strategy in our department and ceased to perform the through-knee amputation (TKA). The primary aim of this study was to investigate re-amputation rates ≤ 90 days after non-traumatic major lower-extremity amputations performed before and after this change of practice. Furthermore, we reported mortality before and after the change of practice. METHODS: All non-traumatic major lower-extremity amputations performed in a single centre in two study periods (before and after the change of practice); 2009-2012 (cohort A) and 2014-2015 (cohort B) were included...
December 2018: Danish Medical Journal
Anne Sofie Orup Larsen, Troels Kristensen, Jesper Lykkegaard, Frans Boch Waldorff
INTRODUCTION: The prevalence of dementia is estimated to increase due to a growing elderly population. Patients with dementia are vulnerable as they are less likely to consult their general practitioner (GP). According to Danish guidelines, they are considered frail and in need of a proactive approach in the form of an annual preventive home visit (PHV). The aim of this study was to describe and analyse the use of PHVs among patients with dementia in general practice. METHODS: This was a quantitative descriptive quality assurance study of elderly patients (≥ 75 years) identified with dementia by their GP...
December 2018: Danish Medical Journal
John Brochorst Christensen, Erika Nodin, Diana Zetner Bach, Anja Fabrin, Ebbe Thingaard
INTRODUCTION: Fewer open surgical procedures are performed, and thus a need to learn open surgical techniques outside the operating room has emerged. Simulation training offers the possibility to train in a safe environment before operating on patients. The purpose of this study is to evaluate the effect of a simulation-based course in basic open surgical skills and to describe its pedagogical foundation, content and organisation. METHODS: Surgical trainees at the beginning of their surgical career participated in a basic open surgical skills course and were assessed before the course, after the course and during a one-day course operating on live sedated pigs using the Objective Structures Assessment of Technical Skills (OSATS) instrument...
December 2018: Danish Medical Journal
Lisbeth Storm, Rikke Rousing, Mikkel O Andersen, Leah Y Carreon
INTRODUCTION: The Subgroups for Targeted Treatment (STarT) Back Screening Tool is used in general practice to stratify patients with acute back pain into either a low, medium or a high risk of developing complex pain. This study determines if the STarT Back Screening Tool can identify patients who are at a high risk of developing complex pain after spine surgery. METHODS: The STarT Back Screening Tool was administered pre-operatively to a consecutive series of patients who had lumbar spine surgery between 29 October 2012 and 1 February 2013...
December 2018: Danish Medical Journal
Freja Cecilie Barrett Mørk, Christina Gade, Marianne Thielsen, Marianne Sjølin Frederiksen, Magnus Arpi, Jesper Johannesen, Espen Jimenez-Solem, Helle Holst
INTRODUCTION: Antimicrobial stewardship programmes recommend use of narrow-spectrum antibiotics as first-line treatment of childhood pneumonia in secondary care. The primary aim of the present study was to assess whether current guidelines are followed. A secondary aim was to assess if tracheal aspiration is a useful tool in the diagnostic process of suspected childhood pneumonia. METHODS: This was a retrospective descriptive single-centre cohort study. Children between three months and 17 years with a pneumonia diagnosis were included...
November 2018: Danish Medical Journal
Ole D Wolthers
INTRODUCTION: Non-attendance in outpatient clinics may be associated with risks to patients' health, disturb the management of clinics and cause a waste of healthcare resources. The aim of the present study was to measure the non-attendance rate in a secondary paediatric outpatient centre and to assess reasons for non-attendance. METHODS: Non-attendance in children and adolescents aged 0-19 years were recorded prospectively during a year. In a telephone interview, the families of non-attending patients were asked about their reasons for non-attending...
November 2018: Danish Medical Journal
Ulla Bach Laursen, Lone Bjerregaard Rosenkilde, Anne-Mette Haugaard, Tina Obel, Ulla Toft, Mogens Lytken Larsen, Erik Berg Schmidt
INTRODUCTION: Reliable dietary information is crucial for measuring the habitual diet of healthy participants and patients with dyslipidaemia and/or coronary heart disease (CHD). Even so, methods are often complicated and time-consuming for everyone involved. We aimed to validate the new food frequency questionnaire (FFQ) named HeartDiet by comparing it to a validated 198-item FFQ and biomarkers. METHODS: Healthy local participants (n = 100) and participants with CHD from Aalborg University Hospital (n = 100) randomly completed HeartDiet and the 198-item FFQ...
November 2018: Danish Medical Journal
Eva Wiberg Torstensen, Louise Schouborg Brinth, Jesper Mehlsen, Birgitte Rahbek Kornum, Poul Jørgensen Jennum
INTRODUCTION: Human papilloma virus (HPV) vaccine uptake in girls and women is dropping markedly in some countries. Concern about the presumed side effects is the commonest reason why. Reports about side effects include specific sleep complaints such as excessive daytime sleepiness, altered dream activity and periods of muscle weakness. These symptoms are commonly seen in individuals with narcolepsy type 1. We aimed to evaluate whether HPV vaccination was associated with the development of hypocretin-deficient narcolepsy...
November 2018: Danish Medical Journal
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