Background: Early interdisciplinary rehabilitation (EIR) in neurointensive care is a limited resource reserved for patients with moderate to severe traumatic brain injury (TBI) believed to profit from treatment. We evaluated how key parameters related to injury severity and patient characteristics were predictive of receiving EIR, and whether these parameters changed over time.
Methods: Among 1003 adult patients with moderate to severe TBI admitted over 72 h to neurointensive care unit during four time periods between 2005 and 2020, EIR was given to 578 and standard care to 425 patients.
Objectives: Norepinephrine is used to increase mean arterial pressure during cardiopulmonary bypass. However, it has been suggested that norepinephrine could constrict cerebral arteries, reducing cerebral blood flow. The aim of this study, therefore, was to explore whether there was an association between doses of norepinephrine to maintain mean arterial pressure at ≈80 mmHg during cardiopulmonary bypass and cerebral oxygen saturation measured using near-infrared spectroscopy.
View Article and Find Full Text PDFBackground: Outcome after trauma depends on patient characteristics, quality of care, and random events. The TRISS model predicts probability of survival (Ps) adjusted for Injury Severity Score (ISS), Revised Trauma Score (RTS), mechanism of injury, and age. Quality of care is often evaluated by calculating the number of "excess" survivors, year by year.
View Article and Find Full Text PDFThis study was performed among coal miners in the remote location Svea, Spitsbergen. The shift schedule used to be 7 d on and 7 d off. The aim of this study was to investigate possible changes in health after a voluntary implementation of a new shift schedule, with periods of 14 d on and 14 d off, for 74 percent of the workers in 2007.
View Article and Find Full Text PDFBackground: From 1 January 2001, a new Patients Rights' Act came into force in Norway that regulates many aspects of clinical work, including patients' right to be adequately informed, the right to a second opinion, the right to choose hospital, the right to refuse a blood transfusion, and the terminally ill patient's right to refuse further treatment. This study aims at assessing the impact of the new legislation on given cases in vascular surgery and to clarify in what ways work procedures in a vascular surgical department should be changed in view of the new rules.
Material And Methods: Ten cases drawn from our department between autumn 2000 and January 2001 were analysed in relation to the new legislation, each case representing a specific medico-legal issue regulated by the new act.