1,156 results match your criteria: "Lillebaelt Hospital - Vejle; Beriderbakken 4[Affiliation]"

Background: Anxiety-provoking healthcare procedures require specific child-friendly approaches. Magnetic resonance imaging (MRI) can cause anxiety for children and general anesthesia (GA) is often used. We developed and tested a multi-faceted child-friendly concept, Children Centered Care, for MRI of children without GA.

View Article and Find Full Text PDF

Objective: The objective of this review was to provide an overview of the diverse methods described, tested, or implemented for monitoring performance of clinical artificial intelligence (AI) systems, while also summarizing the arguments given for or against these methods.

Introduction: The integration of AI in clinical decision-making is steadily growing. Performances of AI systems evolve over time, necessitating ongoing performance monitoring.

View Article and Find Full Text PDF

Purpose: Myocardial perfusion imaging (MPI) procedures from single photon emission computed tomography and positron emission tomography imaging have been registered in the Western Denmark Heart Registry (WDHR) since 2017 as a sub-registry (WDHR-MPI). The aim was to review the content, quality, and research potential of the WDHR-MPI and assess the completeness and validity of its key variables.

Patients And Methods: Using the Danish National Patient Registry (DNPR) as a reference, we calculated the completeness of procedure registration as the proportion of procedures registered in the WDHR-MPI from 2017 to 2021.

View Article and Find Full Text PDF

Discharge Destination of Patients in Fast-Track Primary Hip and Knee Arthroplasty: Results From a Prospective Danish Cohort.

J Arthroplasty

December 2024

Center for Fast-track Hip and Knee Replacement, Rigshospitalet, Copenhagen, Denmark; Department of Orthopaedic Surgery, Lillebaelt Hospital - Vejle, Vejle, Denmark.

Background: Following the implementation of the fast-track protocol in total hip arthroplasty (THA), total knee arthroplasty (TKA), and unicompartmental knee arthroplasty (UKA), the median length of stay (LOS) has been significantly reduced without an increase in readmissions. However, it is unclear if the reduction in LOS is at the expense of an increase in nonhome discharge. The aim of this study was to investigate the discharge destination among THA, TKA, and UKA patients.

View Article and Find Full Text PDF

Introduction: Patients with uncontrolled, moderate-to-severe asthma have a higher risk for exacerbations, negatively impacting lung function and quality of life. Dupilumab, a fully human monoclonal antibody, blocks interleukins 4 and 13, key and central drivers of type 2 inflammation. Dupilumab has been effective in the treatment of certain types of moderate-to-severe asthma across several clinical trials.

View Article and Find Full Text PDF
Article Synopsis
  • The study aimed to improve the prediction of outcomes after total hip arthroplasty (THA) by examining the role of inflammatory biomarkers in blood and cerebrospinal fluid (CSF) related to osteoarthritis and pain.
  • Researchers analyzed data from 50 patients, assessing changes in pain and disability 12 months post-surgery, while considering factors like age, sex, and BMI.
  • Results showed that preoperative systemic inflammation in blood was linked to better postoperative outcomes, while neuroinflammation was tied to preexisting pain, suggesting that inflammatory biomarkers could help select patients for THA more effectively in the future.
View Article and Find Full Text PDF

Multiple myeloma (MM) is a haematological malignancy with abnormal proliferation of plasma cells in the bone marrow (BM), and MM patients with highly proliferative plasma cells have reduced overall survival. Circular RNAs (circRNAs) are endogenous, non-coding molecules that are promising biomarkers in cancer. Here, we present the largest study of circRNAs in MM to date and explore the prognostic potential of circRNAs and the link between proliferation and circRNA expression in MM.

View Article and Find Full Text PDF

Background: The tin filter has allowed radiation dose reduction in some standalone diagnostic computed tomography (CT) applications. Yet, 'low-dose' CT scans are commonly used in positron emission tomography (PET)-CT for lesion localisation/characterisation (L/C), with higher noise tolerated. Thus, dose reductions permissible with the tin filter at this image quality level may differ.

View Article and Find Full Text PDF

Background: Bacteroides fragilis group species are the most frequently encountered bacteria involved in anaerobic bacteraemia and associated with high mortality rates. In 2012, we performed the first national study of antimicrobial susceptibility in the B. fragilis group from blood cultures in Denmark.

View Article and Find Full Text PDF

Introduction: The Patient Activity Treatment Outcome Scale (PATOS) is a novel patient-reported outcome measure (PROM). This study explored patients' and orthopaedic surgeons' experiences with PATOS as part of a PROM battery. It aimed to investigate its influence on patient involvement and healthcare decisions about knee or hip osteoarthritis patients scheduled for knee/hip arthroplasty.

View Article and Find Full Text PDF
Article Synopsis
  • * The SDM:KOMPASS tool was developed through a six-step process to help hospitals visualize progress and set goals for integrating SDM into routine care, with input gathered from healthcare professionals and patients via qualitative and quantitative methods.
  • * Initial findings suggest that SDM:KOMPASS is a manageable and potentially effective resource for enhancing SDM implementation in healthcare settings, though it requires careful consideration due to its complexity, with plans for alpha testing in clinical environments to follow.
View Article and Find Full Text PDF

Background: Shared  decision making in healthcare is a fundamental right for patients. Healthcare professionals' perception of their own abilities to enable shared decision making is crucial for implementing shared decision making within service. IcanSDM (I can shared decision making) is a brief measure to investigate healthcare professionals' perception of shared decision making approaches to their practices.

View Article and Find Full Text PDF

Identifying biomarkers for Alzheimer's disease (AD) is crucial, due to its complex pathology, which involves dysfunction in lipid transport, contributing to neuroinflammation, synaptic loss, and impaired amyloid-β clearance. Nuclear magnetic resonance (NMR) is able to quantify and stratify lipoproteins. The study investigated lipoproteins in blood from AD patients, aiming to evaluate their diagnostic potential.

View Article and Find Full Text PDF
Article Synopsis
  • - The study aimed to assess day-case surgery success rates for primary total hip arthroplasty (THA), total knee arthroplasty (TKA), and medial unicompartmental knee arthroplasty (mUKA), investigating the reasons for patients not being discharged on the same day despite eligibility.
  • - Conducted over a year with 6,142 patients, the study found that 34% of THA and TKA patients and 52% of mUKA patients were eligible for day-case surgery, with mUKA showing the highest success rates (72%) when surgeries were completed before 1:00 pm.
  • - Key reasons for day-case failures included issues with patient mobilization,
View Article and Find Full Text PDF
Article Synopsis
  • - The study assessed the effectiveness of various minimally invasive techniques (IUS, MREC, PCE, and FC) in evaluating treatment response for patients with Crohn’s disease, comparing them to traditional ileocolonoscopy.
  • - Among 50 patients, half showed endoscopic response after treatment, with significant reductions in disease activity scores measured by all methods.
  • - The findings indicated that IUS and fecal calprotectin were equally effective for monitoring treatment response, while capsule endoscopy faced limitations due to strictures in some patients.
View Article and Find Full Text PDF

Total Hip Replacement or Resistance Training for Severe Hip Osteoarthritis.

N Engl J Med

October 2024

From the Departments of Physiotherapy (T.F., K.G.I.) and Orthopedic Surgery (C.V., A.E.G., P.K.-A., P.H.R., C.H.), Lillebaelt Hospital-University Hospital of Southern Denmark, Vejle Hospital, Vejle, the Departments of Clinical Research (T.F., R.C., S.M.N.) and Regional Health Research (C.V., K.G.I.), University of Southern Denmark, and the Research Unit of Rheumatology, Department of Clinical Research (R.C., S.M.N.), and the Department of Orthopedic Surgery and Traumatology (S.O.), Odense University Hospital, Odense, the Section for Biostatistics and Evidence-based Research, Parker Institute, Bispebjerg and Frederiksberg Hospital (T.F., R.C., S.M.N., K.G.I.), the Department of Orthopedic Surgery and Traumatology, Copenhagen University Hospital Bispebjerg (S.O.), and the Department of Clinical Medicine, Faculty of Health and Medical Sciences, University of Copenhagen (S.O.), Copenhagen, the Department of Orthopedic Surgery, Aarhus University Hospital, and the Department of Clinical Medicine, Aarhus University, Aarhus (I.M., S.S.J.), the University Clinic for Orthopedic Pathways, Elective Surgery Center, Regional Hospital Silkeborg, Silkeborg (L.R.M.), and the Department of Orthopedic Surgery, Næstved Hospital, Næstved (M.J.B., H.Q., M.S.M.) - all in Denmark.

Background: Total hip replacement is routinely recommended for severe hip osteoarthritis, but data from randomized trials are lacking regarding comparison of the effectiveness of this procedure with that of nonsurgical treatment such as resistance training.

Methods: We conducted a multicenter, randomized, controlled trial to compare total hip replacement with resistance training in patients 50 years of age or older who had severe hip osteoarthritis and an indication for surgery. The primary outcome was the change in patient-reported hip pain and function from baseline to 6 months after the initiation of treatment, assessed with the use of the Oxford Hip Score (range, 0 to 48, with higher scores indicating less pain and better function).

View Article and Find Full Text PDF
Article Synopsis
  • - Over the last 30 years, miniaturized percutaneous nephrolithotomy (mPCNL) has gained popularity due to its potential to reduce complications compared to standard procedures, but there's still debate over best practices and management strategies that hinders wider use.
  • - An international panel of urology experts developed a consensus document on mPCNL to provide a comprehensive framework for practice, which included reviewing literature, identifying research gaps, and conducting surveys to gather expert opinions.
  • - The study revealed 58 key questions on mPCNL practices, and consensus was achieved on 30 questions, affirming mPCNL as an effective technique for treating upper urinary tract stones in both adults and children.
View Article and Find Full Text PDF

: Chronic obstructive pulmonary disease (COPD) is marked by severe physical symptoms, impaired quality of life, and high psychological distress. Despite its impact, the identification of not only physical but also psychosocial and existential issues in the clinic lags behind that of other patient groups. : This study aimed to assess physical, psychosocial, and existential issues among patients with COPD using a patient-reported outcome measure for general palliative care (the 'PRO-Pall') in a Danish outpatient clinic.

View Article and Find Full Text PDF

Adherence to recommended follow-up in opportunistic versus non-opportunistic cervical screening: a registry-based cohort study from Denmark.

Scand J Public Health

October 2024

Research Unit for Screening and Epidemiology, Department of Biochemistry and Immunology, Lillebaelt Hospital, Vejle, Southern Denmark Region, Denmark.

Aim: Organised cervical screening programmes often allow for opportunistic screening. Previous studies have shown that adherence to follow-up protocols after cervical screening is poor. This study aims to investigate if non-adherence to recommended screening intervals - that is, opportunistic screening, is associated with adherence to follow-up after non-negative cervical screening.

View Article and Find Full Text PDF

Scandinavian Neurotrauma Guidelines: Frequency of intracranial hemorrhage in patients over 65 years old and on anti-platelet medication.

Eur J Radiol

December 2024

Department of Radiology, Lillebaelt Hospital, University Hospital of Southern Denmark, Kolding, Denmark; Institute of Regional Health Research, University of Southern Denmark, Denmark; Health Sciences Research Centre, Radiography Education, UCL University College, Odense, Denmark; Discipline of Medical Imaging and Radiation Therapy, Cork University College, Ireland. Electronic address:

Purpose: In 2013, the Scandinavian Neurotrauma Committee, produced an evidence-based guideline for the use of Computed Tomography (CT) in patients presenting following recent (<24 h) head injury (HI). A head CT scan is recommended for medium-risk patients with a Glasgow Coma Scale (GCS) score of 14-15, who are > 65 years old and on anti-platelet medication. The aim of this study was to determine the prevalence of intracranial hemorrhage (ICH) on head CT scans in this population, and to test for associations between ICH and baseline characteristics, symptoms and objective clinical findings.

View Article and Find Full Text PDF

Background: Harmful alcohol consumption has been identified as a major contributor to disease, mortality, and social harm, accounting for 5.3% of worldwide deaths annually. In Denmark, an estimated 150,000 people suffer from alcohol use disorder (AUD), but a low proportion seek treatment due to person- and treatment-related barriers.

View Article and Find Full Text PDF

Improving external fixator pin site care through user involvement: A quality improvement project.

Int J Orthop Trauma Nurs

November 2024

Department of Orthopaedic Surgery and Traumatology, Odense University Hospital, Odense, Denmark; Orthopaedic Research Unit, Department of Clinical Research, University of Southern Denmark, Denmark. Electronic address:

Article Synopsis
  • External fixation is commonly used for treating complex fractures, but pin site infections pose a major risk, prompting a project at a Danish University Hospital to improve care through patient and caregiver involvement.
  • The project addressed the challenges of traditional pin site care, which was complicated and anxiety-inducing for patients, by using a Participatory Design methodology to identify needs and collaboratively develop solutions.
  • Results showed that implementing a new dressing method and assessment tool led to reduced patient pain, fewer unplanned clinic visits, and streamlined care while maintaining stable infection rates.
View Article and Find Full Text PDF

Methylated homeobox A9 (meth-) circulating tumor DNA may be a relevant biomarker in breast cancer, although its clinical significance remains unknown. The present exploratory study aimed to investigate the association between meth- and mortality in patients with recurrent breast cancer. The cohort study enrolled 51 patients with breast cancer recurrence from the Department of Oncology, Vejle Hospital, University Hospital of Southern Denmark (Vejle, Denmark).

View Article and Find Full Text PDF