392 results match your criteria: "University Hospital Roskilde[Affiliation]"

Article Synopsis
  • The study aimed to assess the long-term incidence of ventricular arrhythmias (VAs) in individuals with selected autoimmune diseases (AIDs) compared to a matched control group.
  • Researchers analyzed data from 186,733 patients with AIDs and found that they had a higher overall rate of VAs (an increase of 39%) compared to 746,932 matched individuals without AIDs.
  • Among AIDs, systemic sclerosis showed the highest risk for VAs, and the increased risk was particularly notable in patients without pre-existing heart conditions.
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Background: Extracorporeal cardiopulmonary resuscitation (ECPR) is increasingly used for refractory out-of-hospital cardiac arrest (OHCA). However, survivors managed with ECPR are at risk of poor functional status. The purpose of this study was to investigate return to work (RTW) after refractory OHCA.

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Background: Significant changes in Western populations' abdominal aortic aneurysm (AAA) epidemiology have been reported following the introduction of screening, endovascular AAA repair, and reduced tobacco consumption. We report incidence and mortality of AAA repair in Denmark from 1996 to 2018, where AAA screening was not implemented.

Methods: Nationwide cohort study of prospective data from population-based Danish registries covering 1996 to 2018.

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Article Synopsis
  • * A total of 41,438 patients underwent various repair methods, with the incidence rate of procedures declining, particularly for those under 80 years.
  • * Despite a decrease in mortality rates for LEAD repairs, factors like age, comorbidity, and smoking were linked to higher mortality, with trends showing differences between surgical methods.
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Type 2 diabetes is a heterogeneous disease that can be subdivided on the basis of β-cell function and insulin sensitivity. We investigated the presence, incidence, and progression of diabetic retinopathy (DR) according to subtypes of type 2 diabetes. In a national cohort, we identified three subtypes of type 2 diabetes: classical, hyperinsulinemic, and insulinopenic type 2 diabetes, based on HOMA2 measurements.

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2023 MASCC and ESMO guideline update for the prevention of chemotherapy- and radiotherapy-induced nausea and vomiting.

ESMO Open

February 2024

∗Interdisciplinary Patient Pathway Division, Gustave Roussy, Villejuif, France. Electronic address:

• Nausea and vomiting are considered amongst the most troublesome adverse events for patients receiving antineoplastics. • The guideline covers emetic risk classification, prevention and management of treatment-induced nausea and vomiting. • The Consensus Committee consisted of 34 multidisciplinary, health care professionals and three patient advocates.

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Introduction: Shoulder dystocia is a rare obstetric complication, and the risk of recurrence is important for planning future deliveries.

Material And Methods: The objectives of our study were to estimate the incidence and risk factors for recurrence of shoulder dystocia and to identify women at high risk of recurrence in a subsequent vaginal delivery. The study design was a nationwide register-based study including data from the Danish Medical Birth Registry and National Patient Register in the period 2007-2017.

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Lactate and lactate clearance as predictors of one-year survival in extracorporeal cardiopulmonary resuscitation - An international, multicentre cohort study.

Resuscitation

May 2024

Department of Cardiology, Copenhagen University Hospital Rigshospitalet, Blegdamsvej 9, 2100 Copenhagen, Denmark; Department of Cardiology, Zealand University Hospital Roskilde, Sygehusvej 10, 4000 Roskilde, Denmark.

Aim: Extracorporeal cardiopulmonary resuscitation (ECPR) can be considered in selected patients with refractory cardiac arrest. Given the risk of patient futility and high resource utilisation, identifying ECPR candidates, who would benefit from this therapy, is crucial. Previous ECPR studies investigating lactate as a potential prognostic marker have been small and inconclusive.

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Background: Extracorporeal cardiopulmonary resuscitation (ECPR) for selected refractory out-of-hospital cardiac arrest (OHCA) is increasingly used. Detailed knowledge of health-related quality of life (HRQoL) and long-term cognitive function is limited. HRQoL and cognitive function were assessed in ECPR-survivors and OHCA-survivors with prehospital return of spontaneous circulation after standard advanced cardiac life support (sACLS).

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Article Synopsis
  • * The LOOP study involved 6,004 AF-naïve individuals aged 70-90 with stroke risk factors, comparing outcomes of those monitored with an implantable loop recorder to usual care, finding that a higher ABC-stroke score significantly indicated increased stroke risk.
  • * However, results showed that the ABC-stroke score did not effectively identify which individuals would benefit from AF screening or preventive treatment, suggesting the need for further investigation into its clinical utility.
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Purpose: To investigate diabetic retinopathy (DR) as a potential marker of cardiovascular disease (CVD) in adults with type 1 diabetes attending the Danish DR-screening programme and non-diabetes adults.

Methods: In this registry-based matched case-cohort study, we identified 16 547 adults with type 1 diabetes, who were registered in the Danish Registry of Diabetic Retinopathy (DiaBase). Each case was age- and sex-matched by five non-diabetes individuals (n = 82 399), and odds ratios (ORs) and hazard ratios (HRs) were estimated for incident and upcoming CVD in multivariable models.

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Introduction: Spontaneous pneumothorax (SP) affects both young, otherwise healthy individuals and older persons with known underlying pulmonary disease. Initial management possibilities are evolving and range from observation to chest tube insertion. SP guidelines suggest an individualized approach based on multiple factors such as symptoms, size of pneumothorax, comorbidity and patient preference.

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Article Synopsis
  • A study examined the long-term impacts of implantable cardioverter-defibrillators (ICDs) on patients with heart failure and chronic kidney disease (CKD), comparing ICD outcomes to usual care.* -
  • The study included 1116 patients, with findings showing that ICD implantation did not significantly lower overall mortality or cardiovascular death rates, regardless of CKD status.* -
  • However, ICDs were effective in reducing sudden cardiovascular deaths in both patients with and without CKD over a median follow-up of 9.5 years.*
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Epicardial adipose tissue (EAT) has endocrine and paracrine functions and has been associated with metabolic and cardiovascular disease. This study aimed to investigate the association between EAT, determined by cardiac magnetic resonance imaging (CMR), and incident atrial fibrillation (AF) following long-term continuous heart rhythm monitoring by implantable loop recorder (ILR). This study is a sub-study of the LOOP study.

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Introduction: Pleural effusion is present in half of the patients hospitalised with acute heart failure. The condition is treated with diuretics and/or therapeutic thoracentesis for larger effusions. No evidence from randomised trials or guidelines supports thoracentesis to alleviate pleural effusion due to acute heart failure.

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Age-related macular degeneration (AMD) is invariably associated with the chronic accumulation of activated mononuclear phagocytes in the subretinal space. The mononuclear phagocytes are composed of microglial cells but also of monocyte-derived cells, which promote photoreceptor degeneration and choroidal neovascularization. Infiltrating blood monocytes can originate directly from bone marrow, but also from a splenic reservoir, where bone marrow monocytes develop into angiotensin II receptor (ATR1) splenic monocytes.

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 Atrial fibrillation (AF) prevalence is rising; however, data on the bleeding risks associated with the detection of subclinical AF are needed.  Our objective was to determine the bleeding increment associated with implantable loop recorder (ILR) screening for subclinical AF and subsequent anticoagulation initiation compared with usual care.  This post hoc study utilized LOOP trial data from 6,004 elderly patients with stroke risks randomized to either ILR (  = 1,503) or usual care (  = 4,503).

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The purpose of this paper is to investigate the impact of circadian lighting-induced melatonin suppression on patients with psychiatric and neurological disorders in hospital wards by using an ad-hoc metrology framework and the subsequent metrics formalized by the CIE in 2018. A measurement scheme was conducted in hospital ward rooms in the Department of Neurology, Zealand University Hospital, at Roskilde in Denmark, to evaluate the photometric and colorimetric characteristics of the lighting system, as well as its influence on the circadian rhythm of the occupants. The measurement scheme included point measurements and data logging, using a spectrophotometer mounted on a tripod with adjustable height to assess the newly installed circadian lighting system.

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Article Synopsis
  • - Acne fulminans (AF) is a serious and rare skin condition that can cause significant scarring, and standard treatments are often insufficient, leading to a need for better therapies.
  • - A study reviewed 3 clinical cases and 12 cases from the literature where TNF-α inhibitors, particularly adalimumab, were used to treat AF, showing clinical improvement in a majority of patients after 1 to 7 months.
  • - While the treatment showed promising results with mild and reversible side effects, more research, including randomized controlled trials, is necessary to determine effective dosages and timing for TNF-α inhibitors in AF management.
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Pomalidomide-dexamethasone (Pd) has been a standard care treatment for relapsed and refractory multiple myeloma since 2013. However, the outcomes of Pd after exposure to CD38 antibodies are not known. Here we describe the real-world use and efficacy of pomalidomide in a Danish, nationwide cohort of daratumumab-exposed patients.

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Article Synopsis
  • The DANBLOCK and BETAMI trials are assessing the long-term effectiveness and risks of beta-blocker therapy following a myocardial infarction (MI), particularly in patients with normal or slightly reduced left ventricular ejection fraction (LVEF).
  • Approximately 5700 patients are being randomized to receive either beta-blockers or no treatment, with the study aiming to track 950 primary endpoints, including recurrent MI and heart failure.
  • The results, expected by December 2024, could significantly influence clinical guidelines regarding beta-blocker use after MI for patients with normal or mildly reduced LVEF.
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Artificial intelligence and allergic rhinitis: does ChatGPT increase or impair the knowledge?

J Public Health (Oxf)

February 2024

Department of Public Health, Environment, Occupation, and Health, Aarhus University, Aarhus 8000, Denmark.

Background: Optimal management of allergic rhinitis requires patient education with easy access to accurate information. However, previous online platforms have provided misleading information. The demand for online medical information continues to grow, especially with the introduction of advanced chatbots like ChatGPT.

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Danish Nationwide Study on Surgical Treatment of Infective Native Abdominal Aortic Aneurysms.

Eur J Vasc Endovasc Surg

July 2024

Department of Vascular Surgery, Rigshospitalet, Copenhagen, Denmark; Department of Clinical Medicine, Faculty of Health and Medical Sciences, University of Copenhagen, Denmark.

Objective: This study aimed to describe surgical trends, survival, and infection related complications (IRC) in a Danish cohort of patients with infective native aortic aneurysms (INAAs).

Methods: A retrospective nationwide cohort study including all patients in Denmark who were surgically treated for abdominal INAA between 2000 and 2020 was conducted. Patients were identified through the Danish vascular registry, Karbase, which is a database registering all patients treated with vascular surgery in Denmark.

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