Rebecka Ahl
A5066568458- Cardiac, Anesthesia and Surgical Outcomes
- Hip and Femur Fractures
- Hemodynamic Monitoring and Therapy
- Traumatic Brain Injury and Neurovascular Disturbances
- Trauma and Emergency Care Studies
- Enhanced Recovery After Surgery
- Appendicitis Diagnosis and Management
- Gallbladder and Bile Duct Disorders
- Cardiac Arrest and Resuscitation
- Anesthesia and Pain Management
- Cancer, Stress, Anesthesia, and Immune Response
- Cancer, Lipids, and Metabolism
- Colorectal Cancer Surgical Treatments
- Pancreatitis Pathology and Treatment
- Emergency and Acute Care Studies
- Intraperitoneal and Appendiceal Malignancies
- Cleft Lip and Palate Research
- Abdominal Trauma and Injuries
- Lipoproteins and Cardiovascular Health
- Tracheal and airway disorders
- Pelvic and Acetabular Injuries
- Animal Disease Management and Epidemiology
- Traumatic Brain Injury Research
- Pediatric Hepatobiliary Diseases and Treatments
- Urological Disorders and Treatments
Karolinska Institutet
2020-2023
Karolinska University Hospital
2016-2023
Örebro University
2016-2022
Örebro University Hospital
2019-2022
Helsinki University Hospital
2022
Bridge University
2021
University of Pennsylvania
2020-2021
European Society of Radiology
2020
Tallaght University Hospital
2020
Philadelphia University
2020
Abstract Background Recent evidence has suggested an association between postoperative non-steroidal anti-inflammatory drugs (NSAIDs) and increased operation-specific complications. This study aimed to determine the safety profile following gastrointestinal surgery across a multicentre setting in UK. Methods was carried out during 2-week interval September–October 2013. Consecutive adults undergoing elective or emergency resection were included. The powered detect 10 per cent increase major...
Abstract Background Observational studies have demonstrated improved outcomes in TBI patients receiving in‐hospital beta‐blockers. The aim of this study is to conduct a randomized controlled trial examining the effect beta‐blockers on patients. Methods Adult with severe (intracranial AIS ≥ 3) were included study. Hemodynamically stable at 24 h after injury receive either 20 mg propranolol orally every 12 up 10 days or until discharge (BB+) no (BB−). Outcomes interest mortality and Glasgow...
Dementia is strongly associated with postoperative death in patients subjected to hip fracture surgery. Nevertheless, there a distinct lack of research investigating the cause mortality dementia. This study aims investigate distribution and risk cause-specific dementia compared general population.
Acute appendicitis is a common surgical emergency, and the standard approach to diagnosis management has been codified in several practice guidelines. Adherence these guidelines provides insight into independent patterns institutional resource constraints as impediments best practice. We explored data from recent ESTES SnapAppy observational cohort study determine guideline compliance contemporary identify opportunities close evidence-to-practice gaps.We undertook preplanned analysis of...
A significant proportion of patients with cleft palate experience persisting velopharyngeal dysfunction (VPD) after primary surgery. Pharyngoplasty is the most common procedure to correct inadequate closure. Although it often effective, poses a risk for postoperative airway obstruction. The mucomuscular buccinator flap more recent alternative: In largest case series date, we outline its use and evaluate effectiveness in managing persistent VPD.Over 9 years, 103 procedures were performed by...
Abstract Background Geriatric patients frequently undergo emergency general surgery and accrue a greater risk of postoperative complications fatal outcomes than the population. It is highly relevant to develop most appropriate care measures guide patient-centered decision-making around end-of-life care. Portsmouth - Physiological Operative Severity Score for enumeration Mortality morbidity (P-POSSUM) has been used predict mortality in undergoing different types surgery. In present study, we...
The post-operative mortality after hip fracture surgery is high and has remained largely unchanged during the last decades. Revised Cardiac Risk Index (RCRI) a tool used to evaluate 30-day risk of, among other outcomes, mortality. aim of this study determine association between RCRI score in patients undergoing surgery.Data was obtained from national register which cross-referenced with patients' electronic hospital records. All adults who underwent primary emergency Orebro County, Sweden,...
Severe traumatic brain injury (TBI) is the predominant cause of death and disability following trauma. Several studies have observed improved survival in TBI patients exposed to β-blockers, however, effect on functional outcome poorly documented. Adult with severe (head AIS ≥ 3) were identified from a prospectively collected database over 5-year period. Patients neurosurgical ICU length stay <48 h those dying within 48 admission excluded. β-blockers ≤ after who continued treatment until...
Objective: To ascertain whether regular β-blocker exposure can improve short- and long-term outcomes after rectal cancer surgery. Background: Surgery for is associated with substantial morbidity mortality. There increasing evidence to suggest that there a survival benefit in patients exposed β-blockers undergoing non-cardiac Studies investigating the effects on subjected surgery are lacking. Methods: All adult elective abdominal resection over 10-year period were recruited from prospectively...
Emergency colorectal cancer surgery is associated with significant mortality. Induced adrenergic hyperactivity thought to be an important contributor. Downregulating the effects of circulating catecholamines may reduce risk adverse outcomes. This study assessed whether regular preoperative beta-blockade reduced mortality after emergency colonic surgery.This cohort used prospectively collected Swedish Colorectal Cancer Registry recruit all adult patients requiring between 2011 and 2016....
Objective Colon cancer surgery remains associated with substantial postoperative morbidity and mortality despite advances in surgical techniques care. The trauma of triggers adrenergic hyperactivation which drives adverse stress responses. We hypothesised that outcome benefits are gained by reducing the effects hyperadrenergic activity beta-blocker therapy patients undergoing colon surgery. This study aims to test this hypothesis. Design Retrospective cohort study. Setting participants is a...
The Revised Cardiac Risk Index (RCRI) is a tool that can be used to evaluate the 30-day risk of postoperative myocardial infarction, cardiac arrest and mortality. This study aims confirm its association with mortality in patients who underwent hip fracture surgery.All adults primary emergency surgery Sweden between January 1, 2008 December 31, 2017 were included this study. database was retrieved by cross-referencing Swedish National Quality Register for fractures Board Health Welfare...
Surgically managed appendicitis exhibits great heterogeneity in techniques for mesoappendix transection and appendix amputation from its base. It is unclear whether a particular surgical technique provides outcome benefit or reduces complications.We undertook pre-specified subgroup analysis of all patients who underwent laparoscopic appendectomy at index admission during SnapAppy (ClinicalTrials.gov Registration: NCT04365491). We collected routine, anonymized observational data regarding...
Intracranial pressure (ICP) monitoring in traumatic brain injury (TBI) is common. Yet, its efficacy varies between studies, and the actual effect on outcome debated. This study investigates association of ICP clinical patients with an isolated severe blunt TBI.Patients were recruited from American College Surgeons-Trauma Quality Improvement Program database during 2014. Inclusion criteria limited to adult (≥18 years) who had a sustained intracranial (Abbreviated Injury Scale [AIS] head ≥3...
Abstract Purpose Despite advances in the care of hip fractures, this area surgery is associated with high postoperative mortality. Downregulating circulating catecholamines, released as a response to traumatic injury and surgical trauma, believed reduce risk death noncardiac patients. This effect has not been studied fractures. study aims assess whether survival benefits are gained by reducing effects hyper-adrenergic state beta-blocker therapy patients undergoing emergency fracture surgery....
Abstract Introduction The COVID-19 (SARS-CoV-2) pandemic drove acute care surgeons to pivot from long established practice patterns. Early safety concerns regarding increased postoperative complication risk in those with active COVID infection promoted antibiotic-driven non-operative therapy for select conditions ahead of an evidence-base. Our study assesses whether or recent SARS-CoV-2 positivity increases hospital length stay (LOS) complications following appendectomy. Methods Data were...
Abstract Introduction Horse-riding is practiced on a regular basis by 500,000 people in Sweden. It reputed to be one of the most dangerous sports. On average, there were 1756 acute injuries and three fatalities each year between 1997 2014 Sweden related horses. The primary aim this study was outline injury spectrum equestrian activities cared for at large Swedish trauma centre. secondary identify trends clinical outcomes investigate association age such outcomes. Material methods electronic...
There is a significant postoperative mortality risk in patients subjected to surgery for hip fractures. Adrenergic hyperactivity induced by trauma and subsequent thought be an important contributor. By downregulating the effect of circulating catecholamines increased may reduced. The aim current study assess association between regular β-blocker therapy mortality.This cohort used prospectively collected Swedish National Quality Registry fractures identify all over 40 years age 2013 2017...
Abstract Background Complicated acute biliary calculous disease poses clinical challenges. The European Society of Trauma and Emergency Surgery (ESTES) snapshot audit complicated aims to make novel comparisons between self-reported institutional adherence the Tokyo guidelines (TG18) ‘real-world’ contemporary practice across Europe. Methods A preplanned analysis a prospective observational multicentre that captured patients undergoing emergency admission for (complicated cholecystitis,...
Development of the speech audit tool Cleft Audit Protocol for Speech Augmented (CAPS-A) facilitated intercenter comparison outcomes following cleft palate repair. The CAPS-A protocol recommends consensus listening by 3 and language therapists, 2 whom must be trained. Allowing 15 minutes per sample, to 20 samples can assessed each day. Centers typically have resources 75 year but not report larger data sets research. This 3-phased outcome study examines how implementation might modified...