A5080399575- Palliative Care and End-of-Life Issues
- Family and Patient Care in Intensive Care Units
- Grief, Bereavement, and Mental Health
- Respiratory Support and Mechanisms
- Ethics in medical practice
- Intensive Care Unit Cognitive Disorders
- Patient Dignity and Privacy
- Cardiac Arrest and Resuscitation
- Religion, Spirituality, and Psychology
- Childhood Cancer Survivors' Quality of Life
- Sepsis Diagnosis and Treatment
- Education, Healthcare and Sociology Research
- Healthcare Decision-Making and Restraints
- Trauma, Hemostasis, Coagulopathy, Resuscitation
- Pediatric Pain Management Techniques
- Pain Management and Opioid Use
- Ethics and Legal Issues in Pediatric Healthcare
- Musculoskeletal pain and rehabilitation
- Acupuncture Treatment Research Studies
- Genital Health and Disease
- Social and Educational Sciences
- Organ Donation and Transplantation
- Health Systems, Economic Evaluations, Quality of Life
- Healthcare cost, quality, practices
- Female Genital Mutilation/Cutting Issues
Holbæk Sygehus
2012-2025
Psychiatry Region Zealand
2022
Hadassah Medical Center
2008-2017
University of Copenhagen
2009-2015
Region Zealand
2012-2015
Zealand University Hospital
2013
Glostrup Hospital
2003-2008
University Hospital of Geneva
2008
Sjællands Universitetshospital, Nykøbing F.
1992-1996
Regional Hospital Central Jutland
1992
ContextWhile the adoption of practice guidelines is standardizing many aspects patient care, ethical dilemmas are occurring because forgoing life-sustaining therapies in intensive care and dealt with diverse ways between different countries cultures.ObjectivesTo determine frequency types actual end-of-life practices European units (ICUs) to analyze similarities differences.Design SettingA prospective, observational study ICUs.ParticipantsConsecutive patients who died or had any limitation...
Baseline characteristics and management have changed over time in patients requiring mechanical ventilation; however, the impact of these changes on patient outcomes is unclear.To estimate whether mortality mechanically ventilated has time.Prospective cohort studies conducted 1998, 2004, 2010, including receiving ventilation for more than 12 hours a 1-month period, from 927 units 40 countries. To examine effects intensive care units, we performed generalized estimating equation models.We...
Purpose : Acupuncture treatment of patients waiting for arthroplasty surgery. Methods 29 with a total 42 osteoarthritic knees were randomized to two groups. Group A was treated while B served as no‐treatment control group. After 9 weeks too. Analgesic consumption, pain and objective measurements registered. All measures done by investigators who “blinded” & B. In the second part study 17 (26 knees) continued treatments once month. Registration analgesic continued. Total period 49 weeks....
The aim of this study was to describe and compare the changes in ventilator management complications over time, as well variables associated with 28-day hospital mortality patients receiving mechanical ventilation (MV) after cardiac arrest.We performed a secondary analysis three prospective, observational multicenter studies conducted 1998, 2004 2010 927 ICUs from 40 countries. We screened 18,302 MV for more than 12 hours during one-month-period. included 812 arrest. collected data on...
Objective: End-of-life practices vary worldwide. The objective was to demonstrate that there is no clear-cut distinction between treatments administered relieve pain and suffering those intended shorten the dying process. Design: Secondary analysis of a prospective, observational study. Setting: Thirty-seven intensive care units in 17 European countries. Patients: Consecutive patients or with any limitation therapy. Interventions: Evaluation type end-of-life category; dates times unit...
By tradition colloid solutions have been used to obtain fast circulatory stabilisation in shock, but high molecular weight hydroxyethyl starch (HES) may cause acute kidney failure patients with severe sepsis. Now lower HES 130/0.4 is the preferred Scandinavian intensive care units (ICUs) and 1st choice fluid for However, largely unstudied The 6S trial will randomise 800 sepsis 30 ICUs masked resuscitation using either 6% Ringer's acetate or alone. composite endpoint of 90-day mortality...
Transfusion of red blood cells (RBC) is recommended in septic shock and the majority these patients receive RBC transfusion intensive care unit (ICU). However, benefit harm RBCs have not been established this group high-risk patients. The Requirements Septic Shock (TRISS) trial a multicenter with assessor-blinded outcome assessment, randomising 1,000 30 Scandinavian ICUs to pre-storage leuko-depleted suspended saline-adenine-glucose mannitol (SAGM) at haemoglobin level (Hb) 7 g/dl or 9 g/dl,...
Lactic acidosis is a common cause of metabolic and usually connected with high mortality. However, changes in the level lactate pH can also be seen after generalized epileptic attacks, due to local muscle hypoxia during seizures. Although these quite marked, condition self‐limiting does not call for any specific treatment. We report five cases lactic following convulsions from our centre.
In this prospective, consecutive study, 191 patients were interviewed before and after surgery (orthopaedic, gynaecological, abdominal urological operations) about their attitude to the quality of received pain relief, respectively. addition, nurses working in surgical units involved study asked answer a questionnaire covering attitudes postoperative treatment. Of patients, 47% at time postsurgical interview, 10% had not any analgesic prescribed all 15% less than prescribed. 36% cases there...
End-of-life decisions are common in intensive care units (ICUs), and increasingly, non-invasive ventilation (NIV) is used as a ceiling of ventilatory care. However, little known about the outcome following that decision.An observational, single-center, retrospective, follow-up study with no interventions, on ICU patients treated NIV do-not-intubate (DNI) order. The were followed until 5-year survival rate could be calculated.One hundred fifty-seven during 2002 2003, among 38 DNI order was...
To explore patients' and physicians' perspectives on a decision-making conversation for life-sustaining treatment, based the Danish model of American Physician Orders Life Sustaining Treatment (POLST) form.Semi-structured interviews following about preferences treatment.Danish hospitals, nursing homes, general practitioners' clinics.Patients physicians.Qualitative analyses interview data.After participating in treatment using POLST form, total six patients five physicians representing...
Background Oxygen is liberally administered in intensive care units ( ICU s). Nevertheless, doctors’ preferences for supplementing oxygen are inadequately described. The aim was to identify arterial oxygenation levels mechanically ventilated adult patients. Methods In April August 2016, an online multiple‐choice 17‐part‐questionnaire distributed 1080 doctors seven Northern European countries. Repeated reminder e‐mails were sent. study ended October 2016. Results response rate 63%. When...
Religious beliefs affect end-of-life practices in intensive care units (ICUs). Changes over time were not investigated regarding religions. Twenty-two European ICUs (3 regions: Northern, Central, and Southern Europe) participated both Ethicus-1 (years 1999–2000) Ethicus-2 studies 2015–2016). Data of ICU patients who died or had limitations life-sustaining therapy analysed changes patient/physician religious affiliations. Frequencies, timing decision-making, affiliations physicians/patients...
To describe 2 years of experience and staff learning curves after the introduction non-invasive ventilation (NIV).A prospective, consecutive, strictly observational, 2-year cohort study all patients treated with NIV in a county general hospital intensive care unit (ICU), no interventions, was performed.One hundred fifty-seven 15 different diagnoses were NIV. An increasing number second year and, probably as result increased experience, treatment time overall spent ICU less period (30 h vs....