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E Zemp

Publications and source records attributed to E Zemp.

30 records · Page 2Linked to original sources
PubMed1985

[The fate of the patient with deep vein thrombosis].

Late results in 278 consecutive patients with unilateral deep vein thrombosis treated with streptokinase or heparin/dicoumarol were analysed as to mortality rate, recurrent thrombo-embolism and incidence of postthrombotic syndrome (PTS). The five-year mortality rate was three times as high as that of the age-matched population. The overall mortality rate was 16%, more than half the patients dying of tumour, males largely of gastric or bronchial carcinoma, females of urogenital carcinoma. Thrombo-embolism had recurred in 14% of 204 patients who had been re-examined, in 9% thrombosis, in 3% pulmonary embolism, and in 2% both. A PTS without ulcer had developed in 16%, an ulcer in 8%. The PTS incidence correlated with the original extent of the thrombosis: no PTS if the thrombosis had been confined to the lower-leg axis, but 34% after four-level thrombosis. The data confirm the importance of thrombo-embolism prophylaxis, early diagnosis and subsequent treatment with anticoagulants and compression.

Adult↗
PubMed1985

The Swiss Health Survey Project (SOMIPOPS): an example of a data collection effort from various sources.

In 1981/82 the first representative health survey (SOMIPOPS "Socio-medical indicators for the population of Switzerland") was conducted 1) to gain representative data on health status (perceived morbidity), use of health services, 2) to analyse the demand for health care, and 3) to develop reliable health and use indicators. In order to validate questionnaire and interview data (primary data sources), two additional (secondary sources) were used: income and wealth data for the whole of the original SOMIPOPS sample (N = 5,860), and health insurance records for 80% consenting members of the interviewed sample. The integration of different data sources on an individual level greatly enhances the analytic potential of health survey.

Data Collection↗
PubMed1985

[Blood pressure: knowledge and behavior].

Knowledge about blood pressure and practice in terms of its measurement are two important indicators for problem areas in cardiovascular disease prevention. This paper analyses these two indicators based on a representative Health Survey (SOMIPOPS) in order to illustrate the potential of such surveys. The results demonstrate that interesting clues to preventive action can indeed be obtained. In addition, time series analyses could potentially be a basis for the continuous evaluation of health services in this area.

Adult↗
PubMed1984

[Sex differences in demands made on medical services. Results of the SOMIPOPS health survey].

Data of the nationwide health survey SOMIPOPS show a higher number of physician visits for females than for males. Females report a total annual rate of 6,6 visits per person while males made 4,8 visits per person. Females have seen a gynecologist once a year. They report higher perceived morbidity than males which is considered to be the principal determinant of use of health services. Visits made for disorders of the female reproductive system accounts for 13,9% of the female visits. Preventive reasons for the last visit are more frequent among females.

Adult↗
PubMedDate not supplied

[The course of varicose disease. Parallel retrospective study of 2 ethnic groups (Catania-Basel)].

Authors presents a retrospective study with two different ethnic groups, one of them from Catania and the other from Basilea, with varicose veins and subjected to a saphenectomy. They studies the following parameters: age at the entrance, and when varicose veins appeared; correlation between varix appearance date and subjective symptomatology; and rapport between varix complications and its duration. The possible incidence of "ambiental factor" and contrasts between the two groups are considered.

Adult↗
PubMedDate not supplied

[Sequelae of deep venous thrombosis, 5-year follow-up of 341 patients].

In order to see whether thrombolytic therapy led to a reduction of CPT, a cause of long periods of inability to work, a study on the development of phlebothrombosis was carried out at the Department of Angiology at the Hospital Cantonal of Basle. Subjects presenting deep phlebothrombosis, either acute or sub-acute, were observed after 5 years... Or the 341 patients, 208 received streptokinase and 133 heparin. After the 5 years, 1 in 5 patients had developed CPT. The incidence of CPT was above all related to the extent of the thrombosis. If one considers not only the immediate therapeutic effect but also the extent of the thrombosis, then the incidence of CPT, especially in leg ulcers, is roughly twice as high in patients with extensive thromboses, and therapy is negative, as in the patients with thromboses limited to two stages only, in which group the therapy is positive. It has even been eliminated where the thrombosis had been limited to the leg. Prophylactic measures are therefore necessary in the groups at high risk. The diagnosis must be swift in order to commence correct therapy whilst the thrombosis is not as yet extensive. Heparin therapy seems to be enough for those thromboses limited to the leg. Whilst awaiting thrombolytic methods without serious side-effects, thrombolytic treatment should be reserved for extensive thromboses in young patients with no contraindications. It is a condition sine qua non that the patient and the parameters of coagulation should be monitored.

Female↗
PubMedDate not supplied

[Varices, a true disease?].

There is little agreement on the real prevalence and significance of varices of the lower limbs. The discrepancies between the data produced by the various studies are attributable to several factors, of which the most important has to be the absence of any definition of the forms and types of varices. In the Basle study there has been an attempt to classify into two groups, "disorder" and "disease", according to the severity of the clinical picture. These two groups are clearly distinct regarding complications and the number of risk factors. A study on the long-term development has also shown that at the end of 11 years the group "disease" more frequently presented socio-medical after-effects than the group "disorder". Pronounced varices therefore do constitute a real disease and merit appropriate attention.

Female↗
PubMedDate not supplied

[Epidemiology of arterial occlusive disease. Peculiarities in advanced age].

Based on data of the Basle Study and on a trial of 225 patients with acute arterial occlusion, findings of frequency and the fate of patients with OPAD are presented. The prevalence of asymptomatic OPAD is three times higher than the symptomatic form with intermittent claudication. This is true especially in older people with concomitant diseases such as CHD masking the claudication. Thus, trophic lesions or acute occlusion may occur unexpectedly. However, patients at risk should be detected at an early stage by non-invasive methods and by the risk profile. Acute arterial occlusions show an impressive symptomatology and are followed by severe consequences: in-hospital mortality was 33% and amputation had to be performed in 19%. In older patients with known disposing diseases acute occlusion can often be avoided by prophylactic measures.

Adult↗