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Biomedical subjects

G Biörck

Publications and source records attributed to G Biörck.

At least 19 recordsLinked to original sources
PubMed1979

Prediction of survival in patients with acute myocardial infarction. A clinical study on 100 consecutive patients.

Expected survival after acute myocardial infarction (AMI) in 100 consecutive patients was predicted by three doctors and two nurses at the time of discharge from a CCU. Predictions were compared with various coronary prognostic indices (CPI) and were found to be too optimistic for the first 9 months. Experienced physicians made more reliable predictions than junior physicians and nurses. All patients with a predicted survival of more than 10 years were alive after 1 year and all with predicted death within one month died during the first year. Intermediate predictions were unreliable with reference to the one-year survival. Regardless of which CPI was used, a low index score carried a very low one-year mortality and high index a high mortality. Intermediate index scores were unreliable. A comparison between the predictions and index scores showed that there was no difference in sensitivity and specificity between the methods. Our study thus shows that patients with either a very good or a very poor prognosis will be identified regardless of the method used. The problem of identifying the individual with an intermediate risk remains to be solved.

Acute Disease↗
PubMed1977

How to be a clinician in a socialist country.

Some of the events that have contributed to the development of the present Swedish health care system are reviewed. Although there are several useful elements in system--and these are the ones usually presented by official channels--the impact on the freedom of the medical profession and on the patient-physician relationship is considerable and destructive to the concepts of a free profession. It is necessary to take such effects into account in the planning for nationalized health services anywhere in the world.

Economics, Medical↗