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Biomedical subjects

Helle Wijk

Publications and source records attributed to Helle Wijk.

3 recordsLinked to original sources

The use of national registries data in three European countries in order to improve health care quality.

PURPOSE: The purpose of this paper is to highlight the role of national health registries in three European countries in order to improve patient care. DESIGN/METHODOLOGY/APPROACH: The methodology used was a literature review of databases in Sweden, the UK and Portugal, and a search on Medline and Pubmed as well. In addition case studies from the three countries are included. FINDINGS: In Sweden registries encompassing cardiac intensive care, hip-fractures and stroke are the most developed. In the UK, the collection of information on healthcare performance, both specific to particular specialties and general hospital performance, is widespread. There are some national and regional registries in Portugal, but the most developed areas are the Cardiovascular and the Oncology areas. The collection of information on health quality/performance indicators, based on administrative and clinical data is an important tool for quality improvement. ORIGINALITY/VALUE: This paper showed differences and similarities between the three countries with a common aim; to improve quality of care, delivered on equal terms for the whole populations, and in an effective and efficient way and will be useful to those in the field of patient care.

Benchmarking↗

Tools to assess the nutritional status of acutely ill older adults.

Nurses are responsible for identifying patients who are malnourished or at risk of malnutrition. They are also expected to follow-up patients' nutritional status and to initiate preventive and caring interventions. The aim of this Swedish study was to explore whether simple assessment tools used during hospital admission could identify older adults at risk of malnutrition.

Acute Disease↗

Colour perception among the very elderly related to visual and cognitive function.

Colour perception was studied among a representative sample of 95-year olds and compared with previously examined 80-year olds and a group with Alzheimer's disease (AD), mean age of 80 years. The 95-year olds' results were on a significantly lower level than the other two groups but showed a similar pattern as to colour -discrimination, -naming, -preferences and colour/form recognition. Visual function among 95-year olds had only minor influence on their result in contrast to cognitive function which had a more profound impact. Most interestingly though, the subjects with Alzheimer's diagnosis, younger than the 95-year olds but with a conclusive diagnosis of dementia, performed on an overall higher level than the 95-year olds. This advantage for the Alzheimer group remained even when compared with a sub sample of the 95-year olds with possible dementia diagnosis excluded. On the other hand, only including 95-year olds with a Mini Mental Examination score of >26 in comparison with the Alzheimer group made the differences between the two groups disappear. It is suggested that colour perception as measured in this study is well preserved throughout life. The overall lower colour perception ability in 95-year olds compared with both 80-year olds and subjects with AD may be an expression of the complexity of very high age rather than any isolated concomitant factor.

Aged↗