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K E Kleist

Publications and source records attributed to K E Kleist.

4 recordsLinked to original sources
PubMed2002

Quality assessment of pacemaker implantations in Denmark.

AIMS: Quality assessment of therapeutic procedures is essential to insure a cost-effective health care system. Pacemaker implantation is a common procedure with more than 500,000 implantations world-wide per year, but the general complication rate is not well described. We studied procedure related complications for all implantations performed in an entire nation over a 3-year period. METHODS AND RESULTS: A prospective study of complications related to 99% of the 5648 primary pacemaker implantations performed in the 12 Danish pacemaker centres in 1997-1999 was carried out. Overall 76% of the patients received a physiological pacemaker system and 91% received the optimal pacing mode according to international guidelines. Perioperative complications requiring reoperation were: haematoma 0.3%, atrial lead related 1.9%, ventricular lead related 1.7%. Late complications requiring reoperation were: infection 02%, atrial lead related 13%, ventricular lead related 1.2%. The complication rate decreased over the study period, but overall the complication rate was higher than expected and showed considerable variation between centres. CONCLUSIONS: Our results demonstrate that sensitive data such as complications related to pacemaker implantations can be collected on a national basis. We suggest that a reoperation rate higher than 3% for atrial as well as ventricular pacing electrodes in the individual implanting centre should cause the centre to evaluate carefully the procedure as well as the performance of the individual implanter.

Adolescent↗
PubMed1994

[Pacemaker treatment in Greenland].

In a retrospective survey, treatment with pacemakers in Greenland during the 29 year period of August 1962-August 1991 is described, and the 179 Greenlandic patients treated are investigated. The annual rate of first-time pacemaker implantation is today 200 per million in Greenland, compared to 238 per million in Denmark; the population in Greenland is young, and according to the age distribution 75% more patients are operated in Greenland. Two-thirds are men and one-third women, mean age of 68 years (range 41-85 years). The Greenlandic patients are younger than patients in Denmark. About two-thirds are treated for atrioventricular block and one-third for sick sinus syndrome. Seventy-four patients were implanted with epicardial leads, which functioned for an average of 3.4 years. The mean time for the period of pacemaker treatment was five years. Eighty-four percent of the patients operated between May 1983 and August 1991, are still alive. In the same period, the rate of operative complications was 12%, and two patients died because of infection.

Adult↗
PubMed1992

[Urethral stricture in Greenland].

In a retrospective survey, the 46 patients treated for urethral stricture at Dronning Ingrids Hospital, Nuuk, (the main hospital in Greenland) during the four year period August 1987-August 1991 are investigated, and the consequences of not treating urethral stricture are illustrated by a case. The patients are middleaged and older men generally with long and multiple strictures close to the sphincter. Gonorrhoea is the common cause of the stricture. The patients have obstructive symptoms, urinary infections and haematuria. Furthermore, nearly 1/4 of the patients have complications in the form of scrotal and perineal abscesses, and reduced renalfunction and rapidly lethal disease because of sepsis are seen. The urethral strictures tend to recur after treatment. Urethral stricture disease is undoubtedly underestimated in Greenland, and the investigation stresses this serious complication of venereal disease.

Adult↗