PubMed Health⌕ Search

Biomedical subjects

Tor Ingebrigtsen

Publications and source records attributed to Tor Ingebrigtsen.

24 records · Page 2Linked to original sources
PubMed2003

Pre- and inter-hospital transport of severely head-injured patients in rural Northern Norway.

The purpose of this study was to survey the time consumed during the pre- and inter-hospital transport of severely head injured patients in Northern Norway. All patients (n = 85) operated for an intracranial mass lesions within 48 h after injury during the 10-year period 1986-1995 were included in this retrospective analysis. Ambulance records, transfer notes, and hospital records were reviewed. The transport of patients was classified as either direct from the trauma scene to the University Hospital (direct admission group) or as an inter-hospital transfer (transfer group). Forty-seven (55%) patients were in the direct admission group, and 38 (45%) were transferred through another hospital. The majority of patients (81%) were transported by air ambulance. Median time from injury to arrival in the emergency room was 5 (1-44) h. Time necessary for transport was significantly (p < 0.001) shorter in the direct admission group (median 3 h) compared to the transfer group (median 8 h). The inter-hospital transfer time was < or = 3 h in 17%. Clearly, the advanced air ambulance service in Northern Norway makes rapid inter-hospital transfer possible despite extremely long geographical distances. Our findings indicate that this possibility is not always utilized.

Air Ambulances↗
PubMed2003

Mild head injuries: impact of a national strategy for implementation of management guidelines.

BACKGROUND: A national survey in 1996 showed insufficient routines for management of patients with mild head injuries in Norwegian hospitals. Since then, the Scandinavian Guidelines for Management of Mild Head Injuries have been published. METHODS: A cross-sectional questionnaire survey of management practice was performed in all 59 hospitals in 2002. We compared the results with figures from 1996 and evaluated guideline compliance. RESULTS: The proportion of noncompliant hospitals was reduced (p = 0.02) from 52% to 31%. The proportion assessing the patient's level of consciousness according to the Glasgow Coma Scale increased (p = 0.001) from 49% to 80%. The proportion requiring a normal computed tomographic scan if a patient with a history of loss of consciousness was to be sent home from the accident and emergency department increased (p < 0.001) from 1 (2%) to 13 (19%). CONCLUSION: The Scandinavian Guidelines for Management of Mild Head Injuries have had a significant impact on management practice in Norwegian hospitals.

Algorithms↗
PubMed2003

Neurosurgery at the University Hospital of North Norway: the history of the northernmost neurosurgical department in the world.

The university hospital of North Norway hosts the northernmost neurosurgical department in the world. The hospital is located in the city of Tromsø, often dubbed "the Gateway to the Arctic." We describe the role of this city in polar exploration, the history preceding the establishment of the world's northernmost university, the history of neurosurgery at this institution, and the present state of the Department of Neurosurgery. The experience from Tromsø shows that it is possible to establish a complete neurosurgical service at remote locations. Training of physicians native to the region, close integration between clinical activities and research, and a wide definition of the specialty has been essential for the success of the department.

History, 19th Century↗
PubMed2003

Biochemical serum markers for brain damage: a short review with emphasis on clinical utility in mild head injury.

PURPOSE: To provide an overview of clinical research on the use of biochemical serum markers for traumatic brain injury (TBI) in the evaluation of patients with mild head injuries (MHI). METHODS: The MEDLINE database was searched for publications on biochemical serum markers of TBI until August 2002. Clinical studies addressing their use in MHI were reviewed. RESULTS: Desirable characteristics for biochemical serum markers of TBI were identified. Creatine kinase isoenzyme BB (CK-BB), neuron specific enolase (NSE) and S-100B protein have been most extensively studied. The sensitivity and specificity of CK-BB is inadequate for use as an indicator of traumatic brain injury. Serum levels of NSE do not correspond to the amount of TBI, probably because of its long (20 h) half-life. S-100B serum levels are correlated to both clinical measures of injury severity, neuroradiological findings and outcomes in several studies from different authors. CONCLUSION: Currently, S-100B protein is the most promising marker for evaluation of TBI in patients with MHI.

Biomarkers↗