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Spinal infektion med ryggmärgs­påverkan kräver snabba åtgärder - Genomgång av Ivo-anmälningar visar att fördröjd handläggning kan ge allvarliga restsymtom

Andrén-Sandberg, Åke LU ; Fridén, Thomas LU and Strömqvist, Björn LU (2019) In Läkartidningen 116.
Abstract

Seventeen cases of infections in spinal structures were reported 2010-2017 to the Swedish Health and Social Care Inspectorate (IVO), a government agency responsible for supervising health care, for missed or delayed diagnosis. All patient records were scrutinized in order to find underlying causes and common factors. The delayed diagnoses were equally found among men and women and most frequent in in the age-group 65 to 79 years of age. The diagnostic delay most probably in many cases led to patient harm and avoidable sequelae, many with severe impairment for daily life. Several of the patients had a locus minoris resistentiae in the spine and in several cases the entry port of infections were cutaneous wounds, for example leg ulcers.... (More)

Seventeen cases of infections in spinal structures were reported 2010-2017 to the Swedish Health and Social Care Inspectorate (IVO), a government agency responsible for supervising health care, for missed or delayed diagnosis. All patient records were scrutinized in order to find underlying causes and common factors. The delayed diagnoses were equally found among men and women and most frequent in in the age-group 65 to 79 years of age. The diagnostic delay most probably in many cases led to patient harm and avoidable sequelae, many with severe impairment for daily life. Several of the patients had a locus minoris resistentiae in the spine and in several cases the entry port of infections were cutaneous wounds, for example leg ulcers. The most important finding was that in the majority of cases the clinical investigation was inadequate and the clinical follow-up - while in hospital! - was inferior, without documentation of muscular weakness and sensory loss. In several cases a too passive management was found, when the losses eventually had become apparent, delaying surgical interventions.

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Please use this url to cite or link to this publication:
author
; and
alternative title
Spinal infection with spinal cord/cauda equina affection requires emergency handling
publishing date
type
Contribution to journal
publication status
published
subject
in
Läkartidningen
volume
116
publisher
Swedish Medical Association
external identifiers
  • pmid:31742654
ISSN
0023-7205
language
Swedish
LU publication?
no
id
18d4dae8-3a6c-429e-99c1-509053dedd28
alternative location
https://lakartidningen.se/Klinik-och-vetenskap/Originalstudie/2019/11/Spinal-infektion-med-ryggmargspaverkan-kraver-snabba-atgarder/
date added to LUP
2019-11-28 13:46:03
date last changed
2022-02-01 02:11:01
@article{18d4dae8-3a6c-429e-99c1-509053dedd28,
  abstract     = {{<p>Seventeen cases of infections in spinal structures were reported 2010-2017 to the Swedish Health and Social Care Inspectorate (IVO), a government agency responsible for supervising health care, for missed or delayed diagnosis. All patient records were scrutinized in order to find underlying causes and common factors. The delayed diagnoses were equally found among men and women and most frequent in in the age-group 65 to 79 years of age. The diagnostic delay most probably in many cases led to patient harm and avoidable sequelae, many with severe impairment for daily life. Several of the patients had a locus minoris resistentiae in the spine and in several cases the entry port of infections were cutaneous wounds, for example leg ulcers. The most important finding was that in the majority of cases the clinical investigation was inadequate and the clinical follow-up - while in hospital! - was inferior, without documentation of muscular weakness and sensory loss. In several cases a too passive management was found, when the losses eventually had become apparent, delaying surgical interventions.</p>}},
  author       = {{Andrén-Sandberg, Åke and Fridén, Thomas and Strömqvist, Björn}},
  issn         = {{0023-7205}},
  language     = {{swe}},
  month        = {{11}},
  publisher    = {{Swedish Medical Association}},
  series       = {{Läkartidningen}},
  title        = {{Spinal infektion med ryggmärgs­påverkan kräver snabba åtgärder - Genomgång av Ivo-anmälningar visar att fördröjd handläggning kan ge allvarliga restsymtom}},
  url          = {{https://lakartidningen.se/Klinik-och-vetenskap/Originalstudie/2019/11/Spinal-infektion-med-ryggmargspaverkan-kraver-snabba-atgarder/}},
  volume       = {{116}},
  year         = {{2019}},
}