Spinal infektion med ryggmärgspåverkan kräver snabba åtgärder - Genomgång av Ivo-anmälningar visar att fördröjd handläggning kan ge allvarliga restsymtom
(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.
(Less)
- author
- Andrén-Sandberg, Åke LU ; Fridén, Thomas LU and Strömqvist, Björn LU
- alternative title
- Spinal infection with spinal cord/cauda equina affection requires emergency handling
- publishing date
- 2019-11-19
- 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}}, }