Explanipedia

Areal differences in the utilization of endovascular therapy for acute ischemic stroke Open

Ulla Junttola, Siiri Hietanen, Sanna Lahtinen, Juha-Matti Isokangas, Lasse Raatiniemi , et al. · 2025

Endovascular therapy (EVT) is standard care for acute ischemic stroke due to large vessel occlusion, but its availability is limited in areas with long distances. It has also been demonstrated that there are differences in the utilization …

Spinal Anaesthesia Versus General Anaesthesia for Patients With Tibia Shaft Fractures—A Randomized Controlled Study Open

Pasi Lehto, Merja Vakkala, Iikka Lantto, Pasi Ohtonen, Janne Liisanantti , et al. · 2025

Background Concerns about the delayed diagnosis of acute compartment syndrome have led to recommendations favouring general anaesthesia over spinal anaesthesia in surgeries for diaphyseal tibia fractures. However, there is a lack of suppor…

Patients undergoing thyroid surgery suffer preoperatively from poor quality of life Open

Juha Honkanen, Krisztina Molnár, Tuomo Karhumaa, Sakari Kakko, Petri Koivunen , et al. · 2025

Mixed Venous Oxygen Saturation Has a Poor Association with Cardiac Index during Early Intensive Care Unit Stay after Cardiac Surgery Open

Petteri Holm, Jaana Karhu, Tiina Erkinaro, Pasi Ohtonen, Janne Liisanantti , et al. · 2025

Factors affecting oxygen consumption and demand weaken the association between SvO₂ and CI values in the early ICU recovery phase after cardiac surgery. Therefore, SvO₂ and CI values should not be relied upon in clini…

Areal differences in the rate of operative care for cancer of the head and neck within one hospital district in Northern Finland Open

Krisztina Molnár, Sanni-Mari Käkilehto, Juho Nurkkala, Sanna Lahtinen, Petri Koivunen , et al. · 2024

Aim The relationship between socioeconomic status (SES) and cancers of the head and neck has been described previously. The present study investigated areal differences in the rate of operative care of cancers of the head and neck in terms…

Socio-economic factors and rural-urban differences in patients undergoing emergency laparotomy Open

Anne Pouke, Aura T. Ylimartimo, Juho Nurkkala, Sanna Lahtinen, Marjo Koskela , et al. · 2024

Background: Emergency laparotomy (EL) is a common surgical procedure with high rates of mortality and complications. Socio-economic circumstances and regional differences have an influence on the utilization of care and outcomes in many di…

Health status and quality of life before critical illness: Northern Finland Birth Cohort 1966 study Open

Miikka Niittyvuopio, Siiri Hietanen, Janne Liisanantti, Michael Spalding, Juha Auvinen , et al. · 2024

Background Previous findings support the claim intensive care unit (ICU) patients have a higher rate of comorbidities and reduction of health‐ and functional status compared with the normal population. Aim In this prospective observational…

Reliability of Bioreactance and Pulse-Power Analysis in Measuring Cardiac Index During Open Abdominal Aortic Surgery Open

Heikki Pekka Oskari Ronkainen, Laura Anneli Ylikauma, Mari Johanna Pohjola, Pasi Ohtonen, Tiina Erkinaro , et al. · 2024

The CI measurements achieved with Starling SV and LiDCOrapid were not interchangeable with TDCO, and the ability to track changes in CI was poor. These results do not support the use of either study device in monitoring CI during open AA s…

Contents Open

Jamel Ortoleva, Alexander Homoud, Luis F. Gonzalez-Ciccarelli, Christoph S. Nabzdyk, J. Kyle Bohman , et al. · 2024

Quality of Life After Endovascular Thrombectomy for Acute Ischemic Stroke in Northern Finland Open

Ulla Junttola, Janne Liisanantti, Juha‐Matti Isokangas, Timo Kaakinen, Merja Vakkala , et al. · 2024

Objectives: Endovascular thrombectomy has demonstrated a major therapeutic improvement in the treatment of acute ischemic stroke. The benefit of endovascular thrombectomy is commonly reported by determining the functional outcome using the…

Unresponsive Low Mixed Venous Oxygen Saturation During Early Intensive Care Unit Stay is Associated With Increased Risk of Organ Dysfunction After Cardiac Surgery: A Single-Center Retrospective Study Open

Petteri Holm, Tiina Erkinaro, Jaana Karhu, Pasi Ohtonen, Janne Liisanantti , et al. · 2023

Patients with SvO₂ <60% at ICU admission and 4 hours later had the greatest risk of postoperative MODS. Responsiveness to a goal-directed therapy protocol targeting maintaining or increasing SvO₂ ≥60% at and after ICU…

The effect of tourniquet use on postoperative opioid consumption after ankle fracture surgery – a retrospective cohort study Open

Pasi Lehto, Tero Kortekangas, Merja Vakkala, Pasi Ohtonen, Emma‐Sofia Nyman , et al. · 2023

Objectives A pneumatic tourniquet is often used during ankle fracture surgery to reduce bleeding and enhance the visibility of the surgical field. Tourniquet use causes both mechanical and ischemic pain. The main purpose of this study was …

Outcome after neck dissection – a single center cohort study Open

Krisztina Molnár, Sanni Käkilehto, Janne Liisanantti, Petri Koivunen, Timo Kaakinen , et al. · 2023

Background Postoperative complications and their impact on long-term outcome after neck dissection are not well studied. We wanted to assess postoperative complications and long-term survival in this patient group. Methods A total of 196 p…

Reliability of bioreactance and pulse power analysis in measuring cardiac index during cytoreductive abdominal surgery with hyperthermic intraperitoneal chemotherapy (HIPEC) Open

Laura Anneli Ylikauma, Mari Tuovila, Pasi Ohtonen, Tiina Erkinaro, Merja Vakkala , et al. · 2023

RELIABILITY OF BIOREACTANCE AND PULSE POWER ANALYSIS IN MEASURING CARDIAC INDEX DURING OPEN ABDOMINAL AORTIC SURGERY Open

Hanna Ronkainen, Laura Anneli Ylikauma, Pasi Ohtonen, Tiina Erkinaro, Merja Vakkala , et al. · 2022

Association of low mixed venous oxygen saturations during early ICU stay with increased 30-day and 1-year mortality after cardiac surgery: a single-center retrospective study Open

Timo Kaakinen, Tomi Ikäläinen, Tiina Erkinaro, Jaana Karhu, Janne Liisanantti , et al. · 2022

Long-term mortality after endovascular thrombectomy for stroke Open

Ulla Junttola, Sanna Lahtinen, Juha‐Matti Isokangas, Siiri Hietanen, Merja Vakkala , et al. · 2022

Postoperative Complications and Outcome After Emergency Laparotomy: A Retrospective Study Open

Aura T. Ylimartimo, Juho Nurkkala, Marjo Koskela, Sanna Lahtinen, Timo Kaakinen , et al. · 2022

Background Emergency laparotomy (EL) is a common urgent surgical procedure with high risk for postoperative complications. Complications impair the prognosis and prolong the hospital stay. This study explored the incidence and distribution…

Accuracy of dispatch and prehospital triage performance in poisonings – A retrospective study from northern Finland Open

Lauri Koskela, Lasse Raatiniemi, Ari Ehrola, Timo Kaakinen, Sanna Lahtinen , et al. · 2022

Background Increasing numbers of dispatches place a burden on EMS; this study sought to assess the prehospital evaluation of poisoned patients transported to hospital. The primary aim of this study was to measure dispatch centre and EMS pr…

Long-term Outcomes After Emergency Laparotomy: a Retrospective Study Open

Aura T. Ylimartimo, Sanna Lahtinen, Juho Nurkkala, Marjo Koskela, Timo Kaakinen , et al. · 2022

Outcomes in patients requiring intensive care unit (<span>ICU</span>) admission after emergency laparotomy: A retrospective study Open

Aura T. Ylimartimo, Marjo Koskela, Sanna Lahtinen, Timo Kaakinen, Merja Vakkala , et al. · 2022

Purpose Outcomes after emergency laparotomy (EL) are poor. These patients are often admitted to an intensive care unit (ICU). This study explored outcomes in patients who were admitted to an ICU within 48 h after EL. Materials and Methods …

Quality of life after free flap reconstruction for the cancer of the head and neck: Comparison between five-year survivors and non-survivors Open

Krisztina Molnár, Siiri Hietanen, Janne Liisanantti, Petri Koivunen, Sanna Lahtinen · 2022

Articles to Appear in Future Issues Open

Cengiz Kaya, Burhan Dost, Ozgur Dokmeci, Semih Murat, Deni̇z Karakaya , et al. · 2022

Quality of life in head and neck cancer patients at 5 years after free flap reconstruction:a significant decline during the follow-up Open

Sanna Lahtinen, Krisztina Molnár, Siiri Hietanen, Petri Koivunen, Pasi Ohtonen , et al. · 2022

The negative impact of interface design, customizability, inefficiency, malfunctions, and information retrieval on user experience: A national usability survey of ICU clinical information systems in Finland Open

Miia Jansson, Janne Liisanantti, Tero Ala‐Kokko, Jarmo Reponen · 2021

Overall satisfaction with the principally used ICU CIS was moderate. However, the overall grades varied significantly. Poor interface design, insufficient customizability, inefficiency, malfunctions, and difficulties in information retriev…

Reliability of Bioreactance and Pulse-Power Analysis in Measuring Cardiac Index in Patients Undergoing Cardiac Surgery With Cardiopulmonary Bypass Open

Laura Anneli Ylikauma, Katriina M. Lanning, Tiina Erkinaro, Pasi Ohtonen, Merja Vakkala , et al. · 2021

Factors associated with time delay to angiography in acute ST-elevation myocardial infarction - A retrospective cohort study in Northern Finland Open

Mia K. Aitavaara-Anttila, Heini H. Pernu, Tuuli K. Rumpunen, Jani P.O. Similä, Janne Liisanantti , et al. · 2021

In our study, treatment protocol violations, non-specific symptoms, and the distance to hospital of over 100 km were associated with primary angiography in patients with STEMI transported to the hospital by EMS.

The development of emergency medical services benefit score: a European Delphi study Open

Anssi Heino, Lasse Raatiniemi, Timo Iirola, Merja Meriläinen, Janne Liisanantti , et al. · 2021

Accuracy, Precision, and Trending Ability of Perioperative Central Venous Oxygen Saturation Compared to Mixed Venous Oxygen Saturation in Unselected Cardiac Surgical Patients Open

Katriina M. Lanning, Tiina Erkinaro, Pasi Ohtonen, Merja Vakkala, Janne Liisanantti , et al. · 2021

Medical complications and outcome after endovascular therapy for acute ischemic stroke Open

Ulla Junttola, Sanna Lahtinen, Janne Liisanantti, Merja Vakkala, Timo Kaakinen , et al. · 2021

Medical complications are common among unselected stroke patients undergoing EVT. Both comorbidity and stroke severity have an influence on medical complications. Early recognition of complications is essential, because vast majority of pa…

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