Niklas Ekerstad
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View article: A qualitative analysis of the experiences of frail older adults treated and recovering from colorectal cancer surgery
A qualitative analysis of the experiences of frail older adults treated and recovering from colorectal cancer surgery Open
Introduction It is established that frail elderly patients suffer increased risks of post-operative mortality and morbidity, as well as impaired motility and increased need of support in activities of daily life (ADLs), following colorecta…
View article: Frailty Is an Independent Marker of Post‐Operative Mortality Following Colorectal Cancer Resection Surgery in Older Adults
Frailty Is an Independent Marker of Post‐Operative Mortality Following Colorectal Cancer Resection Surgery in Older Adults Open
Background and Objectives Frailty is a prognostic factor of post‐operative death and complications following colorectal cancer surgery. Frailty assessment is not routinely performed, hence, the prevalence is unknown. The aim of this study …
View article: Determining the effect of frailty on survival in advanced ovarian cancer: study protocol for a prospective multicentre national cohort study (FOLERO)
Determining the effect of frailty on survival in advanced ovarian cancer: study protocol for a prospective multicentre national cohort study (FOLERO) Open
Background and purpose: There is an urgent need to improve patient-selection to surgical treatment in advanced ovarian cancer as our results showed that cytoreductive surgery was without effect or even detrimental in a yet unknown subgroup…
View article: Mortality and morbidity after colorectal cancer resection surgery in elderly patients: a retrospective population-based study in Sweden
Mortality and morbidity after colorectal cancer resection surgery in elderly patients: a retrospective population-based study in Sweden Open
Background Colorectal cancer is primarily a condition of older adults, and surgery is the cornerstone of treatment. As life expectancy is increasing and surgical techniques and perioperative care are developing, curative surgery is often c…
View article: One-year mortality rates after standardized management for emergency laparotomy: results from the Swedish SMASH study
One-year mortality rates after standardized management for emergency laparotomy: results from the Swedish SMASH study Open
Background Patients who require an emergency laparotomy suffer from high mortality and morbidity rates. Studies have shown that the standardization of perioperative management reduces complications in the short term. The aim of the present…
View article: The Association Between the Clinical Frailty Scale and Adverse Health Outcomes in Older Adults in Acute Clinical Settings – A Systematic Review of the Literature
The Association Between the Clinical Frailty Scale and Adverse Health Outcomes in Older Adults in Acute Clinical Settings – A Systematic Review of the Literature Open
A primary purpose of the CFS is to grade clinically increased risk (i.e. risk stratification). Our results report the accumulated knowledge on the risk-predictive performance of the CFS and highlight the importance of routinely including f…
View article: Clinical Frailty Scale classes are independently associated with 6-month mortality for patients after acute myocardial infarction
Clinical Frailty Scale classes are independently associated with 6-month mortality for patients after acute myocardial infarction Open
Aims Data on the prognostic value of frailty to guide clinical decision-making for patients with myocardial infarction (MI) are scarce. To analyse the association between frailty classification, treatment patterns, in-hospital outcomes, an…
View article: Clinical Priority Setting and Decision-Making in Sweden: A Cross-sectional Survey Among Physicians
Clinical Priority Setting and Decision-Making in Sweden: A Cross-sectional Survey Among Physicians Open
Background: Priority setting in healthcare that aims to achieve a fair and efficient allocation of limited resources is a worldwide challenge. Sweden has developed a sophisticated approach. Still, there is a need for a more detailed insigh…
View article: Comprehensive Geriatric Assessment for Frail Older People in Swedish Acute Care Settings (CGA-Swed): A Randomised Controlled Study
Comprehensive Geriatric Assessment for Frail Older People in Swedish Acute Care Settings (CGA-Swed): A Randomised Controlled Study Open
The aim of the study is to evaluate the effects of the Comprehensive Geriatric Assessment (CGA) for frail older people in Swedish acute hospital settings – the CGA-Swed study. In this study protocol, we present the study design, the interv…
View article: <p>Preserved physical fitness is associated with lower 1-year mortality in frail elderly patients with a severe comorbidity burden</p>
Preserved physical fitness is associated with lower 1-year mortality in frail elderly patients with a severe comorbidity burden Open
In frail elderly patients with a severe comorbidity burden, physical fitness in connection with emergency hospital care was independently associated with 1-year mortality. Moreover, a change in physical fitness during the first months afte…
View article: Preserved physical fitness is associated with lower 1-year mortality in frail elderly patients with a severe comorbidity burden
Preserved physical fitness is associated with lower 1-year mortality in frail elderly patients with a severe comorbidity burden Open
Kristina Åhlund,1,2 Niklas Ekerstad,3,4 Maria Bäck,2,5 Björn W Karlson,6,7 Birgitta Öberg2 1Department of Physiotherapy, NU Hospital Group, Trollhättan, Sweden; 2Department of Medical and Health Sciences, Division of Physiotherapy, Linköpi…
View article: Hospitalized frail elderly patients – atrial fibrillation, anticoagulation and 12 months’ outcomes
Hospitalized frail elderly patients – atrial fibrillation, anticoagulation and 12 months’ outcomes Open
Niklas Ekerstad,1,2 Thomas Karlsson,3 Sara Söderqvist,4 Björn W Karlson4,5 1Department of Cardiology, NU (NÄL-Uddevalla) Hospital Group, Trollhättan-Uddevalla-Vänersborg, Sweden; 2Department of Medical and Health Sciences, Division of Heal…
View article: Hospitalized frail elderly patients &ndash; atrial fibrillation, anticoagulation and 12 months&rsquo; outcomes
Hospitalized frail elderly patients – atrial fibrillation, anticoagulation and 12 months’ outcomes Open
The prevalence of AF in a hospitalized frail elderly population was 47%. Of these, 63% were prescribed anticoagulation therapy. Almost half of the patients without stroke prophylaxis had no documented contraindication. At 1 year, there wer…
View article: Are frail elderly patients treated in a CGA unit more satisfied with their hospital care than those treated in conventional acute medical care?
Are frail elderly patients treated in a CGA unit more satisfied with their hospital care than those treated in conventional acute medical care? Open
Acute care in a CGA unit with direct admission was associated with higher levels of patient satisfaction compared with conventional acute care via the emergency room.
View article: Effects of comprehensive geriatric assessment on physical fitness in an acute medical setting for frail elderly patients
Effects of comprehensive geriatric assessment on physical fitness in an acute medical setting for frail elderly patients Open
This study indicates that the acute care of frail elderly patients at a CGA unit is superior to conventional care in terms of preserving physical fitness at 3 months follow-up. CGA management may positively influence outcomes of great impo…
View article: Acute care of severely frail elderly patients in a CGA-unit is associated with less functional decline than conventional acute care
Acute care of severely frail elderly patients in a CGA-unit is associated with less functional decline than conventional acute care Open
Acute care of frail elderly patients in a CGA unit was independently associated with lesser loss of functional ability and lesser increase in frailty after 3 months.
View article: Early rehospitalizations of frail elderly patients &ndash; the role of medications: a clinical, prospective, observational trial
Early rehospitalizations of frail elderly patients – the role of medications: a clinical, prospective, observational trial Open
One out of four frail elderly patients discharged from hospital was rehospitalized within 1 month. Although ADRs constituted an important cause of rehospitalization, underuse of evidence-based drug treatment might be an even more frequent …
View article: Is the acute care of frail elderly patients in a comprehensive geriatric assessment unit superior to conventional acute medical care?
Is the acute care of frail elderly patients in a comprehensive geriatric assessment unit superior to conventional acute medical care? Open
Patients in an acute CGA unit were less likely to present with decline in HRQoL after 3 months, and the care in a CGA unit was also independently associated with lower mortality, at no higher cost.