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  • 1
    Electronic Resource
    Electronic Resource
    Recommended care for young people (15–19 years) after suicide attempts in certain European countries (2000)
    Springer
    European child & adolescent psychiatry 9 (2000), S. 100-108 
    Details
    ISSN: 1435-165X
    Keywords: Key words Young people ; attempted suicide ; method ; recommended care
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Data on recommended care for young people aged 15–19 years after attempted suicide from nine European research centres during the period 1989–1992 were analysed in terms of gender, history of previous suicide attempt and methods used. Altogether 438 suicide attempts made by 353 boys and 1,102 suicide attempts made by 941 girls were included. Analyses of the total data from all centres showed that young people with a history of previous suicide attempt and those using violent methods had significantly higher chance of being recommended aftercare than first-time attempters or those choosing self-poisoning. There were no significant differences of being recommended care between genders. Logistic regression analyses of the material were performed and the results were similar. Both having previous attempted suicide (odds ratio 2.0, 95% CI 1.53–2.61) and using “hard” methods (odds ratio 1.71, 95% CI 1.49–1.96) were significantly associated with increased possibility of being recommended aftercare. When individual centres were analysed, large disparities of recommended care after suicide attempts were found and there were no uniform criteria of recommending care for young suicide attempters in Europe.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/PL00010707
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  • 2
    Electronic Resource
    Electronic Resource
    Guillain-Barré syndrome in Stockholm County, 1973--1991 (1997)
    Springer
    European journal of epidemiology 13 (1997), S. 25-32 
    Details
    ISSN: 1573-7284
    Keywords: Epidemiology ; Guillain-Barré syndrome ; Hospital In-patient Register ; Hospital stay ; Incidence
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract In order to describe the incidence of Guillain-Barré syndrome (GBS) in Stockholm County (SC) and hospital use by GBS patients, we conducted a retrospective epidemiological study on GBS covering 1973--1991, using the Hospital In-patient Register in SC. There were 556 patients, bona fide residents in the county during the study period, discharged from hospitals with GBS diagnosis. The mean annual incidence, age-adjusted to the European population, was 1.84 (2.15 for males and 1.57 for females) per 100,000 population. The incidence increased with age and showed a bimodal distribution with peaks in the 10--29 and 70--79 age-groups. Annual incidence rates were highest in 1978 and 1983. Neither heterogeneity of annual or monthly rates nor linear trends during the period were found to be significant, except in 1978 for patients below 40 years of age, RR 1.72 (95% CI 1.08--2.71) and in 1983 for patients at ages 40 years and over, RR 1.48 (95% CI 1.02--2.16), when compared with GBS incidences in the same age-groups during the remaining study period. The mean ± SD duration of hospital stay, including long-term care or rehabilitation institutions, for GBS patients, was 86 ± 210 days, with considerably longer duration for the elderly. The rate of hospital use by GBS patients was 162 days per 100,000 inhabitants per year. In accordance with results of prior studies in South-West Stockholm and described GBS epidemics in Sweden, this study supports that an etiologically different subgroup of GBS exists at ages below 40 years, and that relevant but small time-space variations, such as the reported zimeldine epidemic in 1983, resist detection by hospital data analysis of pooled GBS cases. Efficient epidemiological surveillance of GBS may require targeted development of clinicoepidemiological tools.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1023/A:1007312112285
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  • 3
    Electronic Resource
    Electronic Resource
    Guillain-Barré syndrome in South-West Stockholm, 1973–1991, 2. Clinical epidemiology (1997)
    Springer
    Neurological sciences 18 (1997), S. 49-53 
    Details
    ISSN: 1590-3478
    Keywords: Diagnosis ; Epidemiology ; Etiology ; Guillain-Barré syndrome ; Acute inflammatory demyelinating polyneuropathy (AIDP)
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Sommario I caratteri clinico-epidemiologici della sindrome di Guillain-Barré sono stati studiati impiegando le informazioni ottenibili su popolazione dai registri clinici di 69 pazienti nella regione Sud-Ovest di Stoccolma, durante il periodo dal gennaio 1973 al giugno 1992. La diagnosi è stata convalidata in accordo con i criteri del “National Institute of Neurological and Communicative Disorders and Stroke”. La età media di esordio è stata 43±20 anni. Gli eventi del periodo di 30 giorni precedenti l'esordio clinico sono stati registrati in 46 pazienti, e nel 74% di questi casi identificati come infezioni respiratorie. La presenza di questi eventi era associata con il sesso maschile. Una più rapida progressione clinica è stata osservata nelle donne. Il rapporto liquor/siero dell'albumina ≥10, potenziali di denervazione e la necessità di ventilazione meccanica sono state associate con un peggiore recupero o con un lungo periodo di ospedalizzazione. Una ridotta velocità di conduzione è risultata più comune e pronunciata tra i pazienti più anziani e con un più alto rapporto liquor/siero dell'albumina. Questi risultati suggeriscono che vi è una eterogeneità clinica, elettrofisiologica e epidemiologica nella GBS e che sottogruppi clinico-epidemiologici di GBS possono esistere.
    Notes: Abstract The clinicoepidemiological features of Guillain-Barré syndrome (GBS) were studied using population-based information from medical records of 69 patients in South-West Stockholm, during the period from January 1973 to June 1992. The diagnoses were validated according to the National Institute of Neurological and Communicative Disorders and Stroke criteria. Mean age at onset was 43±20 years. For 46 patients, events during the 30-day period preceding clinical onset, 74% of them identified as respiratory infections, were recorded. The presence of preceding events was associated with male gender. A more rapid clinical progression was found among women. A CSF/serum albumin ratio ≥10, denervation potentials and mechanical ventilation required were associated with poor recovery or long duration of hospitalization. Reduced motor conduction velocity was more common and pronounced among older patients and with a high CSF/serum albumin ratio. These results suggest that there is clinical, electrophysiological and epidemiological heterogeneity in GBS, and that clinicoepidemiological subgroups of GBS may exist.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF02106232
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    Paper (German National Licenses)
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