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Lindberg, Terese
Publications (4 of 4) Show all publications
Lindberg, T., Wimo, A., Elmstahl, S., Qiu, C., Bohman, D. & Sanmartin Berglund, J. (2019). Prevalence and Incidence of Atrial Fibrillation and Other Arrhythmias in the General Older Population: Findings From the Swedish National Study on Aging and Care. Gerontology and geriatric medicine, 5
Open this publication in new window or tab >>Prevalence and Incidence of Atrial Fibrillation and Other Arrhythmias in the General Older Population: Findings From the Swedish National Study on Aging and Care
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2019 (English)In: Gerontology and geriatric medicine, E-ISSN 2333-7214, Vol. 5Article in journal (Refereed) Published
Abstract [en]

Aim: To study the prevalence and cumulative incidence of arrhythmias in the general population of adults aged 60 and older over a 6-year period. Study Design and Setting: Data were taken from the Swedish National Study on Aging and Care (SNAC), a national, longitudinal, multidisciplinary study of the general elderly population (defined as 60 years of age or older). A 12-lead resting electrocardiography (ECG) was performed at baseline and 6-year follow-up. Results: The baseline prevalence of atrial fibrillation (AF) was 4.9% (95% confidence interval [CI] = [4.5%, 5.5%]), and other arrhythmias including ventricular premature complexes (VPCs), supraventricular tachycardia (SVT), and supraventricular extrasystole (SVES) were seen in 8.4% (7.7%, 9.0%) of the population. A first- or second-degree atrioventricular (AV) block was found in 7.1% of the population (95% CI = [6.5%, 7.7%]), and there were no significant differences between men and women in baseline arrhythmia prevalence. The 6-year cumulative incidence of AF was 4.1% (95% CI = [3.5%, 4.9%]), or 6.9/1,000 person-years (py; 95% CI = [5.7, 8.0]). The incidence of AF, other arrhythmias, AV block, and pacemaker-induced rhythm was significantly higher in men in all cohorts except for the oldest. Conclusion: Our data highlight the prevalence and incidence of arrhythmias, which rapidly increase with advancing age in the general population.

Place, publisher, year, edition, pages
SAGE PUBLICATIONS INC, 2019
Keywords
epidemiology, public health/public policy, cardiovascular diseases and risk, chronic diseases
National Category
Public Health, Global Health, Social Medicine and Epidemiology Cardiac and Cardiovascular Systems
Identifiers
urn:nbn:se:bth-18598 (URN)10.1177/2333721419859687 (DOI)000475381100001 ()31276022 (PubMedID)
Note

open access

Available from: 2019-09-09 Created: 2019-09-09 Last updated: 2019-09-09
Lindberg, T., Sanmartin Berglund, J., Elmståhl, S. & Bohman, D. (2017). Older individuals’ need for knowledge and follow-up about their chronic atrial fibrillation, lifelong medical treatment and medical controls. Scandinavian Journal of Caring Sciences, 31(4), 1022-1030
Open this publication in new window or tab >>Older individuals’ need for knowledge and follow-up about their chronic atrial fibrillation, lifelong medical treatment and medical controls
2017 (English)In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 31, no 4, p. 1022-1030Article in journal (Refereed) Published
Abstract [en]

Older individuals with chronic atrial fibrillation (AF) often experience physical symptoms and feel psychologically unwell. In addition, these persons are prescribed lifelong medical treatment that requires regular monitoring. Through 11 individual interviews, this interpretive description study aimed to explore and describe lifelong medical treatment and the need for medical controls as experienced from the perspective of older individuals living with chronic AF. The interviews were performed during 2014–2015; furthermore, they were recorded, transcribed verbatim and analysed for thematic patterns using thematic analysis inspired by Braun and Clarke. Ethical standards were followed throughout the study. The findings revealed one main theme: ‘ambivalence in the need of knowledge’ showing that lifelong medical treatment and the need for medical controls, in general, meant experiencing feelings of ‘it doesn't matter, but it does matter’ and ‘being in the hands of the healthcare system’. The older persons lacked knowledge about their condition, which generated poor insight into their medical treatment and this in turn affected their daily life. They had thoughts and questions about their medication, but did not have an opportunity to ask the questions because of lack of follow-up from the healthcare system. The findings underscore the negative impact chronic AF has on older people's life and emphasises the need for follow-up and providing information from health care to these individuals. © 2017 Nordic College of Caring Science

Place, publisher, year, edition, pages
Blackwell Publishing Ltd, 2017
Keywords
ageing, heart health, interpretive methods, lived experience, medication, older people, qualitative method
National Category
Nursing
Identifiers
urn:nbn:se:bth-15658 (URN)10.1111/scs.12427 (DOI)000416413000042 ()2-s2.0-85035333640 (Scopus ID)
Available from: 2017-12-14 Created: 2017-12-14 Last updated: 2018-01-16Bibliographically approved
Lindberg, T., Bohman, D. M., Elmstahl, S., Jogreus, C. & Berglund, J. S. (2016). Prevalence of unknown and untreated arrhythmias in an older outpatient population screened by wireless long-term recording ECG. Clinical Interventions in Aging, 11, 1083-1090
Open this publication in new window or tab >>Prevalence of unknown and untreated arrhythmias in an older outpatient population screened by wireless long-term recording ECG
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2016 (English)In: Clinical Interventions in Aging, ISSN 1176-9092, E-ISSN 1178-1998, Vol. 11, p. 1083-1090Article in journal (Refereed) Published
Abstract [en]

Purpose: With longer life expectancies, the prevalence of arrhythmias is increasing; thus, there is a need for new methods to screen the older outpatient population. This population-based study describes the prevalence of arrhythmias in 200 outpatients aged. 66 years. We also investigated the feasibility of wireless long-term recording (LTR) using the ECG-BodyKom (R). Methods: Two hundred elderly persons aged 66-93 years were recruited from the Swedish National Study on Aging and Care in 2010-2013, and data were collected via wireless LTR ECG-BodyKom. Results: Screening with the LTR ECG revealed that persistent atrial fibrillation (AF) occurred in 10% of the outpatient population aged. 66 years. Paroxysmal AF occurred in 5.5% of the population, with no difference between younger (60-80 years) and older (>80 years) elderly participants. Furthermore, all patients with paroxysmal AF had a CHA(2)DS(2)VASc score of >= 2 and were therefore potential candidates for follow-up and medical examination. LTR ECG-BodyKom can be considered a feasible method to screen for arrhythmias in older outpatient populations. This simple method requires little of the user, and there was high satisfaction with the equipment and a good overall experience wearing it. Conclusion: The increasing occurrence of arrhythmias in the older population, as well as the high number of untreated cases of arrhythmias such as persistent AF and paroxysmal AF, poses a challenge for health care. Therefore, it is essential to develop effective strategies for their prevention and treatment.

Keywords
arrhythmia, older people, prevalence, wireless long-term ECG
National Category
Geriatrics Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:bth-13061 (URN)10.2147/CIA.S110532 (DOI)000381118600001 ()27570450 (PubMedID)
Available from: 2016-09-30 Created: 2016-09-30 Last updated: 2017-11-30Bibliographically approved
Lindberg, T., Andersson, O., Palm, M. & Fagerstrom, C. (2015). A systematic review and meta-analysis of dressings used for wound healing: the efficiency of honey compared to silver on burns. Contemporary Nurse: health care across the lifespan, 51(2-3), 121-134
Open this publication in new window or tab >>A systematic review and meta-analysis of dressings used for wound healing: the efficiency of honey compared to silver on burns
2015 (English)In: Contemporary Nurse: health care across the lifespan, ISSN 1037-6178, E-ISSN 1839-3535, Vol. 51, no 2-3, p. 121-134Article in journal (Refereed) Published
Abstract [en]

Background: Honey has the antibacterial effect of silver without the toxic effect of silver on the skin. Even so, silver is the dominant antibacterial dressing used in wound healing. Objectives: To evaluate the healing effects of honey dressings compared to silver dressings for acute or chronic wounds. Design: A systematic review with meta-analysis. Method: The search, conducted in seven databases, resulted in six randomised controlled trial studies from South Asia focusing on antibacterial properties and healing times of honey and silver. Result: Honey was more efficacious for wound healing than silver, as measured in the number of days needed for wounds to heal (pooled risk difference -20, 95% CI -0.29 to -0.11, p < .001). Honey turned out to have more antibacterial qualities than silver. Conclusion: All the included studies based on burns showed the unequivocal result that honey had an even more positive effect than silver on wound healing.

Place, publisher, year, edition, pages
Routledge, 2015
Keywords
antibacterial dressing; burns; honey; silver; wound healing
National Category
Nursing
Identifiers
urn:nbn:se:bth-12535 (URN)10.1080/10376178.2016.1171727 (DOI)000375908400002 ()27027667 (PubMedID)
Available from: 2016-06-22 Created: 2016-06-22 Last updated: 2017-11-28Bibliographically approved
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