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Silverplats, J., Södersved Källestedt, M.-L., Äng, B. & Strömsöe, A. (2024). Compliance with cardiopulmonary resuscitation guidelines in witnessed in-hospital cardiac arrest events and patient outcome on monitored versus non-monitored wards. Resuscitation, 196, Article ID 110125.
Open this publication in new window or tab >>Compliance with cardiopulmonary resuscitation guidelines in witnessed in-hospital cardiac arrest events and patient outcome on monitored versus non-monitored wards
2024 (English)In: Resuscitation, ISSN 0300-9572, E-ISSN 1873-1570, Vol. 196, article id 110125Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: Adherence to cardiopulmonary resuscitation (CPR) guidelines in treatment of in-hospital cardiac arrest (IHCA) have been associated with favourable patient outcome. The aim of this study was to evaluate if compliance with initial CPR guidelines and patient outcome of witnessed IHCA events were associated with the place of arrest defined as monitored versus non-monitored ward.

METHODS: A total of 956 witnessed IHCA events in adult patients at six hospitals during 2018 to 2019, were extracted from the Swedish Registry of Cardiopulmonary Resuscitation. Initial CPR guidelines were: ≤ 1 min from collapse to alert of the rapid response team, ≤ 1 min from collapse to start of CPR, ≤ 3 min from collapse to defibrillation of shockable rhythm.

RESULTS: The odds of compliance with guidelines was higher on monitored wards vs non-monitored wards, even after adjustment for factors that could affect staffing and resources. The place of arrest was not a significant factor for sustained return of spontaneous circulation, survival at 30 days, or neurological status at discharge, when adjusting for clinically relevant confounders. Compliance with initial CPR guidelines remained a significant factor for survival to 30 days and favourable neurological outcome at discharge regardless of other confounders.

CONCLUSION: Compliance with initial CPR guidelines was higher in witnessed IHCA events on monitored wards than on non-monitored wards, which indicates that healthcare professionals in monitored wards are quicker to recognize a cardiac arrest and initiate treatment. When initial CPR guidelines are followed, the place of arrest does not influence patient outcome.

Keywords
compliance, in-hospital cardiac arrest, monitored areas, resuscitation
National Category
Cardiology and Cardiovascular Disease
Identifiers
urn:nbn:se:du-47962 (URN)10.1016/j.resuscitation.2024.110125 (DOI)001181659900001 ()38272386 (PubMedID)2-s2.0-85183987359 (Scopus ID)
Available from: 2024-02-01 Created: 2024-02-01 Last updated: 2025-02-10Bibliographically approved
Sjöberg, V., Monnier, A., Tseli, E., Lo Martire, R., Hagströmer, M., Björk, M., . . . Vixner, L. (2024). Feasibility and acceptability of design and conduct of a registry-based randomised clinical trial evaluating eVIS as a digital support for physical activity in interdisciplinary pain rehabilitation programs: A randomised pilot study. Digital Health, 10
Open this publication in new window or tab >>Feasibility and acceptability of design and conduct of a registry-based randomised clinical trial evaluating eVIS as a digital support for physical activity in interdisciplinary pain rehabilitation programs: A randomised pilot study
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2024 (English)In: Digital Health, ISSN 2055-2076, Vol. 10Article in journal (Refereed) Published
Abstract [en]

Background

Patients with chronic pain often struggle to engage in physical activity despite its health benefits. The eVISualisation of physical activity and pain intervention (eVIS) was developed to support adherence to physical activity plans in Interdisciplinary Pain Rehabilitation Programs (IPRPs) by visualising activity, pain levels, pain interference, and pharmacological use. This pilot study assesses the feasibility and acceptability of trial design and trial conduct of a registry-based randomised clinical trial (R-RCT).

Method

This randomised clinical pilot study included the first 10% (n = 39, mean age 43.5, 74.4% females) of the R-RCT sample (n≈400). Participants with non-cancer chronic pain from six IPRP units were randomly assigned to either the intervention group (IPRP + eVIS, n = 19) or the control group (IPRP, n = 20). Feasibility and acceptability were evaluated using pre-defined criteria on recruitment- and data collection procedures (e.g., inclusion rates, representativeness, adverse events), physiotherapists’ ratings of trial design and conduct (e.g., acceptability, feasibility), and outcome data characteristics and completeness (e.g., adherence, data accessibility).

Results

Recruitment was largely feasible, though attrition differences and the need for refined eligibility screening were noted. Physiotherapists cited time and implementation challenges. Both groups had satisfactory data completeness, but the control group showed lower adherence to daily reporting in the final third of the study. The intervention group had greater improvements in physical health, with 19.5% more participants achieving the minimum clinically important difference (≥3) on the physical component summary scale (PCS). No adverse events occurred.

Conclusion

With minor adjustments, the R-RCT design is mostly feasible, though some challenges to feasibility were identified and addressed.

Place, publisher, year, edition, pages
Sage Publications, 2024
Keywords
Chronic pain, physical activity, pilot study
National Category
Physiotherapy
Research subject
Research Profiles 2009-2020, Health and Welfare
Identifiers
urn:nbn:se:du-49732 (URN)10.1177/20552076241299648 (DOI)001363690600001 ()39600393 (PubMedID)
Available from: 2024-11-25 Created: 2024-11-25 Last updated: 2025-02-11Bibliographically approved
Silverplats, J., Äng, B., Södersved Källestedt, M.-L. & Strömsöe, A. (2024). Incidence and case ascertainment of treated in-hospital cardiac arrest events in a national quality registry – a comparison of reported and non-reported events. Resuscitation, 195, Article ID 110119.
Open this publication in new window or tab >>Incidence and case ascertainment of treated in-hospital cardiac arrest events in a national quality registry – a comparison of reported and non-reported events
2024 (English)In: Resuscitation, ISSN 0300-9572, E-ISSN 1873-1570, Vol. 195, article id 110119Article in journal (Refereed) Published
Abstract [en]

Background: Approximately 2,500 in-hospital cardiac arrest (IHCA) events are reported annually to the Swedish Registry of Cardiopulmonary Resuscitation (SRCR) with an estimated incidence of 1.7/1,000 hospital admissions. The aim of this study was to evaluate the compliance in reporting IHCA events to the SRCR and to compare reported IHCA events with possible non-reported events, and to estimate IHCA incidence.

Methods: Fifteen diagnose codes, eight Classification of Care Measure codes, and two perioperative complication codes were used to find all treated IHCAs in 2018-2019 at six hospitals of varying sizes and resources. All identified IHCA events were cross-checked against the SRCR using personal identity numbers. All non-reported IHCA events were retrospectively reported and compared with the prospectively reported events.

Results: A total of 3,638 hospital medical records were reviewed and 1,109 IHCA events in 999 patients were identified, with 254 of the events not found in the SRCR. The case completeness was 77% (range 55-94%). IHCA incidence was 2.9/1,000 hospital admissions and 12.4/1,000 admissions to intensive care units. The retrospectively reported events were more often found on monitored wards, involved patients who were younger, had less comorbidity, were often found in shockable rhythm and more often achieved sustained spontaneous circulation, compared with in prospectively reported events.

Conclusion: IHCA case completeness in the SRCR was 77% and IHCA incidence was 2.9/1,000 hospital admissions. The retrospectively reported IHCA events were found in monitored areas where the rapid response team was not alerted, which might have affected regular reporting procedures.

Keywords
cardiac arrest; cardiopulmonary resuscitation; do not resuscitate order; hospitals; incidence; registries
National Category
Cardiology and Cardiovascular Disease
Identifiers
urn:nbn:se:du-47889 (URN)10.1016/j.resuscitation.2024.110119 (DOI)001179932200001 ()38244762 (PubMedID)2-s2.0-85184015947 (Scopus ID)
Available from: 2024-01-19 Created: 2024-01-19 Last updated: 2025-02-10Bibliographically approved
Grönkvist, R., Vixner, L., Äng, B. & Grimby-Ekman, A. (2024). Measurement error, minimal detectable change, and minimal clinically important difference of the Short Form-36 Health Survey, Hospital Anxiety and Depression Scale, and Pain Numeric Rating Scale in patients with chronic pain. Journal of Pain, 25(9), Article ID 104559.
Open this publication in new window or tab >>Measurement error, minimal detectable change, and minimal clinically important difference of the Short Form-36 Health Survey, Hospital Anxiety and Depression Scale, and Pain Numeric Rating Scale in patients with chronic pain
2024 (English)In: Journal of Pain, ISSN 1526-5900, E-ISSN 1528-8447, Vol. 25, no 9, article id 104559Article in journal (Refereed) Published
Abstract [en]

In both pain research and clinical practice, patient-reported outcome measures are used to assess dimensions of health. Interpreting these instruments requires understanding their measurement error and what magnitude of change has subjective importance for patients. This study estimated the standard error of measurement (SEM), one-year minimal detectable change, and one-year minimal clinically important difference (MCID) for the Short Form-36 Health Survey physical component summary (SF-36 PCS) and mental (SF36 MCS), the Hospital Anxiety and Depression Scale anxiety symptoms (HADS-A) and depression symptoms (HADS-D) subscales, and the Numeric Rating Scale (NRS) for past-week average pain intensity. MCIDs for these instruments have not previously been estimated in a large sample of chronic pain patients participating in interdisciplinary pain rehabilitation. Data were drawn from the Swedish Quality Registry for Pain Rehabilitation (n=8854 patients). MCID was estimated as average change and change difference, based on three different anchors. MCID estimates were 2.62-4.69 for SF-36 PCS, 4.46-6.79 for SF-36 MCS, 0.895-1.48 for NRS, 1.17-2.13 for HADS-A, and 1.48-2.54 for HADS-D. The common assumption of an identical SEM for pre- and post-treatment measurements was not always applicable. When estimating MCID, researchers should select an estimation method and anchor aligned with the study's context and objectives.

PERSPECTIVE: This article presents estimates of minimal clinically important difference and minimal detectable change for several commonly used patient-reported outcome measures among patients with chronic pain. These estimates can help clinicians and researchers to determine when a measured health improvement is subjectively important to the patient and greater than measurement error.

DATA AVAILABILITY: Data Availability Statement: The data utilized in this study are not available due to ethical considerations and the need for appropriate ethical approval.

Keywords
chronic pain, minimal clinically important difference, minimal detectable change, patient-reported outcome measures
National Category
Clinical Medicine
Identifiers
urn:nbn:se:du-48504 (URN)10.1016/j.jpain.2024.104559 (DOI)001301172800001 ()38734041 (PubMedID)2-s2.0-85194933074 (Scopus ID)
Available from: 2024-05-14 Created: 2024-05-14 Last updated: 2024-09-13Bibliographically approved
Tseli, E., Monnier, A., Lo Martire, R., Vixner, L., Äng, B. & Bohman, T. (2024). Protocol for identifying and characterising critical physical tasks in the military: Development and validation. Work: A journal of Prevention, Assessment and rehabilitation, 77(4), 1261-1272
Open this publication in new window or tab >>Protocol for identifying and characterising critical physical tasks in the military: Development and validation
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2024 (English)In: Work: A journal of Prevention, Assessment and rehabilitation, ISSN 1051-9815, E-ISSN 1875-9270, Vol. 77, no 4, p. 1261-1272Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: When establishing Physical Employment Standards, validity is dependent on the correct identification and characterisation of critical job tasks.

OBJECTIVE: To develop and validate a standardised protocol for the identification, characterisation, and documentation of critical physical job tasks in military occupational specialities in the Swedish Armed Forces (SwAF), and propose a definition of critical physical job tasks for use in the SwAF.

METHODS: A protocol was drafted with three content domains, including a preliminary definition. Protocol content validity was iteratively assessed in two consecutive stages where ten subject experts rated relevance and simplicity. A consensus panel revised the protocol after each stage. Content validity index (CVI) was calculated as item-CVI (I-CVI) per each feature and as scale average (S-CVI/Ave) per content domain. Acceptable content validity thresholds were 0.78 and 0.90, respectively.

RESULTS: The validated protocol consisted of 35 items with an I-CVI≥0.90 and≥0.80 for relevance and simplicity, respectively. The S-CVI/Ave was 0.97 for relevance and 0.98 for simplicity. The protocol was language reviewed, reorganised for easy use, and approved by the consensus panel. The final protocol includes: background and aim of the protocol, the accepted generic and critical physical job task definitions, protocol instructions, subject expert-qualifications, job task source and characteristics.

CONCLUSION: A standardised protocol for identification and characterisation of critical job tasks in SwAF military occupational specialties was developed. The protocol content was rated relevant and simple by experts and will be of importance in future work establishing physical requirements in the SwAF.

Keywords
Evaluation study, military personnel, physical employment standards, questionnaire, work performance
National Category
Occupational Health and Environmental Health
Identifiers
urn:nbn:se:du-48149 (URN)10.3233/WOR-230263 (DOI)001208806800021 ()38393871 (PubMedID)2-s2.0-85190562496 (Scopus ID)
Available from: 2024-02-28 Created: 2024-02-28 Last updated: 2024-06-07Bibliographically approved
Westergren, J., Sjöberg, V., Vixner, L., Nyberg, R. G., Moulaee Conradsson, D., Monnier, A., . . . Äng, B. (2023). Acute exercise as active inference in chronic musculoskeletal pain, effects on gait kinematics and muscular activity in patients and healthy participants: a study protocol for a randomised controlled laboratory trial. BMJ Open, 13(5), Article ID e069747.
Open this publication in new window or tab >>Acute exercise as active inference in chronic musculoskeletal pain, effects on gait kinematics and muscular activity in patients and healthy participants: a study protocol for a randomised controlled laboratory trial
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2023 (English)In: BMJ Open, E-ISSN 2044-6055, Vol. 13, no 5, article id e069747Article in journal (Refereed) Published
Abstract [en]

Introduction

Chronic musculoskeletal pain is a highly prevalent, complex and distressing condition that may negatively affect all domains of life. In view of an active inference framework, and resting on the concept of allostasis, human movement per se becomes a prerequisite for health and well-being while chronic pain becomes a sign of a system unable to attenuate an allostatic load. Previous studies on different subgroups of chronic pain conditions have demonstrated alterations in gait kinematics and muscle activity, indicating shared disturbances in the motor system from long-term allostatic load. We hypothesise that such alterations exist in heterogenous populations with chronic musculoskeletal pain, and that exposure to acute and controlled exercise may attenuate these alterations. Therefore, the main aim of this study is to investigate the acute effects of exercise on gait kinematics and activity of the back and neck muscles during diverse walking conditions in patients with chronic musculoskeletal pain compared with a reference sample consisting of healthy participants.

Methods and analysis

This two-sample two-armed parallel randomised controlled laboratory trial will include 40 participants with chronic musculoskeletal pain (>3 months) and 40 healthy participants. Participants will be randomly allocated to either 30 min of aerobic exercise or rest. Primary outcomes are gait kinematics (walking speed, step frequency, stride length, lumbar rotation, gait stability) and muscular activity (spatial and temporal) of the back and neck during diverse walking conditions. Secondary outcomes are variability of gait kinematics and muscle activity and subjective pain ratings assessed regularly during the trial.

Ethics and dissemination

The study has been approved by the Regional Ethics Review Board in Uppsala, Sweden (#2018/307). Findings will be disseminated via conference presentations, publications in peer-reviewed journals and engagement with patient support groups and clinicians.

Trial registration number

NCT03882333.

National Category
Clinical Medicine
Research subject
Research Profiles 2009-2020, Health and Welfare
Identifiers
urn:nbn:se:du-46116 (URN)10.1136/bmjopen-2022-069747 (DOI)001007725500001 ()37258077 (PubMedID)2-s2.0-85160705639 (Scopus ID)
Funder
Dalarna University, No grant numberSwedish Research Council, 2015-02512Forte, Swedish Research Council for Health, Working Life and Welfare, 2017-00177Dalarna University, No grant numberSwedish Research Council, 2015-02512Forte, Swedish Research Council for Health, Working Life and Welfare, 2017-00177
Available from: 2023-06-02 Created: 2023-06-02 Last updated: 2023-08-28Bibliographically approved
Tseli, E., Sjöberg, V., Björk, M., Äng, B. & Vixner, L. (2023). Evaluation of content validity and feasibility of the eVISualisation of physical activity and pain (eVIS) intervention for patients with chronic pain participating in interdisciplinary pain rehabilitation programs. PLOS ONE, 18(3), e0282780-e0282780
Open this publication in new window or tab >>Evaluation of content validity and feasibility of the eVISualisation of physical activity and pain (eVIS) intervention for patients with chronic pain participating in interdisciplinary pain rehabilitation programs
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2023 (English)In: PLOS ONE, E-ISSN 1932-6203, Vol. 18, no 3, p. e0282780-e0282780Article in journal (Refereed) Published
National Category
Physiotherapy
Identifiers
urn:nbn:se:du-45742 (URN)10.1371/journal.pone.0282780 (DOI)000988327200001 ()36897847 (PubMedID)2-s2.0-85149784706 (Scopus ID)
Funder
Forte, Swedish Research Council for Health, Working Life and Welfare, 2017-00491Swedish Research Council, 2018-02455Dalarna University
Available from: 2023-04-03 Created: 2023-04-03 Last updated: 2025-02-11Bibliographically approved
Wiklund, I. & Äng, B. (2023). Future challenges in securing sustainable workforce in healthcare. Sexual & Reproductive HealthCare, 37, Article ID 100901.
Open this publication in new window or tab >>Future challenges in securing sustainable workforce in healthcare
2023 (English)In: Sexual & Reproductive HealthCare, ISSN 1877-5756, E-ISSN 1877-5764, Vol. 37, article id 100901Article in journal, Editorial material (Other academic) Published
National Category
Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
urn:nbn:se:du-46880 (URN)10.1016/j.srhc.2023.100901 (DOI)001068729300001 ()37619402 (PubMedID)2-s2.0-85169790151 (Scopus ID)
Available from: 2023-09-01 Created: 2023-09-01 Last updated: 2023-11-02Bibliographically approved
Vixner, L., Hambraeus, K., Äng, B. & Berglund, L. (2023). High Self-Reported Levels of Pain 1 Year After a Myocardial Infarction Are Related to Long-Term All-Cause Mortality: A SWEDEHEART Study Including 18 376 Patients.. Journal of the American Heart Association: Cardiovascular and Cerebrovascular Disease, 12(17), Article ID e029648.
Open this publication in new window or tab >>High Self-Reported Levels of Pain 1 Year After a Myocardial Infarction Are Related to Long-Term All-Cause Mortality: A SWEDEHEART Study Including 18 376 Patients.
2023 (English)In: Journal of the American Heart Association: Cardiovascular and Cerebrovascular Disease, E-ISSN 2047-9980, Vol. 12, no 17, article id e029648Article in journal (Refereed) Published
Abstract [en]

Background Pain increases the risk for cardiovascular diseases, including myocardial infarction (MI). However, the impact of pain on mortality after MI has not yet been investigated in large studies with long-term follow-up periods. Thus, we aimed to examine various levels of pain severity 1 year after an MI as a potential risk for all-cause mortality. Methods and Results We collected data from 18 376 patients, aged <75 years, who had a registered MI event during the period from 2004 to 2013 and with measurements of potential cardiovascular risk indicators at hospital discharge from the Swedish quality register SWEDEHEART (Swedish Web System for Enhancement and Development of Evidence-Based Care in Heart Disease Evaluated According to Recommended Therapies). Self-reported levels of experienced pain according to EuroQol-5 dimension instrument were recorded in secondary prevention clinics 1 year after hospital discharge. We collected all-cause mortality data up to 8.5 years (median, 3.4 years) after the 1-year visit. The Cox proportional hazard regression was used to estimate hazard ratio (HR) and 95% CI. Moderate pain and extreme pain were reported by 38.2% and 4.5%, respectively, of included patients. There were 1067 deaths. Adjusted HR was 1.35 (95% CI, 1.18-1.55) and 2.06 (95% CI, 1.63-2.60) for moderate and extreme pain, respectively. Pain was a stronger mortality predictor than smoking. Conclusions Pain 1 year after MI is highly prevalent, and its effect on mortality 1 year after MI was found to be more pronounced than smoking. Clinicians managing patients after MI should recognize the need to consider experienced pain when making prognosis or treatment decisions.

Keywords
mortality, myocardial infarction, pain, smoking
National Category
Cardiology and Cardiovascular Disease
Identifiers
urn:nbn:se:du-46837 (URN)10.1161/JAHA.123.029648 (DOI)001062730000044 ()37584219 (PubMedID)2-s2.0-85169847252 (Scopus ID)
Available from: 2023-08-29 Created: 2023-08-29 Last updated: 2025-02-10Bibliographically approved
Torstensen, T. A., Østerås, H., LoMartire, R., Rugelbak, G. M., Grooten, W. J. & Äng, B. O. (2023). High- Versus Low-Dose Exercise Therapy for Knee Osteoarthritis: A Randomized Controlled Multicenter Trial. Annals of Internal Medicine, 176(7), 154-165
Open this publication in new window or tab >>High- Versus Low-Dose Exercise Therapy for Knee Osteoarthritis: A Randomized Controlled Multicenter Trial
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2023 (English)In: Annals of Internal Medicine, ISSN 0003-4819, E-ISSN 1539-3704, Vol. 176, no 7, p. 154-165Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: The benefits of exercise in patients with knee osteoarthritis are well documented, but the optimal exercise dose remains unknown.

OBJECTIVE: To compare high-dose versus low-dose exercise therapy with regard to knee function, pain, and quality of life (QoL) in patients with long-term symptomatic knee osteoarthritis.

DESIGN: A Swedish and Norwegian multicenter randomized controlled superiority trial with multiple follow-ups up to 12 months after the intervention. (ClinicalTrials.gov: NCT02024126).

SETTING: Primary health care facilities.

PATIENTS: 189 patients with diagnosed knee osteoarthritis and a history of pain and decreased knee function were assigned to high-dose therapy (n = 98; 11 exercises; 70 to 90 minutes) or low-dose therapy (n = 91; 5 exercises; 20 to 30 minutes).

INTERVENTION: Patient-tailored exercise programs according to the principles of medical exercise therapy. Global (aerobic), semiglobal (multisegmental), and local (joint-specific) exercises were performed 3 times a week for 12 weeks under supervision of a physiotherapist.

MEASUREMENTS: The Knee Injury and Osteoarthritis Outcome Score (KOOS) was measured biweekly during the 3-month intervention period and at 6 and 12 months after the intervention. The primary end point was the mean difference in KOOS scores between groups at the end of the intervention (3 months). Secondary outcomes included pain intensity and QoL. The proportion of patients with minimal clinically important changes in primary and secondary outcomes was compared between groups.

RESULTS: Both groups improved over time, but there were no benefits of high-dose therapy in most comparisons. One exception was the KOOS score for function in sports and recreation, where high-dose therapy was superior at the end of treatment and at 6-month follow-up. A small benefit in QoL at 6 and 12 months was also observed.

LIMITATION: There was no control group that did not exercise.

CONCLUSION: The results do not support the superiority of high-dose exercise over low-dose exercise for most outcomes. However, small benefits with high-dose exercise were found for knee function in sports and recreation and for QoL.

National Category
Physiotherapy
Identifiers
urn:nbn:se:du-45315 (URN)10.7326/M22-2348 (DOI)000926043600001 ()36689746 (PubMedID)2-s2.0-85148479655 (Scopus ID)
Note

PRIMARY FUNDING SOURCE: Swedish Rheumatic Fund.

Available from: 2023-01-31 Created: 2023-01-31 Last updated: 2025-02-11Bibliographically approved
Projects
Effektivitet av multimodal rehabilitering vid långvarig muskuloskeletal smärta; Publications
Lo Martire, R., Dahlström, Ö., Björk, M., Vixner, L., Frumento, P., Constan, L., . . . Äng, B. (2021). Predictors of Sickness Absence in a Clinical Population With Chronic Pain. Journal of Pain, 22(10), 1180-1194Lo Martire, R., Björk, M., Dahlström, Ö., Constan, L., Frumento, P., Vixner, L., . . . Äng, B. (2021). The value of interdisciplinary treatment for sickness absence in chronic pain: A nationwide register-based cohort study.. European Journal of Pain, 25(10), 2190-2201Tseli, E., Vixner, L., Lo Martire, R., Grooten, W. J., Gerdle, B. & Äng, B. (2020). Prognostic factors for improved physical and emotional functioning one year after interdisciplinary rehabilitation in patients with chronic pain: Results from a national quality registry in Sweden. Journal of Rehabilitation Medicine, 52(2), Article ID UNSP jrm00019. Owiredua, C., Flink, I., Vixner, L., Äng, B., Tseli, E. & Boersma, K. (2020). The context matters: A retrospective analysis of life stage at chronic pain onset in relation to pain characteristics and psychosocial outcomes. Journal of Pain Research, 13, 2685-2695Tseli, E., Lo Martire, R., Vixner, L., Grooten, W. J., Gerdle, B. & Äng, B. (2020). What Is the Effectiveness of Different Duration Interdisciplinary Treatment Programs in Patients with Chronic Pain? A Large-Scale Longitudinal Register Study. Journal of Clinical Medicine, 9(9), Article ID E2788. Lo Martire, R., Äng, B., Gerdle, B. & Vixner, L. (2019). Is the Hospital Anxiety and Depression Scale a Good measure of Emotional Distress in Chronic Pain Patients?. In: : . Paper presented at Pain in Europe XI, 11th congress of the European Pain Federation EFIC, Valencia, September 4, 2019 - September 7, 2019. Tseli, E., Vixner, L., Lo Martire, R., Grooten, W., Gerdle, B. & Äng, B. (2019). Prognostic Factors for 12-month Outcome After Interdisciplinary Treatment in Patients with Chronic Pain: a Prospective Multicenter Cohort Study. In: : . Paper presented at Pain in Europe XI, 11th congress of the European Pain Federation EFIC, Valencia, September 4, 2019 - September 7, 2019. Lo Martire, R., Äng, B., Gerdle, B. & Vixner, L. (2019). Psychometric properties of Short Form-36 Health Survey, EuroQol 5-dimensions, and Hospital Anxiety and Depression Scale in patients with chronic pain. Pain, 161(1), 83-95
Smärta efter hjärtinfarkt - en ökad risk för död?; Publications
Vixner, L., Hambraeus, K., Äng, B. & Berglund, L. (2023). High Self-Reported Levels of Pain 1 Year After a Myocardial Infarction Are Related to Long-Term All-Cause Mortality: A SWEDEHEART Study Including 18 376 Patients.. Journal of the American Heart Association: Cardiovascular and Cerebrovascular Disease, 12(17), Article ID e029648.
Långvarig smärta och utveckling av hjärtkärlsjukdom; Publications
Rönnegård, A.-S., Nowak, C., Äng, B. & Ärnlöv, J. (2022). The association between short-term, chronic localized and chronic widespread pain and risk for cardiovascular disease in the UK Biobank. European Journal of Preventive Cardiology, 29(15), 1994-2002, Article ID zwac127.
Fysisk kravprofil för krigsbefattningar inom Försvarsmakten – utveckling och valideringEtt intelligent och patient-specifikt kliniskt beslutsstödsystem med syfte att effektivisera multimodal specialistvård för patienter med långvarig smärta
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0001-7767-4589

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