• Are severely injured trauma victims in Norway offered advanced pre-hospital care? National, retrospective, observational cohort 

      Wisborg, Torben; Ellensen, Eirin Nybø; Svege, Ida Charlott; Dehli, Trond (Journal article; Tidsskriftartikkel; Peer reviewed, 2017-06-26)
      <p><i>Background</i>: Studies of severely injured patients suggest that advanced pre‐hospital care and/or rapid transportation provides a survival benefit. This benefit depends on the disposition of resources to patients with the greatest need. Norway has 19 Emergency Helicopters (HEMS) staffed by anaesthesiologists on duty 24/7/365. National regulations describe indications for their use, and the ...
    • Aspects of the primary assessment and management of anal incontinence 

      Dehli, Trond (Doctoral thesis; Doktorgradsavhandling, 2013-04-05)
      Avhandlingens tittel er ”Aspects of the primary assessment and management of anal incontinence - The introduction of a new treatment”. Disputas for graden Ph.D. finner sted 05.04.2013. Ufrivillig lekkasje av luft og avføring er en relativt vanlig og belastende tilstand, og kan gi redusert livskvalitet. Det er utviklet en ny metode for å behandle denne lidelsen, som består i å injisere et rom-oppfyllende ...
    • Clinical guided computer tomography decisions are advocated in potentially severely injured trauma patients: a one-year audit in a level 1 trauma centre with long pre-hospital times 

      Bågenholm, Anna; Dehli, Trond; Hermansen, Stig Eggen; Bartnes, Kristian; Larsen, Marthe; Ingebrigtsen, Tor (Journal article; Tidsskriftartikkel; Peer reviewed, 2020-01-10)
      <i>Background</i> - The International Commission on Radiological Protection’s (ICRP) justification principles state that an examination is justified if the potential benefit outweighs the risk for radiation harm. Computer tomography (CT) contributes 50% of the radiation dose from medical imaging, and in trauma patients, the use of standardized whole body CT (SWBCT) increases. Guidelines are lacking, ...
    • Endoscopic full-thickness dissection (EFTD) in the rectum: a case series 

      Rushfeldt, Christian; Nordbø, M.; Steigen, Sonja Eriksson; Dehli, Trond; Gjessing, Petter Fosse; Norderval, Stig (Journal article; Tidsskriftartikkel; Peer reviewed, 2021-12-28)
      Background Rectal endoscopic full- thickness dissection (EFTD) using a fexible colonoscope is an alternative to the wellestablished trans-anal endoscopic microsurgery (TEM) and the trans-anal minimally invasive surgery (TAMIS) techniques for resecting dysplastic or malignant rectal lesions. This study evaluated EFTD safety by analyzing outcomes of the frst patients to undergo rectal EFTD at the ...
    • Epidemiology of trauma in the subarctic regions of the Nordic countries 

      Steinvik, Tine Marie; Raatiniemi, Lasse; Mogensen, Brynjólfur; Steingrímsdótti, Guðrún; Beer, Torfinn; Eriksson, Anders; Dehli, Trond; Wisborg, Torben; Bakke, Håkon Kvåle (Journal article; Tidsskriftartikkel; Peer reviewed, 2022-01-11)
      <p><b>Background</b> The northern regions of the Nordic countries have common challenges of sparsely populated areas, long distances, and an arctic climate. The aim of this study was to compare the cause and rate of fatal injuries in the northernmost area of the Nordic countries over a 5-year period. <p><b>Methods</b> In this retrospective cohort, we used the Cause of Death Registries to ...
    • Evaluation of a trauma team activation protocol revision: A prospective cohort study 

      Dehli, Trond; Monsen, Svein Arne; Fredriksen, Knut; Bartnes, Kristian (Journal article; Tidsskriftartikkel; Peer reviewed, 2016-08-25)
      <b>Background:</b> Correct triage based on prehospital information contributes to a better outcome for potentially seriously injured patients. In 2011 we changed the trauma team activation (TTA) criteria in our center in order to improve the high over- and undertriage properties of the protocol. Five criteria that were unable to predict severe injury were removed. In the present study, we evaluated ...
    • Evaluation of a university hospital trauma team activation protocol 

      Dehli, Trond; Fredriksen, Knut; Osbakk, Svein Are; Bartnes, Kristian (Journal article; Tidsskriftartikkel; Peer reviewed, 2011)
      Background: Admission with a multidisciplinary trauma team may be vital for the severely injured patient, as this facilitates rapid diagnosis and treatment. On the other hand, patients with minor injuries do not need the trauma team for adequate care. Correct triage is important for optimal resource utilization. The aim of the study was to evaluate our criteria for activating the trauma team, and ...
    • Fatal injuries in rural and urban areas in northern Finland: a 5-year retrospective study 

      Raatiniemi, Lasse; Steinvik, Tine; Liisanantti, Janne; Ohtonen, Pasi; Martikainen, Matti; Alahuhta, Seppo; Dehli, Trond; Wisborg, Torben; Bakke, Håkon Kvåle (Journal article; Tidsskriftartikkel; Peer reviewed, 2016-01-08)
      Background: Finland has the fourth highest injury mortality rate in the European Union. To better understand the causes of the high injury rate, and prevent these fatal injuries, studies are needed. Therefore, we set out to complete an analysis of the epidemiology of fatal trauma, and any contributory role for alcohol, long suspected to promote fatal injuries. As a study area, we chose the ...
    • Fatal injury caused by low-energy trauma – a 10-year rural cohort 

      Bakke, Håkon Kvåle; Dehli, Trond; Wisborg, Torben (Journal article; Tidsskriftartikkel; Peer reviewed, 2014)
      Background: Death after injury with low energy has gained increasing focus lately, and seems to constitute a significant amount of trauma-related death. The aim of this study was to describe the epidemiology of deaths from low-energy trauma in a rural Norwegian cohort. Methods: All deaths from external causes in Finnmark County, Norway, from 1995 to 2004 were identified retrospectively through ...
    • Forskjeller i mortalitet hos traumepasienter 

      Wisborg, Torben; Dehli, Trond; Eken, Torsten; Brattebø, Guttorm; Johnsen, Lars Gunnar (Journal article; Tidsskriftartikkel; Peer reviewed, 2023-08-16)
      Mortaliteten blant norske traumepasienter i perioden 2015–18 var på linje med de beste resultatene fra andre land, men fortsatt fant vi regionale forskjeller og forskjeller mellom sykehusnivåer. Selv om resultatene er bra, kan vi bli bedre. Traumer er den viktigste dødsårsaken for personer under 44 år på verdensbasis, også i vår del av verden. Mortalitet er et internasjonalt anerkjent effektmål ...
    • Implementation of a trauma system in Norway: a national survey 

      Dehli, Trond; Gaarder, Christine; Christensen, Bjørn Jostein; Vinjevoll, Ole-Petter; Wisborg, Torben (Journal article; Tidsskriftartikkel; Peer reviewed, 2015-01-13)
      Background: Trauma systems have improved outcomes for injured patients, but might be challenging to implement. We assessed the implementation of a trauma system in Norway after recommendations for a national trauma system were published in 2007, with a focus on elements in acute care hospitals.<p> Methods: All hospitals in Norway, except for the four regional trauma centres, admitting injured ...
    • Injury coding in a national trauma registry: a one-year validation audit in a level 1 trauma centre 

      Bågenholm, Anna; Lundberg, Ina; Straume, Bjørn; Sundset, Rune; Bartnes, Kristian; Ingebrigtsen, Tor; Dehli, Trond (Journal article; Tidsskriftartikkel; Peer reviewed, 2019-10-30)
      <i>Background</i> - Hospitals must improve patient safety and quality continuously. Clinical quality registries can drive such improvement. Trauma registries code injuries according to the Abbreviated Injury Scale (AIS) and benchmark outcomes based on the Injury Severity Score (ISS) and New ISS (NISS). The primary aim of this study was to validate the injury codes and severities registered in a ...
    • Mortality after hospital admission for trauma in Norway: A retrospective observational national cohort study 

      Dehli, Trond; Wisborg, Torben; Johnsen, Lars Gunnar; Brattebø, Guttorm; Eken, Torsten (Journal article; Tidsskriftartikkel; Peer reviewed, 2023-05-28)
      Background - National quality data for trauma care in Norway have not previously been reported. We have therefore assessed crude and risk-adjusted 30-day mortality in trauma cases after primary hospital admission on national and regional levels for 36 acute care hospitals and four regional trauma centres.<p> <p>Methods - All patients in the Norwegian Trauma Registry in 2015–2018 were included. ...
    • The treatment of spleen injuries: a retrospective study 

      Dehli, Trond; Bågenholm, Anna; Trasti, Nora; Monsen, Svein Arne; Bartnes, Kristian (Journal article; Tidsskriftartikkel; Peer reviewed, 2015-10-29)
      Background Hemorrhage after blunt trauma is a major contributor to death after trauma. In the abdomen, an injured spleen is the most frequent cause of major bleeding. Splenectomy is historically the treatment of choice. In 2007, non-operative management (NOM) with splenic artery embolization (SAE) was introduced in our institution. The indication for SAE is hemodynamically stable patients with ...
    • Treatment of splenic trauma in Norway: a retrospective cohort study 

      Dehli, Trond; Skattum, Jorunn Pettersen; Christensen, Bjørn Jostein; Vinjevoll, Ole-Petter; Rolandsen, Bent-Åge; Gaarder, Christine; Næss, Pål Aksel; Wisborg, Torben (Journal article; Tidsskriftartikkel; Peer reviewed, 2017-11-23)
      Background: Non-operative management of splenic injuries has become the treatment of choice in hemodynamically stable patients over the last decades. The aim of the study is to describe the incidence, initial treatment and early outcome of patients with splenic injuries on a national level.<br> Methods: All hospitals in Norway admitting trauma patients were invited to participate in the study. ...