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Brännström, Benny
Publications (10 of 19) Show all publications
Edlund, A., Lundström, M., Sandberg, O., Bucht, G., Brännström, B. & Gustafson, Y. (2007). Symptom profile of delirium in older people with and without dementia (ed.). Paper presented at . Journal of Geriatric Psychiatry and Neurology, 20(3), 166-171
Open this publication in new window or tab >>Symptom profile of delirium in older people with and without dementia
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2007 (English)In: Journal of Geriatric Psychiatry and Neurology, ISSN 0891-9887, E-ISSN 1552-5708, Vol. 20, no 3, p. 166-171Article in journal (Refereed) Published
Abstract [en]

Clinical profiles of delirium in 717 older people with and without dementia age 75 years and older in 4 different types of care were studied. Delirium and dementia were diagnosed according to DSM-IV criteria. Delirious demented participants (n = 135) had more often had previous delirium episodes and were more often being treated with analgesics compared to delirious participants without dementia (n = 180). The clinical profile of delirium in the participants with dementia was more frequently characterized by aggressivity, latency in reaction to verbal stimuli, restlessness and agitation, delusions, anxiousness, hallucinations, and a poorer orientation and recognition. Delirium among demented participants more often had a fluctuating course during the day and was more common in the evening and at night. In conclusion, clinical profiles of delirium in participants with and without dementia are different, which might indicate a different etiology or pathophysiology, or both, and a need for different treatment strategies

Identifiers
urn:nbn:se:ltu:diva-7450 (URN)10.1177/0891988707303338 (DOI)000248852000006 ()2-s2.0-34547762179 (Scopus ID)5d46ca10-3ddd-11dd-ab50-000ea68e967b (Local ID)5d46ca10-3ddd-11dd-ab50-000ea68e967b (Archive number)5d46ca10-3ddd-11dd-ab50-000ea68e967b (OAI)
Note
Upprättat; 2007; 20080619 (andbra)Available from: 2016-09-29 Created: 2016-09-29 Last updated: 2018-07-10Bibliographically approved
Edlund, A., Lundström, M., Karlsson, S., Brännström, B., Bucht, G. & Gustafson, Y. (2006). Delirium in older patients admitted to general internal medicine (ed.). Paper presented at . Journal of Geriatric Psychiatry and Neurology, 19(2), 83-90
Open this publication in new window or tab >>Delirium in older patients admitted to general internal medicine
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2006 (English)In: Journal of Geriatric Psychiatry and Neurology, ISSN 0891-9887, E-ISSN 1552-5708, Vol. 19, no 2, p. 83-90Article in journal (Refereed) Published
Abstract [en]

Delirium on the day of admission to general internal medicine wards was studied in 400 consecutive patients aged 70 years and above regarding occurrence, associated factors, clinical profile, length of hospital stay, and mortality. The patients were assessed using the Organic Brain Syndrome Scale and the Mini-Mental State Examination, and delirium was diagnosed according to Diagnostic and Statistical Manual of Mental Disorders (4th ed) criteria. Delirium on the day of admission occurred in 31.3% of the patients and was independently associated with old age, fever on the day of admission (> or = 38 degrees C), treatment with neuroleptics, impaired vision, male sex, and previous stroke. Delirious patients had longer hospital stay (15.4 vs 9.5 days, P < .001), a higher mortality rate during hospitalization (11/125 vs 5/275, P < .001), and a higher 1-year mortality rate (45/125 vs 55/275, P = .001). Delirium is a common complication with often easily identified causes, and it has a serious impact on outcome for older medical patients.

National Category
Nursing
Research subject
Nursing
Identifiers
urn:nbn:se:ltu:diva-5367 (URN)10.1177/0891988706286509 (DOI)000237778800005 ()2-s2.0-33646580064 (Scopus ID)37414da0-ba9d-11db-b560-000ea68e967b (Local ID)37414da0-ba9d-11db-b560-000ea68e967b (Archive number)37414da0-ba9d-11db-b560-000ea68e967b (OAI)
Note
Validerad; 2006; 20061215 (andbra)Available from: 2016-09-29 Created: 2016-09-29 Last updated: 2018-07-10Bibliographically approved
Lundström, M., Edlund, A., Karlsson, S., Brännström, B., Bucht, G. & Gustafson, Y. (2005). A multifactorial intervention program reduces the duration of delirium, length of hospitalization, and mortality in delirious patients (ed.). Paper presented at . Journal of The American Geriatrics Society, 53(4), 622-8
Open this publication in new window or tab >>A multifactorial intervention program reduces the duration of delirium, length of hospitalization, and mortality in delirious patients
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2005 (English)In: Journal of The American Geriatrics Society, ISSN 0002-8614, E-ISSN 1532-5415, Vol. 53, no 4, p. 622-8Article in journal (Refereed) Published
Abstract [en]

OBJECTIVES: To investigate whether an education program and a reorganization of nursing and medical care improved the outcome for older delirious patients. DESIGN: Prospective intervention study. SETTING: Department of General Internal Medicine, Sundsvall Hospital, Sweden. PARTICIPANTS: Four hundred patients, aged 70 and older, consecutively admitted to an intervention or a control ward. INTERVENTION: The intervention consisted of staff education focusing on the assessment, prevention, and treatment of delirium and on caregiver-patient interaction. Reorganization from a task-allocation care system to a patient-allocation system with individualized care. MEASUREMENTS: The patients were assessed using the Organic Brain Syndrome Scale and the Mini-Mental State Examination on Days 1, 3, and 7 after admission. Delirium was diagnosed according to Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, criteria. RESULTS: Delirium was equally common on the day of admission at the two wards, but fewer patients remained delirious on Day 7 on the intervention ward (n=19/63, 30.2% vs 37/62, 59.7%, P=.001). The mean length of hospital stay+/-standard deviation was significantly lower on the intervention ward then on the control ward (9.4+/-8.2 vs 13.4+/-12.3 days, P<.001) especially for the delirious patients (10.8+/-8.3 vs 20.5+/-17.2 days, P<.001). Two deliriouspatients in the intervention ward and nine in the control ward died during hospitalization (P=.03). CONCLUSION: This study shows that a multifactorial intervention program reduces the duration of delirium, length of hospital stay, and mortality in delirious patients.

National Category
Nursing
Research subject
Nursing
Identifiers
urn:nbn:se:ltu:diva-15239 (URN)10.1111/j.1532-5415.2005.53210.x (DOI)000227899200010 ()2-s2.0-18944401652 (Scopus ID)ebc9f710-8c47-11db-8975-000ea68e967b (Local ID)ebc9f710-8c47-11db-8975-000ea68e967b (Archive number)ebc9f710-8c47-11db-8975-000ea68e967b (OAI)
Note
Validerad; 2005; 20061215 (andbra)Available from: 2016-09-29 Created: 2016-09-29 Last updated: 2018-07-10Bibliographically approved
Ekholm, M. & Brännström, B. (2004). Patient's experiences of undergoing computed tomography examination (ed.). In: (Ed.), : . Paper presented at Biennial conference of the Workgroup of European nurse researchers : 05/10/2004 - 08/10/2004.
Open this publication in new window or tab >>Patient's experiences of undergoing computed tomography examination
2004 (English)Conference paper, Oral presentation only (Other academic)
National Category
Nursing
Research subject
Nursing
Identifiers
urn:nbn:se:ltu:diva-39654 (URN)e7caa520-57ca-11dc-a7ae-000ea68e967b (Local ID)e7caa520-57ca-11dc-a7ae-000ea68e967b (Archive number)e7caa520-57ca-11dc-a7ae-000ea68e967b (OAI)
Conference
Biennial conference of the Workgroup of European nurse researchers : 05/10/2004 - 08/10/2004
Note

Godkänd; 2004; 20110603 (ysko)

Available from: 2016-10-03 Created: 2016-10-03 Last updated: 2017-12-15Bibliographically approved
Andersson, M., Karlsson, E. & Brännström, B. (2001). Att leva med en demenssjuk person: anhörigas behov av stöd och hjälp (ed.). Paper presented at . Piteå: FoU-enheten i Piteå älvdal
Open this publication in new window or tab >>Att leva med en demenssjuk person: anhörigas behov av stöd och hjälp
2001 (Swedish)Report (Other academic)
Place, publisher, year, edition, pages
Piteå: FoU-enheten i Piteå älvdal, 2001. p. 12
National Category
Nursing
Research subject
Nursing
Identifiers
urn:nbn:se:ltu:diva-21808 (URN)03fb1630-8b6b-11db-8975-000ea68e967b (Local ID)03fb1630-8b6b-11db-8975-000ea68e967b (Archive number)03fb1630-8b6b-11db-8975-000ea68e967b (OAI)
Note

Godkänd; 2001; 20061214 (andbra)

Available from: 2016-09-29 Created: 2016-09-29 Last updated: 2017-12-14Bibliographically approved
Edlund, A., Lundström, M., Brännström, B., Bucht, G. & Gustafson, Y. (2001). Delirium before and after operation for femoral neck fracture (ed.). Paper presented at . Journal of The American Geriatrics Society, 49(10), 1335-40
Open this publication in new window or tab >>Delirium before and after operation for femoral neck fracture
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2001 (English)In: Journal of The American Geriatrics Society, ISSN 0002-8614, E-ISSN 1532-5415, Vol. 49, no 10, p. 1335-40Article in journal (Refereed) Published
Abstract [en]

OBJECTIVES: The aim of this study was to investigate the differences between preoperative and postoperative delirium regarding predisposing, precipitating factors and outcome in older patients admitted to hospital with femoral neck fractures. DESIGN: A prospective clinical assessment of patients treated for femoral neck fractures. SETTING: Department of orthopedic surgery at Umea University Hospital, Sweden. PARTICIPANTS: One hundred one patients, age 65 and older admitted to the hospital for treatment of femoral neck fractures. MEASUREMENTS: The Organic Brain Syndrome (OBS) Scale. RESULTS: Thirty patients (29.7%) were delirious before surgery and another 19 (18.8%) developed delirium postoperatively. Of those who were delirious preoperatively, all but one remained delirious postoperatively. The majority of those delirious before surgery were demented, had been treated with drugs with anticholinergic properties (mainly neuroleptics), had had previous episodes of delirium, and had fallen indoors. Patients who developed postoperative delirium had perioperative falls in blood pressure and had more postoperative complications such as infections. Male patients were more often delirious both preoperatively and postoperatively. Patients with preoperative delirium were more often discharged to institutional care and had poorer walking ability both on discharge and after 6 months than did patients with postoperative delirium only. CONCLUSIONS: Because preoperative and postoperative delirium are associated with different risk factors it is necessary to devise different strategies for their prevention

Identifiers
urn:nbn:se:ltu:diva-9261 (URN)10.1046/j.1532-5415.2001.49261.x (DOI)7d926380-8e82-11db-8975-000ea68e967b (Local ID)7d926380-8e82-11db-8975-000ea68e967b (Archive number)7d926380-8e82-11db-8975-000ea68e967b (OAI)
Note
Upprättat; 2001; 20061218 (andbra)Available from: 2016-09-29 Created: 2016-09-29 Last updated: 2017-11-24Bibliographically approved
Brännström, B., Tibblin, Å. & Löwenborg, C. (2000). Counselling groups for spouses of elderly demented patients: a qualitative evaluation study (ed.). Paper presented at . International Journal of Nursing Practice, 6(4), 183-91
Open this publication in new window or tab >>Counselling groups for spouses of elderly demented patients: a qualitative evaluation study
2000 (English)In: International Journal of Nursing Practice, ISSN 1322-7114, E-ISSN 1440-172X, Vol. 6, no 4, p. 183-91Article in journal (Refereed) Published
Abstract [en]

Ten women and eight men who were caring for their demented husbands or wives participated in a closed-group counselling programme, developed and carried out by two district nurses at a local health centre. There were seven or eight participants in each group, which met 13-14 times over a period of 8 months. This study is based on semistructured interviews about the participants' situation just before entering the counselling group, the counselling programme itself, and their situation after the end of the programme. Their situations before the programmes were described as an exhausting, chaotic prison but after the programme they could cope with their situation and plan and manage their daily life. None of the participants needed further organised counselling; engagement in the local dementia association was sufficient for them. The counselling nurses' experience in and about caring for demented patients, their tactful authority, the closed groups and the long duration of the programme were judged to be crucial for the successful outcome of the programme

Identifiers
urn:nbn:se:ltu:diva-9823 (URN)10.1046/j.1440-172x.2000.00209.x (DOI)882bf050-9f07-11db-8975-000ea68e967b (Local ID)882bf050-9f07-11db-8975-000ea68e967b (Archive number)882bf050-9f07-11db-8975-000ea68e967b (OAI)
Note
Upprättat; 2000; 20070108 (andbra)Available from: 2016-09-29 Created: 2016-09-29 Last updated: 2017-11-24Bibliographically approved
Brännström, B. (1999). Care of the delirious patient (ed.). Paper presented at . Dementia and Geriatric Cognitive Disorders, 10(5), 416-9
Open this publication in new window or tab >>Care of the delirious patient
1999 (English)In: Dementia and Geriatric Cognitive Disorders, ISSN 1420-8008, E-ISSN 1421-9824, Vol. 10, no 5, p. 416-9Article in journal (Refereed) Published
Abstract [en]

In spite of the fact that delirium is a common and often severe cognitive disturbance in the elderly, quite few intervention studies are performed. Descriptive studies of variable quality are much more common. For example, in hip fracture patients delirium is a common complication and the cause of nursing problems that cannot be explained by the fracture per se. Nursing and medical interventions have been published separately but only one study, the Pitea Program, has so far been known that combines nursing and medical knowledge. This program has been shown to reduce the incidence of delirium in elderly hip fracture patients

Identifiers
urn:nbn:se:ltu:diva-3076 (URN)0d90f250-8e81-11db-8975-000ea68e967b (Local ID)0d90f250-8e81-11db-8975-000ea68e967b (Archive number)0d90f250-8e81-11db-8975-000ea68e967b (OAI)
Note
Upprättat; 1999; 20061218 (andbra)Available from: 2016-09-29 Created: 2016-09-29 Last updated: 2017-11-24Bibliographically approved
Sandberg, O., Gustafson, Y., Brännström, B. & Bucht, G. (1999). Clinical profile of delirium in older patients (ed.). Journal of The American Geriatrics Society, 47(11), 1300-6
Open this publication in new window or tab >>Clinical profile of delirium in older patients
1999 (English)In: Journal of The American Geriatrics Society, ISSN 0002-8614, E-ISSN 1532-5415, Vol. 47, no 11, p. 1300-6Article in journal (Refereed) Published
Abstract [en]

OBJECTIVE: To examine the prevalence, psychiatric and behavior symptoms, differing symptom profiles, and diurnal variations of delirium in older patients. DESIGN: A descriptive, point prevalence study with a cross-sectional design. SETTING: One ordinary county hospital (n = 148), three nursing homes (n = 202), five old people's homes (n = 196), and home medical care patients (n = 171) in parts of a hospital catchment area in Mid-Sweden. PARTICIPANTS: A total of 717 patients 75 years of age and older were observed and assessed for the prevalence of delirium. Women accounted for 66.4% of the studied population, and the mean age for both sexes was 83.7 years. MEASUREMENTS: All patients were examined using the OBS (Organic Brain Syndrome) scale, and delirium was diagnosed according to DSM-III-R. RESULTS: Delirium was diagnosed in 315 of 717 (43.9%) patients, and 135 of 315 (42.9%) of the delirious patients had dementia. Thirty-seven percent of the patients with delirium were delirious in the afternoon, evening, or at night, and 47% of the delirious patients had morning delirium. The delirious patients presented a wide variety of psychiatric symptoms. More than half the patients exhibiting anxiety, psychomotor slowing, depressed mood, and irritability. Nearly 26% were classified as having hypoactive, 22% as having hyperactive, and 42% as having mixed delirium, whereas 11% had neither hypo- nor hyperactive delirium. Seventy-seven percent were classified as having delirium with pronounced emotional and 43% with pronounced psychotic symptoms. CONCLUSIONS: This study shows that patients with delirium have very different clinical profiles. This might indicate a need for different treatment strategies for patients with different types of delirium.

National Category
Nursing
Research subject
Nursing
Identifiers
urn:nbn:se:ltu:diva-6080 (URN)44710390-9f0d-11db-8975-000ea68e967b (Local ID)44710390-9f0d-11db-8975-000ea68e967b (Archive number)44710390-9f0d-11db-8975-000ea68e967b (OAI)
Note

Godkänd; 1999; 20070108 (andbra)

Available from: 2016-09-29 Created: 2016-09-29 Last updated: 2017-12-14Bibliographically approved
Sandberg, O., Gustafson, Y., Brännström, B. & Bucht, G. (1998). Prevalence of dementia, delirium and psychiatric symptoms in various care settings for the elderly (ed.). Paper presented at . Scandinavian Journal of Social Medicine, 26(1), 56-62
Open this publication in new window or tab >>Prevalence of dementia, delirium and psychiatric symptoms in various care settings for the elderly
1998 (English)In: Scandinavian Journal of Social Medicine, ISSN 0300-8037, Vol. 26, no 1, p. 56-62Article in journal (Refereed) Published
Abstract [en]

A prevalence study of psychiatric symptoms was performed in parts of a hospital catchment area in Mid-Sweden. In total 717 patients, aged 75 years and above, who were receiving care in an emergency hospital, three nursing homes, five old people's homes and two home medical care districts were included. All patients were examined using the OBS-scale (Organic Brain Syndrome Scale). Anxiety (51%), psychomotor slowing (45%), delirium (44%), depressed mood (41%), irritability (40%) and dementia (33%) were the most prevalent psychiatric symptoms or diagnoses in the sample but there were wide differences between the four care settings. The present study shows that the prevalence of dementia, delirium and psychiatric symptoms is high in all types of care settings for the elderly. It also demonstrates the need for psychiatric medical and nursing competence in all types of care for the elderly.

Identifiers
urn:nbn:se:ltu:diva-2839 (URN)10.1080/14034949850153770 (DOI)08d664d0-9f06-11db-8975-000ea68e967b (Local ID)08d664d0-9f06-11db-8975-000ea68e967b (Archive number)08d664d0-9f06-11db-8975-000ea68e967b (OAI)
Note
Upprättat; 1998; 20070108 (andbra)Available from: 2016-09-29 Created: 2016-09-29 Last updated: 2017-11-24Bibliographically approved
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