Kristin Alm-Kruse

  • PhD student; RN

Kristin is a PhD student and works as an ICU nurse in a general ICU at Oslo University Hospital. She has prior work experience from a neuro surgical ICU and an emergency room.  

The studies in PhD thesis focuses on the utilization of data from the Norwegian Cardiac Arrest Registry (NorCAR) for studies on out-of-hospital cardiac arrest (OHCA). We assessed the case completeness by comparing cardiac arrest cases in NorCAR, with two national health registries. The study demonstrated a high case completeness in NorCAR. This validation process established that the NorCAR data were applicable for further studies. Secondly we assessed patient outcomes after the implementation of an Extracorporeal Cardiopulmonary Resuscitation (ECPR) protocol, comparing ECPR-eligible patient cohorts before and after introduction of the protocol. Notably, we found no difference in patient outcomes before and after the introduction of the protocol, and worse neurologic outcome were observed among survivors in the after cohort. Lastly, data from NorCAR were combined with data from three national health registries to describe patients’ healthcare utilization before and after experiencing cardiac arrest. The OHCA patients were found to have substantial morbidity and a frequent use of healthcare during the two years prior to the cardiac arrest, and the healthcare use remained significantly increased the year after the event. The healthcare use differed across primary, specialist, and mental healthcare services, and there were limited post-cardiac arrest rehabilitation contacts. 

Collectively, the outcomes of this research underscore the completeness of NorCAR data, advocating its suitability for local and national quality improvement initiatives and research. 

Kristin Alm-Kruse - Cristin

Kristin Alm-Kruse (researchgate.net)

 

Publications 2024

Alm-Kruse K, Gjerset GM, Tjelmeland IBM, Isern CB, Kramer-Johansen J, Garratt AM (2024)
How do survivors after out-of-hospital cardiac arrest perceive their health compared to the norm population? A nationwide registry study from Norway
Resusc Plus, 17, 100549
DOI 10.1016/j.resplu.2023.100549, PubMed 38292469

Katzenschlager S, Elshaer A, Metelmann B, Metelmann C, Thilakasiri K, Karageorgos V, Barry T, Alm-Kruse K, Karim H, Maurer H, Kramer-Johansen J, Orlob S (2024)
Top 5 barriers in cardiac arrest research as perceived by international early career researchers - A consensus study
Resusc Plus, 18, 100608
DOI 10.1016/j.resplu.2024.100608, PubMed 38524147

Kelpanides IK, Katzenschlager S, Skogvoll E, Tjelmeland IBM, Grindheim G, Alm-Kruse K, Liberg JP, Kristiansen T, Wnent J, Gräsner JT, Kramer-Johansen J (2024)
Out-of-hospital cardiac arrest in children in Norway: A national cohort study, 2016-2021
Resusc Plus, 18, 100662
DOI 10.1016/j.resplu.2024.100662, PubMed 38799717

Taccone FS, Minini A, Avalli L, Alm-Kruse K, Annoni F, Bougouin W, Burrell A, Cariou A, Coppalini G, Grunau B, Hifumi T, Heng Yen H, Jouven X, Jung JS, Lorusso R, Maekawa K, Mørk SR, Rob D, Schober A, Shah AP, Stoll SE, Suverein MM, Nakashima T, Vande Poll MCG, Yannopoulos D et al. (2024)
Impact of extracorporeal cardiopulmonary resuscitation on neurological prognosis and survival in adult patients after cardiac arrest: An individual pooled patient data meta-analysis
Resuscitation, 202, 110357
DOI 10.1016/j.resuscitation.2024.110357, PubMed 39142468

Publications 2023

Alm-Kruse K, Tjelmeland I, Reiner A, Kvåle R, Kramer-Johansen J (2023)
Use of healthcare services before and after out-of-hospital cardiac arrest
Resuscitation, 187, 109805
DOI 10.1016/j.resuscitation.2023.109805, PubMed 37088268

Publications 2022

Tjelmeland IBM, Alm-Kruse K, Grasner JT, Isern CB, Jakisch B, Kramer-Johansen J, Renzing N, Wnent J, Seewald S (2022)
Importance of reporting survival as incidence: a cross-sectional comparative study on out-of-hospital cardiac arrest registry data from Germany and Norway
BMJ Open, 12 (2), e058381
DOI 10.1136/bmjopen-2021-058381, PubMed 35177465

Publications 2021

Alm-Kruse K, Sørensen G, Osbakk SA, Sunde K, Bendz B, Andersen GØ, Fiane A, Hagen OA, Kramer-Johansen J (2021)
Outcome in refractory out-of-hospital cardiac arrest before and after implementation of an ECPR protocol
Resuscitation, 162, 35-42
DOI 10.1016/j.resuscitation.2021.01.038, PubMed 33581226

Alm-Kruse K, Tjelmeland I, Kongsgård H, Kvåle R, Kramer-Johansen J (2021)
Case completeness in the Norwegian Cardiac Arrest Registry
Resusc Plus, 8, 100182
DOI 10.1016/j.resplu.2021.100182, PubMed 34825238

Publications 2020

Tjelmeland IBM, Alm-Kruse K, Andersson LJ, Bratland S, Hafstad AK, Haug B, Langørgen J, Larsen AI, Lindner TW, Nilsen JE, Olasveengen TM, Soreide E, Skogvoll E, Kramer-Johansen J (2020)
Cardiac arrest as a reportable condition: a cohort study of the first 6 years of the Norwegian out-of-hospital cardiac arrest registry
BMJ Open, 10 (7), e038133
DOI 10.1136/bmjopen-2020-038133, PubMed 32641339

Tjelmeland IBM, Masterson S, Herlitz J, Wnent J, Bossaert L, Rosell-Ortiz F, Alm-Kruse K, Bein B, Lilja G, Gräsner JT, GL2020 Epidemiology group and participating countries (2020)
Description of Emergency Medical Services, treatment of cardiac arrest patients and cardiac arrest registries in Europe
Scand J Trauma Resusc Emerg Med, 28 (1), 103
DOI 10.1186/s13049-020-00798-7, PubMed 33076942

Publications 2008

Alm-Kruse K, Bull EM, Laake JH (2008)
Nurse-led implementation of an insulin-infusion protocol in a general intensive care unit: improved glycaemic control with increased costs and risk of hypoglycaemia signals need for algorithm revision
BMC Nurs, 7, 1
DOI 10.1186/1472-6955-7-1, PubMed 18205930

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