Hans Kristian Flaatten

Emeritus

E-mailHans.Flaatten@uib.no
Phone+47 55 97 24 52
Visitor Address
Armauer Hansens hus, Haukelandsveien 28
Postal Address
Postboks 7804

5020 Bergen

Research on adverse events after spinal anaesthesia, in pareticular Postural Post-Dural Puncture Headache
Research of adverse events in the ICU
Research on quality management and improvemnet in the ICU
Research on Quality indicators in the ICU
Research on epidemiology of sepsis
Research on outcomes after intensive care
Research on the elderly ICU pateints

Anaesthesia and intensive care at graduate and postgraduta levels (BASIC courses)

At the moment in the Project Group of the new curriculum art the Medical Faculty, University of Bergen, Norway. In particularly engaged in e-lerning and assessment

Academic article

Show author(s) (2023). Contribution of information about acute and geriatric characteristics to decisions about life-sustaining treatment for old patients in intensive care. BMC Medical Informatics and Decision Making.

Show author(s) (2022). Who gets the ventilator? A multicentre survey of intensivists' opinions of triage during the first wave of the COVID-19 pandemic. Acta Anaesthesiologica Scandinavica. 859-868.
Show author(s) (2022). Variations in end-of-life care practices in older critically ill patients with COVID-19 in Europe. Journal of Internal Medicine. 438-449.
Show author(s) (2022). Time-dependent uncertainty of critical care transitions in very old patients - lessons for time-limited trials. Journal of critical care. 1-7.
Show author(s) (2022). The importance of revealing data on limitation of life sustaining therapy in critical ill elderly Covid-19 patients. Journal of critical care. 147-148.
Show author(s) (2022). The clinical frailty scale – does it predict outcome of the very-old in UK ICUs? Journal of the Intensive Care Society (JICS).
Show author(s) (2022). The association of the Activities of Daily Living and the outcome of old intensive care patients suffering from COVID-19. Annals of Intensive Care. 1-11.
Show author(s) (2022). The association of prior paracetamol intake with outcome of very old intensive care patients with COVID-19: results from an international prospective multicentre trial. BMC Geriatrics. 1-12.
Show author(s) (2022). Short-term mortality of patients ≥80 years old admitted to European intensive care units: an international observational study. British Journal of Anaesthesia. 58-66.
Show author(s) (2022). Sex-specific treatment characteristics and 30-day mortality outcomes of critically ill COVID-19 patients over 70 years of age—results from the prospective COVIP study. Canadian Journal of Anesthesia. 1390-1398.
Show author(s) (2022). Noninvasive ventilation in COVID-19 patients aged ≥ 70 years—a prospective multicentre cohort study. Critical Care. 1-12.
Show author(s) (2022). Increased 30-day mortality in very old ICU patients with COVID-19 compared to patients with respiratory failure without COVID-19. Intensive Care Medicine. 435-447.
Show author(s) (2022). Health-related quality of life in older patients surviving ICU treatment for COVID-19: results from an international observational study of patients older than 70 years. Age and Ageing. 1-10.
Show author(s) (2022). Disease-Course Adapting Machine Learning Prognostication Models in Elderly Patients Critically Ill With COVID-19: Multicenter Cohort Study With External Validation. JMIR Medical Informatics. 1-14.
Show author(s) (2022). Cytokine absorption in critically ill old COVID-19 patients with renal failure: A retrospective analysis of 503 intensive care unit patients. Clinical Hemorheology and Microcirculation. 1-9.
Show author(s) (2022). Consent is a confounding factor in a prospective observational study of critically ill elderly patients. PLOS ONE. 1-9.
Show author(s) (2022). Clustering analysis of geriatric and acute characteristics in a cohort of very old patients on admission to ICU. Intensive Care Medicine.
Show author(s) (2022). Association of chronic heart failure with mortality in old intensive care patients suffering from Covid-19. ESC Heart Failure. 1756-1765.
Show author(s) (2022). A retrospective cohort study comparing differences in 30-day mortality among critically ill patients aged ≥ 70 years treated in European tax-based healthcare systems (THS) versus social health insurance systems. Scientific Reports. 1-9.

Show author(s) (2021). The impact of frailty on survival in elderly intensive care patients with COVID-19: the COVIP study. Critical Care. 1-9.
Show author(s) (2021). Steroid use in elderly critically ill COVID-19 patients. European Respiratory Journal. 1-4.
Show author(s) (2021). Reliability of the Clinical Frailty Scale in very elderly ICU patients: a prospective European study. Annals of Intensive Care. 1-7.
Show author(s) (2021). Relationship between the Clinical Frailty Scale and short‑term mortality in patients ≥ 80 years old acutely admitted to the ICU: a prospective cohort study. Critical Care. 1-9.
Show author(s) (2021). Provision of critical care for the elderly in Europe: a retrospective comparison of national healthcare frameworks in intensive care units. BMJ Open.
Show author(s) (2021). Propensity-Adjusted Comparison of Mortality of Elderly Versus Very Elderly Ventilated Patients. Respiratory care. 814-821.
Show author(s) (2021). On predictions in critical care: The individual prognostication fallacy in elderly patients. Journal of critical care. 34-38.
Show author(s) (2021). Måling av skrøpelighet – når, hvorfor og hvordan? Tidsskrift for Den norske legeforening.
Show author(s) (2021). Multifaceted intervention including Facebook-groups to improve guideline-adherence in ICU: A quasi-experimental interrupted time series study. Acta Anaesthesiologica Scandinavica. 1466-1474.
Show author(s) (2021). Management and outcomes in critically ill nonagenarian versus octogenarian patients. BMC Geriatrics. 1-14.
Show author(s) (2021). Lactate is associated with mortality in very old intensive care patients suffering from COVID-19: results from an international observational study of 2860 patients. Annals of Intensive Care. 1-9.
Show author(s) (2021). ICU-Mortality in Old and Very Old Patients Suffering From Sepsis and Septic Shock. Frontiers in medicine.
Show author(s) (2021). Frailty is associated with long-term outcome in patients with sepsis who are over 80 years old: results from an observational study in 241 European ICUs. Age and Ageing. 1719-1727.
Show author(s) (2021). Frailty and survival in elderly intensive care patients in Norway. Acta Anaesthesiologica Scandinavica. 1065-1072.
Show author(s) (2021). Early Evaluation of Organ Failure Using MELD-XI in Critically Ill Elderly COVID-19 Patients. Clinical Hemorheology and Microcirculation. 109-120.
Show author(s) (2021). Differences in mortality in critically ill elderly patients during the second COVID‑19 surge in Europe . Critical Care. 1-12.
Show author(s) (2021). Association between tracheostomy timing and outcomes for older critically ill COVID-19 patients: prospective observational study in European intensive care units. British Journal of Anaesthesia. 1-9.
Show author(s) (2021). A descriptive study of the surge response and outcomes of ICU patients with COVID-19 during first wave in Nordic countries. Acta Anaesthesiologica Scandinavica.

Show author(s) (2020). ‘Less is more’ in modern ICU: blessings and traps of treatment limitation. Intensive Care Medicine. 110-112.
Show author(s) (2020). Therapy limitation in octogenarians in German intensive care units is associated with a longer length of stay and increased 30 days mortality: A prospective multicenter study. Journal of critical care. 58-63.
Show author(s) (2020). The wave of very old people in the intensive care unit–A challenge in decision-making. Journal of critical care.
Show author(s) (2020). The good, the bad and the ugly: pandemic priority decisions and triage. Journal of Medical Ethics.
Show author(s) (2020). Sex-specific outcome disparities in very old patients admitted to intensive care medicine: a propensity matched analysis. Scientific Reports. 1-9.
Show author(s) (2020). Sepsis at ICU admission does not decrease 30-day survival in very old patients: a post-hoc analysis of the VIP1 multinational cohort study. Annals of Intensive Care. 1-12.
Show author(s) (2020). Prognostication in older ICU patients: mission impossible? British Journal of Anaesthesia.
Show author(s) (2020). Outcomes after percutaneous dilatation tracheostomy: Patients view 6 years after the procedure. Acta Anaesthesiologica Scandinavica. 798-802.
Show author(s) (2020). Inhibitors of the Renin-Angiotensin-Aldosterone System and Covid-19 in critically ill elderly patients. European Heart Journal (EHJ) - Cardiovascular Pharmacotherapy. 76-77.
Show author(s) (2020). Endotoxin removal in septic shock with the Alteco LPS Adsorber was safe but showed no benefit compared to placebo in the double-blind randomized controlled trial - the Asset Study. Shock. 224-231.
Show author(s) (2020). Elective surgery cancellations due to the COVID-19 pandemic: global predictive modelling to inform surgical recovery plans. British Journal of Surgery. 1440-1449.
Show author(s) (2020). Elderly Patients in the Intensive Care Unit. Seminars in respiratory and critical care medicine.
Show author(s) (2020). Effects of external inspections on sepsis detection and treatment: a stepped-wedge study with cluster-level randomisation. BMJ Open. 10 pages.
Show author(s) (2020). Early diagnosis of sepsis in emergency departments, time to treatment, and association with mortality: An observational study. PLOS ONE. 1-15.
Show author(s) (2020). Clinical Efficacy of Combined Surgical Patient Safety System and the World Health Organization's Checklists in Surgery: A Nonrandomized Clinical Trial. JAMA Surgery. 562-570.

Show author(s) (2019). Validation of the clinical frailty score (CFS) in French language. BMC Geriatrics. 1-6.
Show author(s) (2019). Use of social media for communicating about critical care topics: A Norwegian cross-sectional survey. Acta Anaesthesiologica Scandinavica. 1398-1405.
Show author(s) (2019). The hospital frailty risk score is of limited value in intensive care unit patients. Critical Care.
Show author(s) (2019). The contribution of frailty, cognition, activity of daily life and comorbidities on outcome in acutely admitted patients over 80 years in European ICUs: the VIP2 study. Intensive Care Medicine. 57-69.
Show author(s) (2019). Huge variation in obtaining ethical permission for a non-interventional observational study in Europe. BMC Medical Ethics. 1-7.
Show author(s) (2019). Development of a quality indicator set to measure and improve quality of ICU care for patients with traumatic brain injury. Critical Care. 1-13.
Show author(s) (2019). Cumulative prognostic score predicting mortality in patients older than 80 years admitted to the ICU. Journal of The American Geriatrics Society. 1263-1267.
Show author(s) (2019). A comparison of very old patients admitted to intensive care unit after acute versus elective surgery or intervention. Journal of critical care. 141-148.

Show author(s) (2018). Withholding or withdrawing of life-sustaining therapy in older adults (≥ 80 years) admitted to the intensive care unit. Intensive Care Medicine. 1027-1038.
Show author(s) (2018). Understanding cardiovascular physiology of ageing. Intensive Care Medicine. 1-4.
Show author(s) (2018). Multisystem Organ Failure: Why doctors look at the wrong organs. Nova Acta Leopoldina. 53-57.
Show author(s) (2018). Inflammatory mediator profiles differ in sepsis patients with and without bacteremia. Frontiers in Immunology. 1-12.
Show author(s) (2018). Frailty increases mortality among patients = 80 years old treated in Polish ICUs. Anaesthesiology Intensive Therapy. 245-251.
Show author(s) (2018). Attitudes of physicians towards the care of critically ill elderly patients - a European survey. Acta Anaesthesiologica Scandinavica. 207-219.
Show author(s) (2018). Accuracy of surgical complication rate estimation using ICD-10 codes. British Journal of Surgery. 236-244.

Show author(s) (2017). The status of intensive care medicine research and a future agenda for very old patients in the ICU. Intensive Care Medicine. 1-10.
Show author(s) (2017). The impact of frailty on ICU and 30-day mortality and the level of care in very elderly patients (≥ 80 years). Intensive Care Medicine. 1820-1828.
Show author(s) (2017). Long-Term Outcomes after ICU Admission Triage in Octogenarians. Critical Care Medicine. e363-e371.
Show author(s) (2017). Epidemiology and impact on all-cause mortality of sepsis in Norwegian hospitals: A national retrospective study. PLOS ONE. 1-13.
Show author(s) (2017). Effects of external inspection on sepsis detection and treatment: a study protocol for a quasiexperimental study with a stepped-wedge design. BMJ Open. 1-16.
Show author(s) (2017). Costs and expected gain in lifetime health from intensive care versus general ward care of 30,712 individual patients: A distribution-weighted cost-effectiveness analysis. Critical Care. 1-13.
Show author(s) (2017). An observational study of community-acquired severe sepsis comparing intensive care and non-intensive care patients. Acta Anaesthesiologica Scandinavica. 194-204.
Show author(s) (2017). Adverse events and in-hospital mortality: An analysis of all deaths in a Norwegian health trust during 2011. BMC Health Services Research. 1-7.

Show author(s) (2016). Great variation between ICU physicians in the approach to making end-of-life decisions. Acta Anaesthesiologica Scandinavica. 476-484.
Show author(s) (2016). Abdominal Septic Shock – Endotoxin Adsorption Treatment (ASSET) – endotoxin removal in abdominal and urogenital septic shock with the Alteco® LPS Adsorber: study protocol for a double-blinded, randomized placebo-controlled trial. Trials. 1-10.

Show author(s) (2015). Norwegian PUQE (pregnancy-unique quantification of emesis and nausea) identifies patients with hyperemesis gravidarum and poor nutritional intake: A prospective cohort validation study. PLOS ONE. 15 pages.
Show author(s) (2015). Long-term survival and quality of life after intensive care for patients 80 years of age or older. Annals of Intensive Care. 13 pages.
Show author(s) (2015). Hyperemesis gravidarum, nutritional treatment by nasogastric tube feeding: A 10-year retrospective cohort study. Acta Obstetricia et Gynecologica Scandinavica. 359-367.
Show author(s) (2015). Cognitive function and health-related quality of life four years after cardiac arrest. Resuscitation. 13-18.
Show author(s) (2015). Age, risk, and life expectancy in Norwegian intensive care: a registry-based population modelling study. PLOS ONE.

Show author(s) (2014). Impact of night shifts on laparoscopic skills and cognitive function among gynecologists. Acta Obstetricia et Gynecologica Scandinavica. 1255-1261.
Show author(s) (2014). Cognitive effects of hospital calls in anaesthesiologists. Acta Anaesthesiologica Scandinavica. 177-184.
Show author(s) (2014). Aetiology, antimicrobial therapy and outcome of patients with community acquired severe sepsis: A prospective study in a Norwegian university hospital. BMC Infectious Diseases.
Show author(s) (2014). A calibration study of SAPS II with Norwegian intensive care registry data. Acta Anaesthesiologica Scandinavica. 701-708.

Show author(s) (2013). Necrotizing soft tissue infections caused by Streptococcus pyogenes and Streptococcus dysgalactiae subsp equisimilis of groups C and G in western Norway. Clinical Microbiology and Infection (CMI). E545-E550.

Show author(s) (2012). The variability of critical care bed numbers in Europe. Intensive Care Medicine. 1647-1653.
Show author(s) (2012). Prospectively defined indicators to improve the safety and quality of care for critically ill patients: a report from the Task Force on Safety and Quality of the European Society of Intensive Care Medicine (ESICM). Intensive Care Medicine. 598-605.
Show author(s) (2012). Clinical validation of Cambridge neuropsychological test automated battery in a Norwegian epilepsy population. Journal of Behavioral and Brain Science. 108-116.

Show author(s) (2011). Time trends in incidence, etiology, and case fatality rate of the first attack of acute pancreatitis. Scandinavian Journal of Gastroenterology. 1389-1398.
Show author(s) (2011). Propofol treatment in adult refractory status epilepticus. Mortality risk and outcome. Epilepsy Research. 53-60.
Show author(s) (2011). International standards for programmes of training in intensive care medicine in Europe. Intensive Care Medicine. 385-393.
Show author(s) (2011). Cognitive impairments after critical illness. Acta Anaesthesiologica Scandinavica. 1044-1051.

Show author(s) (2010). Variations in the length of stay of intensive care unit nonsurvivors in three scandinavian countries. Critical Care. 8 pages.
Show author(s) (2010). The interrater reliability of SAPS II and SAPS 3. Intensive Care Medicine. 850-853.
Show author(s) (2010). Reversible dyscognition in patients with a unilateral, middle fossa arachnoid cyst revealed by using a laptop based neuropsychological test battery (CANTAB). Journal of Neurology. 1909-1916.
Show author(s) (2010). Intensive care diaries reduce new onset post traumatic stress disorder following critical illness: a randomised, controlled trial. Critical Care. 10 pages.
Show author(s) (2010). Impact of the post-World War II generation on intensive care needs in Norway. Acta Anaesthesiologica Scandinavica. 479-484.
Show author(s) (2010). Cognitive dysfunction and health-related quality of life after a cardiac arrest and therapeutic hypothermia. Acta Anaesthesiologica Scandinavica. 721-728.

Show author(s) (2009). The educational environment for training in intensive care medicine: structures, processes, outcomes and challenges in the European region. Intensive Care Medicine. 1575-1583.
Show author(s) (2009). Heart rate monitored hypothermia and drowning in a 48-year-old man, survival without sequelae: a case report. Cases Journal. 6204-6205.
Show author(s) (2009). A comparison of SAPS II and SAPS 3 in a Norwegian intensive care unit population. Acta Anaesthesiologica Scandinavica. 595-600.

Show author(s) (2008). Sexual function in ICU survivors more than 3 years after major trauma. Intensive Care Medicine. 447-453.
Show author(s) (2008). Quality of life 2-7 years after major trauma. Acta Anaesthesiologica Scandinavica. 195-201.

Show author(s) (2007). Trauma patients in the intensive care unit: short- and long-term survival and predictors of 30-day mortality. Acta Anaesthesiologica Scandinavica. 171-177.
Show author(s) (2007). Multiple organ failure after trauma affects even long-term survival and functional status. Critical Care.

Show author(s) (2006). The effect of tracheostomy on outcome in intensive care unit patients. Acta Anaesthesiologica Scandinavica. 92-98.
Show author(s) (2006). Quality of life after intensive care in trauma patients. Minerva Anestesiologica. 479-481.

Show author(s) (2005). How to learn from adverse events? Acta Anaesthesiologica Scandinavica. 889-890.
Show author(s) (2005). Follow-up after intensive care: another role for the intensivist? Acta Anaesthesiologica Scandinavica. 919-921.
Show author(s) (2005). Effects of a major structural change to the intensive care unit on the quality and outcome after intensive care. Quality and Safety in Healthcare. 270-272.

Show author(s) (2004). The problem with reporting the cost of intensive care. Acta Anaesthesiologica Scandinavica. 933-934.
Show author(s) (2004). The intensivist training programme in the Scandinavian countries. Care of the Critically Ill. 76-78.
Show author(s) (2004). Epidemiology of sepsis in Norway in 1999. Critical Care. 180-184.
Show author(s) (2004). Effect of a scoring system and protocol for sedation on duration of patients' need for ventilator support in a surgical intensive care unit (Reprinted from BMJ, vol 324, 1386-9, 2002). Quality and Safety in Healthcare. 203-205.
Show author(s) (2004). Alvorlig sepsis behandlet med aktivert protein C. Tidsskrift for Den norske legeforening. 779-781.

Show author(s) (2003). Follow-up after intensive care: a single center study. Intensive Care Medicine. 2149-2156.
Show author(s) (2003). Cost of intensive care in a Norwegian University hospital 1997-1999. Critical Care. 72-78.
Show author(s) (2003). Changes in health-related quality of life from 6 months to 2 years after discharge from intensive care. Health and Quality of Life Outcomes.

Show author(s) (2002). Changes in intensive care from 1987 to 1997 - has outcome improved? A single centre study. Intensive Care Medicine. 1110-16.

Show author(s) (2001). Survival and quality of life 12 years after ICU. A comparison with the general Norwegian population. Intensive Care Medicine. 1005-7.

Show author(s) (1999). Errors in the intensive care unit (ICU). Acta Anaesthesiologica Scandinavica. 614-617.

Show author(s) (1998). Smerte, verdt å ta på alvor. Nordisk Medicin. 2.
Show author(s) (1998). Puncture technique and postural post-dural headache. A randomised, double blind study. Acta Anaesthesiologica Scandinavica. 1209-1214.
Show author(s) (1998). Postural post-dural puncture headache after spinal and epidural anaesthesia. A randomised, double blind study. Acta Anaesthesiologica Scandinavica. 759-764.
Show author(s) (1998). Improved oxygenation using the prone position in patients with ARDS. Acta Anaesthesiologica Scandinavica. 329-334.
Show author(s) (1998). Effect of experimence with spinal anaesthesia on the development of post-dural puncture complications. Acta Anaesthesiologica Scandinavica. 37-41.
Show author(s) (1998). Alle kan gjøre feil. Sykepleien Journalen. 48-51.

Show author(s) (1996). Nasoenteral sondeernæring ved hypermesis gravidarum. Et alternativ til parental ernæring. Tidsskrift for Den norske legeforening. 2442-2444.
Show author(s) (1996). Nasoenteral sondeernæring ved hyperemesis gravidarum. Et alternativ til parental ernæring. Tidsskrift for Den norske legeforening. 2442-2444.
Show author(s) (1996). Nasoenteral sondeernæring ved hyperemesis gravidarum. Et alternativ til parental ernæring. Tidsskrift for Den norske legeforening. 2442-2444.

Show author(s) (1995). Nitrogenmonoksyd- et behandlingstilbud til intensivpasienter med alvorlig lungesvikt. Fagoscopet. 10-13.
Show author(s) (1995). Lysmandreng- et alternativ ved vanskelig intubasjon. Tidsskrift for Den norske legeforening. 1945-1946.
Show author(s) (1995). Bruk av veksthormon ved katabol tilstand hos en kirurgisk intensivpasient. Tidsskrift for Den norske legeforening. 1340-1341.
Show author(s) (1995). Bruk av veksthormon ved katabol tilstand hos en kirurgisk intensivpasient. Tidsskrift for Den norske legeforening. 1340-1341.
Show author(s) (1995). Avansert medisinsk behandling i hjemmet. Tidsskrift for Den norske legeforening. 695-696.
Show author(s) (1995). Akutt respirasjonssvikt. Tidsskrift for Den norske legeforening. 1340-1341.

Show author(s) (1994). The potential of an anaesthesiologist manned ambulance service in a rural/urban district. Acta Anaesthesiologica Scandinavica. 657-661.
Show author(s) (1994). Prioriteringer av kritisk syke intensivpasienter. Omsorg. 16-19.
Show author(s) (1994). Lederartikkel i nr. 2,3 og 5. NAForum.
Show author(s) (1994). Glutamintillegg ved korttids parenteral ernæring etter hemikolektomi. NAForum. 55.
Show author(s) (1994). Energiforbruk hos intensivpasienter. NAForum. 23.
Show author(s) (1994). Ekstern CPAP, et godt alternativ til konvensjonell respiratorbehandling? NAForum. 4.
Show author(s) (1994). Bruk av veksthormon ved kritisk katabolisme. NAForum. 27.
Show author(s) (1994). Akutt nyresvikt som ledd i flerorgansvikt. NAForum. 54.

Show author(s) (1993). Central venous catheter with subcutanous injection port (Port-A-Cath): 8 years clinical follow up with children. Pediatric Hematology & Oncology. 233-239.
Show author(s) (1993). Central venous catheter with subcutaneous injection port: 8 years clinical follow up with children. Pediatric Hematology & Oncology. 233-239.

Show author(s) (1991). Percutaneous placement of permanent central venous catheters: experience with 200 catheters. Acta Anaesthesiologica Scandinavica. 49-51.

Academic lecture

Show author(s) (2022). Reduksjon av komplikasjoner, reoperasjoner og reinnleggelser når pre- og postoperative sjekklister ble brukt i tillegg til Trygg kirurgi sjekkliste.

Show author(s) (2017). Global Trigger Tool to identify adverse events from a randomized population of 12,966 surgical procedures.
Show author(s) (2017). Accuracy of ICD-10 complication codes after surgery.

Show author(s) (1999). Ti års utvikling av intensivhandsaming ved Haukeland sjukehus.
Show author(s) (1999). Ten year development of intensive care in a Norwegian university hospital.

Academic anthology/Conference proceedings

Show author(s) (2016). Quality Management in Intensive Care. Cambridge University Press.