Evidence map›Paper›PMID 26749577›Full record

ArticleActa anaesthesiologica Scandinavica2016

Fatal injuries in rural and urban areas in northern Finland: a 5-year retrospective study.

L Raatiniemi, T Steinvik, J Liisanantti, P Ohtonen, M Martikainen, S Alahuhta, T Dehli, T Wisborg, H K Bakke

Abstract read
In one paragraph

Article in Acta anaesthesiologica Scandinavica, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Logging-related fatalities in the Eastern Black Sea region of Türkiye: a forensic-epidemiological analysis.Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES · 2026
    Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Observational
  10. Deaths caused by injury among people of working age (18-64) are decreasing, while those among older people (64+) are increasing.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2018
    Article
  11. Fatal poisonings in Northern Finland: causes, incidence, and rural-urban differences.Scandinavian journal of trauma, resuscitation and emergency medicine · 2017
    Article
  12. Article
  13. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

L RaatiniemiCentre for Pre-Hospital Emergency Care, Oulu University Hospital, Oulu, Finland.
T SteinvikAnesthesia and Critical Care Research Group, University of Tromsø, Tromsø, Norway.
J LiisananttiDivision of Intensive Care Medicine, Oulu University Hospital, Oulu, Finland.
P OhtonenMedical Research Center, University of Oulu and Oulu University Hospital, Oulu, Finland.
M MartikainenCentre for Pre-Hospital Emergency Care, Oulu University Hospital, Oulu, Finland.
S AlahuhtaMedical Research Center, University of Oulu and Oulu University Hospital, Oulu, Finland.
T DehliDepartment of Gastroenterological Surgery, University Hospital North Norway, Tromsø, Norway.
T WisborgDepartment of Anesthesiology and Intensive Care, Hammerfest Hospital, Finnmark Health Trust, Hammerfest, Norway.
H K BakkeAnesthesia and Critical Care Research Group, University of Tromsø, Tromsø, Norway.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFinland 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 four northernmost counties of Finland; their mix of remote rural areas and urban centres allowed us to correlate mortality rates with 'rurality'.

methodsThe Causes of Death Register was consulted to identify deaths from external causes over a 5-year time period. Data were retrieved from death certificates, autopsy reports and medical records. The municipalities studied were classified as either rural or urban.

resultsOf 2915 deaths categorized as occurring from external causes during our study period, 1959 were eligible for inclusion in our study. The annual crude mortality rate was 54 per 100,000 inhabitants; this rate was higher in rural vs. urban municipalities (65 vs. 45 per 100,000 inhabitants/year). Additionally, a greater number of pre-hospital deaths from accidental high-energy trauma occurred in rural areas (78 vs. 69%). 42% of all pre-hospital deaths occurred under the influence of alcohol.

conclusionThe crude mortality rate for fatal injuries was high overall as compared to other studies, and elevated in rural areas, where pre-hospital deaths were more common. Almost half of pre-hospital deaths occurred under the influence of alcohol.

Indexed as

AccidentsAdultAgedAged, 80 and overAlcohol DrinkingCause of DeathFemaleFinlandGeographyHumansIncidenceInternational Classification of DiseasesMaleMiddle AgedRetrospective StudiesRural Population

Identifiers

PMID26749577
PMCPMC4849198

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.