Observational studyActa anaesthesiologica Scandinavica2017
Are severely injured trauma victims in Norway offered advanced pre-hospital care? National, retrospective, observational cohort.
Observational study in Acta anaesthesiologica Scandinavica, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed.
- Geographical alignment of prehospital critical care services with population need for out-of-hospital cardiac arrest patients.Scandinavian journal of trauma, resuscitation and emergency medicine · 2026Article
- Dispatch accuracy of physician-staffed emergency medical services in trauma care in south-east Norway: a retrospective observational study.Scandinavian journal of trauma, resuscitation and emergency medicine · 2021Observational
- The advanced machine learner XGBoost did not reduce prehospital trauma mistriage compared with logistic regression: a simulation study.BMC medical informatics and decision making · 2021Article
- Disaster preparedness should represent an augmentation of the everyday trauma system, but are we prepared?Trauma surgery & acute care open · 2021Article
- Undertriage in trauma: an ignored quality indicator?Scandinavian journal of trauma, resuscitation and emergency medicine · 2020Article
- Characteristics of patients treated by the Danish Helicopter Emergency Medical Service from 2014-2018: a nationwide population-based study.Scandinavian journal of trauma, resuscitation and emergency medicine · 2019Article
- Comparing population and incident data for optimal air ambulance base locations in Norway.Scandinavian journal of trauma, resuscitation and emergency medicine · 2018Article
- Are severely injured trauma victims in Norway offered advanced pre-hospital care? National, retrospective, observational cohort.Acta anaesthesiologica Scandinavica · 2017Observational
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundStudies 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 use of the national emergency medical dispatch guideline is recommended. We assessed whether severely injured patients had been treated or transported by advanced resources on a national scale.
methodsA national survey was conducted collecting data for 2013 from local trauma registries at all hospitals caring for severely injured patients. Patients were analysed according to hospital level; trauma centres or acute care hospitals with trauma functions. Patients with an Injury Severity Score (ISS) > 15 were considered severely injured.
resultsThree trauma centres (75%) and 17 acute care hospitals (53%) had data for trauma patients from 2013, a total of 3535 trauma registry entries (primary admissions only), including 604 victims with an ISS > 15. Of these 604 victims, advanced resources were treating and/or transporting 51%. Sixty percent of the severely injured admitted directly to trauma centres received advanced services, while only 37% of the severely injured admitted primarily to acute care hospitals received these services.
conclusionA highly developed and widely distributed HEMS system reached only half of severely injured trauma victims in Norway in 2013.
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