Evidence map›Paper›PMID 29793526›Full record

ArticleScandinavian journal of trauma, resuscitation and emergency medicine2018

Comparing population and incident data for optimal air ambulance base locations in Norway.

Jo Røislien, Pieter L van den Berg, Thomas Lindner, Erik Zakariassen, Oddvar Uleberg, Karen Aardal, J Theresia van Essen

Abstract read
In one paragraph

Article in Scandinavian journal of trauma, resuscitation and emergency medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
–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

15 citing papers in PubMed.

  1. Article
  2. Article
  3. Selection of helicopter bases and transport modes to minimize pre-hospital times in Iceland.Scandinavian journal of trauma, resuscitation and emergency medicine · 2025
    Article
  4. The impact of concurrency conflicts on optimal location of air ambulance bases in Norway.Scandinavian journal of trauma, resuscitation and emergency medicine · 2025
    Article
  5. Article
  6. Locating helicopter ambulance bases in Iceland: efficient and fair solutions.Scandinavian journal of trauma, resuscitation and emergency medicine · 2023
    Article
  7. Article
  8. Locating trauma centers considering patient safety.Health care management science · 2022
    Article
  9. The development of emergency medical services benefit score: a European Delphi study.Scandinavian journal of trauma, resuscitation and emergency medicine · 2021
    Article
  10. Introducing fairness in Norwegian air ambulance base location planning.Scandinavian journal of trauma, resuscitation and emergency medicine · 2021
    Article
  11. Article
  12. Review
  13. Article
  14. Defining a mission-based method to determine a HEMS unit's actual service area.Scandinavian journal of trauma, resuscitation and emergency medicine · 2019
    Article
  15. 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

7 authors.

Jo RøislienFaculty of Health Sciences, University of Stavanger, Stavanger, Norway. jo.roislien@norskluftambulanse.no.ORCID http://orcid.org/0000-0002-7168-2833
Pieter L van den BergRotterdam School of Management, Erasmus University, Rotterdam, the Netherlands.
Thomas LindnerNorwegian Air Ambulance Foundation, Department of Research, Drøbak, Norway.
Erik ZakariassenDepartment of Global Public Health and Primary Care, University of Bergen, Bergen, Norway.
Oddvar UlebergDepartment of Emergency Medicine and Pre-Hospital Services, St.Olav's University Hospital, Trondheim, Norway.
Karen AardalDelft Institute of Applied Mathematics, Delft University of Technology, Delft, the Netherlands.
J Theresia van EssenDelft Institute of Applied Mathematics, Delft University of Technology, Delft, the Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHelicopter emergency medical services are important in many health care systems. Norway has a nationwide physician manned air ambulance service servicing a country with large geographical variations in population density and incident frequencies. The aim of the study was to compare optimal air ambulance base locations using both population and incident data.

methodsWe used municipality population and incident data for Norway from 2015. The 428 municipalities had a median (5-95 percentile) of 4675 (940-36,264) inhabitants and 10 (2-38) incidents. Optimal helicopter base locations were estimated using the Maximal Covering Location Problem (MCLP) optimization model, exploring the number and location of bases needed to cover various fractions of the population for time thresholds 30 and 45 min, in green field scenarios and conditioned on the existing base structure.

resultsThe existing bases covered 96.90% of the population and 91.86% of the incidents for time threshold 45 min. Correlation between municipality population and incident frequencies was -0.0027, and optimal base locations varied markedly between the two data types, particularly when lowering the target time. The optimal solution using population density data put focus on the greater Oslo area, where one third of Norwegians live, while using incident data put focus on low population high incident areas, such as northern Norway and winter sport resorts.

conclusionUsing population density data as a proxy for incident frequency is not recommended, as the two data types lead to different optimal base locations. Lowering the target time increases the sensitivity to choice of data.

Indexed as

Population DensityAir AmbulancesHumansNorwayAir ambulanceCoverageFacility location problemHEMSIncidentsMCLPPopulation density

Identifiers

PMID29793526
PMCPMC5968535

What OpenQuestion holds

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Registered trials

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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.