ReviewEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2022
Mortality of trauma patients treated at trauma centers compared to non-trauma centers in Sweden: a retrospective study.
Review in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers, 5 of them syntheses that pooled 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.
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.
Who cites it
37 citing papers in PubMed, 5 syntheses or guidelines pooled it, 72 citations in OpenAlex.
- Transport and destination hospital for patients with suspected multiple and/or severe injuries - a systematic review and clinical practice guideline update.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026Pooled it
- Comprehensive meta-analysis of emergency trauma outcomes: trends, interventions, and survival rates.Frontiers in public health · 2025Pooled it
- The outcomes of the most severe polytrauma patients: a systematic review of the use of high ISS cutoffs for performance measurement.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024Pooled it
- Under-triage of older trauma patients in prehospital care: a systematic review.European geriatric medicine · 2021Pooled it
- The effectiveness of trauma care systems at different stages of development in reducing mortality: a systematic review and meta-analysis.World journal of emergency surgery : WJES · 2021Pooled it
- Evaluating performance and potential clinical benefit of the Swedish On Scene Injury Severity Prediction (OSISP) model for prehospital field triage on Norwegian trauma data.Scandinavian journal of trauma, resuscitation and emergency medicine · 2026Article
- Outcomes in austere trauma care: An analysis of patients transferred from scene compared to inter-hospital transfers.Transfusion · 2026Article
- Criteria for the qualification of geriatric patients to the trauma center.World journal of emergency surgery : WJES · 2026Article
- Impact of Admission Route on In-Hospital Mortality in Patients with Traumatic Brain Injury: A Retrospective Observational Study of a Single Major Trauma Center in South Korea.Journal of clinical medicine · 2026Article
- Decision Trees for Managing Impaired Physical Mobility in Multiple Trauma Patients.Journal of advanced nursing · 2026Article
- Trends in low-energy mechanisms of injury at the regional trauma center in Stockholm, Sweden during 2014-2023.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026Article
- Higher hospital level does not improve 30-day survival after road traffic accidents.Scientific reports · 2025Article
- Trauma center level and postoperative mortality: a nationwide cohort study from South Korea.Scientific reports · 2025Article
- High trauma mortality and severe injury burden in Pakistan: epidemiology, surgical interventions, and in-hospital care from a digital hospital-based trauma registry.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025Article
- Adult trauma centers in Poland: where do we stand?International journal of emergency medicine · 2025Article
- Impact of Qualified Trauma Center Implementation on Mortality From Severe Trauma in Korea: A Retrospective Cohort Study.Journal of Korean medical science · 2025Article
- Undertriage in geriatric trauma: insights from a multicentre cohort study.Scandinavian journal of trauma, resuscitation and emergency medicine · 2025Observational
- Trauma center vs. nearest non-trauma center: direct transport or bypass approach for out-of-hospital traumatic cardiac arrest.Scandinavian journal of trauma, resuscitation and emergency medicine · 2025Article
- Enhancing Trauma Care in Tertiary Hospitals: Addressing Gaps and Pathways to Improvement.Emergency medicine international · 2025Article
- Coagulation biomarkers as predictors of transfusion outcomes in trauma patients.American journal of translational research · 2025Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveThe main objective was to compare the 30-day mortality rate of trauma patients treated at trauma centers as compared to non-trauma centers in Sweden. The secondary objective was to evaluate how injury severity influences the potential survival benefit of specialized care.
methodsThis retrospective study included 29,864 patients from the national Swedish Trauma Registry (SweTrau) during the period 2013-2017. Three sampling exclusion criteria were applied: (1) Injury Severity Score (ISS) of zero; (2) missing data in any variable of interest; (3) data falling outside realistic values and duplicate registrations. University hospitals were classified as trauma centers; other hospitals as non-trauma centers. Logistic regression was used to analyze the effect of trauma center care on mortality rate, while adjusting for other factors potentially affecting the risk of death.
resultsTreatment at a trauma center in Sweden was associated with a 41% lower adjusted 30-day mortality (odds ratio 0.59 [0.50-0.70], p < 0.0001) compared to non-trauma center care, considering all injured patients (ISS ≥ 1). The potential survival benefit increased substantially with higher injury severity, with up to > 70% mortality decrease for the most critically injured group (ISS ≥ 50).
conclusionsThere exists a potentially substantial survival benefit for trauma patients treated at trauma centers in Sweden, especially for the most severely injured. This study motivates a critical review and possible reorganization of the national trauma system, and further research to identify the characteristics of patients in most need of specialized care.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.