Evidence map›Paper›PMID 37055808›Full record

ArticleInjury epidemiology2023

Factors associated with discharge destination from acute care after moderate-to-severe traumatic injuries in Norway: a prospective population-based study.

Håkon Øgreid Moksnes, Christoph Schäfer, Mari Storli Rasmussen, Helene Lundgaard Søberg, Olav Røise, Audny Anke, Cecilie Røe, Pål Aksel Næss, Christine Gaarder, Eirik Helseth and 5 more

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Injury epidemiology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
7.6field-weighted citation impact, top 2% of its field
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

7 citing papers in PubMed, 22 citations in OpenAlex.

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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

15 authors at 2 institutions in 2 countries.

Håkon Øgreid MoksnesDepartment of Physical Medicine and Rehabilitation, Oslo University Hospital, P.O. Box 4956, Nydalen, 0424, Oslo, Norway. hakmok@ous-hf.no.ORCID http://orcid.org/0000-0001-5688-2338
Christoph SchäferDepartment of Physical Medicine and Rehabilitation, Oslo University Hospital, P.O. Box 4956, Nydalen, 0424, Oslo, Norway.
Mari Storli RasmussenDepartment of Physical Medicine and Rehabilitation, Oslo University Hospital, P.O. Box 4956, Nydalen, 0424, Oslo, Norway.
Helene Lundgaard SøbergDepartment of Physical Medicine and Rehabilitation, Oslo University Hospital, P.O. Box 4956, Nydalen, 0424, Oslo, Norway.
Olav RøiseNorwegian Trauma Registry, Division of Orthopaedic Surgery, Oslo University Hospital, P.O. Box 4956, Nydalen, 0424, Oslo, Norway.
Audny AnkeFaculty of Medicine, Research Centre for Habilitation and Rehabilitation Models and Services (CHARM), Institute of Health and Society, University of Oslo, P.O. Box 1072, Blindern, 0316, Oslo, Norway.
Cecilie RøeDepartment of Physical Medicine and Rehabilitation, Oslo University Hospital, P.O. Box 4956, Nydalen, 0424, Oslo, Norway.
Pål Aksel NæssFaculty of Medicine, Institute of Clinical Medicine, University of Oslo, P.O. Box 1072, Blindern, 0316, Oslo, Norway.
Christine GaarderFaculty of Medicine, Institute of Clinical Medicine, University of Oslo, P.O. Box 1072, Blindern, 0316, Oslo, Norway.
Eirik HelsethFaculty of Medicine, Institute of Clinical Medicine, University of Oslo, P.O. Box 1072, Blindern, 0316, Oslo, Norway.
Hilde Margrete DahlFaculty of Medicine, Institute of Clinical Medicine, University of Oslo, P.O. Box 1072, Blindern, 0316, Oslo, Norway.
Morten HestnesDivision of Emergencies and Critical Care, Department of Research and Development, Oslo University Hospital, P.O. Box 4956, Nydalen, 0424, Oslo, Norway.
Cathrine BrunborgOslo Centre for Biostatistics and Epidemiology, Research Support Services, Oslo University Hospital, P.O. Box 4956, Nydalen, 0424, Oslo, Norway.
Nada AndelicDepartment of Physical Medicine and Rehabilitation, Oslo University Hospital, P.O. Box 4956, Nydalen, 0424, Oslo, Norway.
Torgeir HellstrømDepartment of Physical Medicine and Rehabilitation, Oslo University Hospital, P.O. Box 4956, Nydalen, 0424, Oslo, Norway.
Oslo University Hospital · NOUniversity Hospital of North Norway · NO

Funding

Helse Sør-Øst RHF 2019043
6 · The paper itself

Abstract

backgroundPrevious studies have demonstrated that the trauma population has needs for rehabilitation services that are best provided in a continuous and coordinated way. The discharge destination after acute care is the second step to ensuring quality of care. There is a lack of knowledge regarding the factors associated with the discharge destination for the overall trauma population. This paper aims to identify sociodemographic, geographical, and injury-related factors associated with discharge destination following acute care at trauma centers for patients with moderate-to-severe traumatic injuries.

methodsA multicenter, population-based, prospective study was conducted with patients of all ages with traumatic injury [New Injury Severity Score (NISS) > 9] admitted within 72 h after the injury to regional trauma centers in southeastern and northern Norway over a 1-year period (2020).

resultsIn total, 601 patients were included; a majority (76%) sustained severe injuries, and 22% were discharged directly to specialized rehabilitation. Children were primarily discharged home, and most of the patients ≥ 65 years to their local hospital. Depending on the centrality of their residence [Norwegian Centrality Index (NCI) 1-6, where 1 is most central], we found that patients residing in NCI 3-4 and 5-6 areas sustained more severe injuries than patients residing in NCI 1-2 areas. An increase in the NISS, number of injuries, or a spinal injury with an Abbreviated Injury Scale (AIS) ≥ 3 was associated with discharge to local hospitals and specialized rehabilitation than to home. Patients with an AIS ≥ 3 head injury (RRR 6.1, 95% Confidence interval 2.80-13.38) were significantly more likely to be discharged to specialized rehabilitation than patients with a less severe head injury. Age < 18 years was negatively associated with discharge to a local hospital, while NCI 3-4, preinjury comorbidity, and increased severity of injuries in the lower extremities were positively associated.

conclusionsTwo-thirds of the patients sustained severe traumatic injury, and 22% were discharged directly to specialized rehabilitation. Age, centrality of the residence, preinjury comorbidity, injury severity, length of hospital stay, and the number and specific types of injuries were factors that had the greatest influence on discharge destination.

Indexed as

Discharge destinationEpidemiologyMultiple injuryTraumaTrauma centerTraumatic injury

Identifiers

PMID37055808
PMCPMC10099012
OpenAlexW4365452716

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.