Evidence map›Paper›PMID 37256689›Full record

ArticleScandinavian journal of primary health care2023

Primary care doctors in acute call-outs to severe trauma incidents in Norway - associations with factors related to patients and doctors.

Kristian Rikstad Myklevoll, Erik Zakariassen, Tone Morken, Valborg Baste, Jesper Blinkenberg, Gunnar Tschudi Bondevik

Abstract read
In one paragraph

Article in Scandinavian journal of primary health care, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

6 authors.

Kristian Rikstad MyklevollSection for General Practice, Department of Global Public Health and Primary Care, University of Bergen, Norway.
Erik ZakariassenSection for General Practice, Department of Global Public Health and Primary Care, University of Bergen, Norway.
Tone MorkenNational Centre for Emergency Primary Health Care, NORCE Norwegian Research Centre, Bergen, Norway.
Valborg BasteNational Centre for Emergency Primary Health Care, NORCE Norwegian Research Centre, Bergen, Norway.
Jesper BlinkenbergNational Centre for Emergency Primary Health Care, NORCE Norwegian Research Centre, Bergen, Norway.
Gunnar Tschudi BondevikSection for General Practice, Department of Global Public Health and Primary Care, University of Bergen, Norway.ORCID 0000-0002-5292-2774

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveSevere trauma patients need immediate prehospital intervention and transfer to a specialised trauma hospital. In Norway, primary care doctors (PCDs) are an integrated part of the prehospital trauma care. The aim of this study was to investigate the degree to which PCDs were involved in prehospital care of severe trauma patients and how factors related to patients and doctors were associated with call-outs to these incidents.

designThis was a registry-based study in Norway on severe trauma patients with acute hospital admission during the period 2012-2018.

settingData was obtained from three Norwegian official registries. SUBJECTS: By linking the registries, we studied the actions taken by the PCDs, whether they called out to severe trauma incidents.

main outcome measuresIn multivariable regression models, we investigated whether factors related to the PCDs (age, sex, specialisation in general practice (GP)) and patients (age, sex, duration of hospital stay, type of injury) were associated with call-outs.

resultsOut of 4342 severe trauma incidents, PCDs had documented involvement in 1683 (39%) and called out to 644 (15%). Increased proportions of PCD call-outs to severe trauma incidents were significantly associated with lower age of PCD, being a GP specialist, lower patient age, being a male patient, increased length of hospital stay and injuries to the head and the neck.

conclusionsPCDs called out to a relatively low proportion of severe trauma patients. Several factors related to patients and doctors were associated with call-outs to severe trauma incidents in Norway.

Indexed as

Emergency Medical ServicesGeneral PracticePhysiciansHospitalizationHumansMaleNorwayPrimary Health Carecasualty clinicNorwayout-of-hours carePrehospital emergency careprimary care doctortrauma care systems

Identifiers

PMID37256689
PMCPMC10478583

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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.