Evidence map›Paper›PMID 37798724›Full record

ArticleScandinavian journal of trauma, resuscitation and emergency medicine2023

Effect of urban vs. remote settings on prehospital time and mortality in trauma patients in Norway: a national population-based study.

Inger Marie Waal Nilsbakken, Mathias Cuevas-Østrem, Torben Wisborg, Stephen Sollid, Elisabeth Jeppesen

Abstract read
In one paragraph

Article in Scandinavian journal of trauma, resuscitation and emergency medicine, 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
–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

7 citing papers in PubMed.

  1. Article
  2. Prehospital times and outcomes for hypotensive trauma patients in Sweden.Scandinavian journal of trauma, resuscitation and emergency medicine · 2026
    Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Review
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

5 authors.

Inger Marie Waal NilsbakkenDepartment of Research, Norwegian Air Ambulance Foundation, Oslo, Norway. inger.nilsbakken@norskluftambulanse.no.ORCID http://orcid.org/0000-0001-9184-429X
Mathias Cuevas-ØstremDepartment of Research, Norwegian Air Ambulance Foundation, Oslo, Norway.
Torben WisborgInterprofessional rural research team - Finnmark, Faculty of Health Sciences, University of Tromsø - the Arctic University of Norway, Tromsø, Norway.
Stephen SollidPrehospital Division, Oslo University Hospital, Oslo, Norway.
Elisabeth JeppesenFaculty of Health Sciences, University of Stavanger, Stavanger, Norway.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNorway has a diverse population pattern and often long transport distances from injury sites to hospitals. Also, previous studies have found an increased risk of trauma-related mortality in remote areas in Norway. Studies on urban vs. remote differences on trauma outcomes from other countries are sparse and they report conflicting results.The aim of the present study was to investigate differences in prehospital time intervals in urban and remote areas in Norway and assess how prehospital time and urban vs. remote settings were associated with mortality in the Norwegian trauma population.

methodsWe performed a population-based study of trauma cases included in the Norwegian Trauma Registry from 2015 to 2020. 28,988 patients met the inclusion criteria. Differences in study population characteristics and prehospital time intervals (response time, on-scene time and transport time) were analyzed. The Norwegian Centrality Index score was used for urban vs. remote classification. Descriptive statistics and relevant non-parametric tests with effect size measurements were used. A binary logistic regression model, adjusted for confounding factors, was performed.

resultsThe prehospital time intervals increased significantly from urban to remote areas.Adjusted for control variables we found a significant relationship between prolonged on-scene time and higher odds of mortality. Also, suburban areas compared with remote areas were associated with higher odds of mortality.

conclusionIn this nationwide study comparing prehospital time intervals in urban and remote areas, we found that prehospital time intervals in remote areas exceeded those in urban areas. Prolonged on-scene time was found to be associated with higher odds of mortality, but remoteness itself was not.

Indexed as

Emergency Medical ServicesWounds and InjuriesHospitalsHumansInjury Severity ScoreLogistic ModelsNorwayRetrospective StudiesTime FactorsTrauma CentersEmergency medicineEpidemiologyPrehospital careQuality of healthcareTraumaTrauma registries

Identifiers

PMID37798724
PMCPMC10557189

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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.