Evidence map›Paper›PMID 38926855›Full record

ArticleBMC emergency medicine2024

Primary care doctors in acute call-outs to severe trauma incidents in Norway - variations by rural-urban settings and time factors.

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

Abstract read
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In one paragraph

Article in BMC emergency medicine, 2024. 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, Postbox 7804, Bergen, N-5020, Norway. krmy@norceresearch.no.
Erik ZakariassenSection for General Practice, Department of Global Public Health and Primary Care, University of Bergen, Postbox 7804, Bergen, N-5020, Norway.
Tone MorkenNational Centre for Emergency Primary Health Care, NORCE Norwegian Research Centre, Postbox 22 Nygårdstangen, Bergen, N-5838, Norway.
Valborg BasteNational Centre for Emergency Primary Health Care, NORCE Norwegian Research Centre, Postbox 22 Nygårdstangen, Bergen, N-5838, Norway.
Jesper BlinkenbergNational Centre for Emergency Primary Health Care, NORCE Norwegian Research Centre, Postbox 22 Nygårdstangen, Bergen, N-5838, Norway.
Gunnar Tschudi BondevikSection for General Practice, Department of Global Public Health and Primary Care, University of Bergen, Postbox 7804, Bergen, N-5020, Norway.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundA severely injured patient needs fast transportation to a hospital that can provide definitive care. In Norway, approximately 20% of the population live in rural areas. Primary care doctors (PCDs) play an important role in prehospital trauma care. The aim of this study was to investigate how variations in PCD call-outs to severe trauma incidents in Norway were associated with rural-urban settings and time factors.

methodsIn this study on severe trauma patients admitted to Norwegian hospitals from 2012 to 2018, we linked data from four official Norwegian registries. Through this, we investigated the call-out responses of PCDs to severe trauma incidents. In multivariable log-binomial regression models, we investigated whether factors related to rural-urban settings and time factors were associated with PCD call-outs.

resultsThere was a significantly higher probability of PCD call-outs to severe trauma incidents in the municipalities in the four most rural centrality categories compared to the most urban category. The largest difference in adjusted relative risk (95% confidence interval (CI)) was 2.08 (1.27-3.41) for centrality category four. PCDs had a significantly higher proportion of call-outs in the Western (RR = 1.46 (1.23-1.73)) and Central Norway (RR = 1.30 (1.08-1.58)) Regional Health Authority areas compared to in the South-Eastern area. We observed a large variation (0.47 to 4.71) in call-out rates to severe trauma incidents per 100,000 inhabitants per year across the 16 Emergency Medical Communication Centre areas in Norway.

conclusionsCentrality affects the proportion of PCD call-outs to severe trauma incidents, and call-out rates were higher in rural than in urban areas. We found no significant difference in call-out rates according to time factors. Possible consequences of these findings should be further investigated.

Indexed as

Wounds and InjuriesAdolescentAdultAgedEmergency Medical ServicesFemaleHumansMaleMiddle AgedNorwayPhysicians, Primary CareRegistriesRural Health ServicesRural PopulationTime FactorsYoung AdultAdvanced trauma life support careEmergency medical servicesNorwayOut-of-hours medical carePrimary health careRural health serviceTriage

Identifiers

PMID38926855
PMCPMC11209977

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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.