Evidence map›Paper›PMID 41580812›Full record

Observational studyScandinavian journal of trauma, resuscitation and emergency medicine2026

Geographic distribution of EMS missions and patient conditions in suburban and rural Sweden: a retrospective observational study.

David Summermatter, Hans Blomberg, Henrik Aldén, Björn Äng, Anneli Strömsöe

Abstract readObservational Study
In one paragraph

Observational study in Scandinavian journal of trauma, resuscitation and emergency medicine, 2026. 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

5 authors.

David SummermatterSchool of Health and Welfare, Dalarna University, Falun, S-79188, Sweden. dsm@du.se.ORCID http://orcid.org/0000-0001-8901-4465
Hans BlombergUniversity of Uppsala, Uppsala, S-75310, Sweden.ORCID http://orcid.org/0000-0002-9277-2483
Henrik AldénRegional Development Administration, Region Dalarna, Falun, S-79129, Sweden.
Björn ÄngSchool of Health and Welfare, Dalarna University, Falun, S-79188, Sweden.ORCID http://orcid.org/0000-0001-7767-4589
Anneli StrömsöeSchool of Health and Welfare, Dalarna University, Falun, S-79188, Sweden.ORCID http://orcid.org/0000-0001-6885-991X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveSwedish emergency medical services (EMS) faces challenges due to increased demand and limited resources. In Sweden, EMS have experienced a general increase in workload, with longer response times, and limited access to and capacity of receiving facilities. The geographical distribution of EMS events remains unknown. The study aims to investigate the occurrence of EMS missions and assessment of patients' conditions by mapping and comparing the geographical distribution between a Swedish suburban and a rural setting. 

methodsA descriptive observational study assessed patient conditions and geographical distributions of EMS events in a medium-sized region in Sweden in 2018. Data was retrieved from ambulance medical records.

resultsEMS assessed 24,672 patients, of whom two-thirds had non-urgent conditions. Almost half of the patients were females, and the median age of all patients was 72 years. Suburban areas had a slightly higher proportion of urgent dispatch priority than rural areas, while patient contact times were considerably longer in rural areas. There were no notable differences in suburban versus rural areas regarding which conditions were most common. Overall, 29% of patients were left on-scene after EMS assessment. Rural units more often left patients on-scene compared with suburban units.

conclusionsOverall, the EMS events were broadly equal between suburban and rural areas. Despite longer transport and patient contact times in rural areas, response times were still similar. However, patients in rural areas are assessed and left on-site to a greater extent compared to patients in suburban areas, who are instead transported to hospitals for discharge.

trial registrationNot applicable.

Indexed as

Emergency Medical ServicesRural Health ServicesRural PopulationAdultAgedAged, 80 and overFemaleHumansMaleMiddle AgedRetrospective StudiesSwedenEmergency medical servicesGeographic information systemPatient careRemote consultationTelemedicineUrban health services

Identifiers

PMID41580812
PMCPMC12849069

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

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.