Short-term outcome and differences between rural and urban trauma patients treated by mobile intensive care units in Northern Finland: a retrospective analysis
Abstract Background Emergency medical services are an important part of trauma care, but data comparing urban and rural areas is needed. We compared 30-day mortality and length of intensive care unit (ICU) stay for trauma patients injured in rural and urban municipalities and collected basic data on...
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ftbiomed:oai:biomedcentral.com:s13049-015-0175-2 2023-05-15T17:42:25+02:00 Short-term outcome and differences between rural and urban trauma patients treated by mobile intensive care units in Northern Finland: a retrospective analysis Raatiniemi, Lasse Liisanantti, Janne Niemi, Suvi Nal, Heini Ohtonen, Pasi Antikainen, Harri Martikainen, Matti Alahuhta, Seppo 2015-11-05 http://www.sjtrem.com/content/23/1/91 en eng BioMed Central Ltd. http://www.sjtrem.com/content/23/1/91 Copyright 2015 Raatiniemi et al. Emergency medical services Helicopter Rural Urban Finland Original research 2015 ftbiomed 2015-11-08T01:10:26Z Abstract Background Emergency medical services are an important part of trauma care, but data comparing urban and rural areas is needed. We compared 30-day mortality and length of intensive care unit (ICU) stay for trauma patients injured in rural and urban municipalities and collected basic data on trauma care in Northern Finland. Methods We examined data from all trauma patients treated by the Finnish Helicopter Emergency Medical Services in 2012 and 2013. Only patients surviving to hospital were included in the analysis but all pre-hospital deaths were recorded. All data was retrieved from the national Helicopter Emergency Medical Services database, medical records, and the Finnish Causes of Death Registry. Patients were defined as urban or rural depending on the type of municipality where the injury occurred. Results A total of 472 patients were included. Age and Injury Severity Score did not differ between rural and urban patients. The pre-hospital time intervals and distances to trauma centers were longer for rural patients and a larger proportion of urban patients had intentional injuries (23.5 % vs. 9.3 %, P <0.001). The 30-day mortality for severely injured patients (Injury Severity Score >15) was 23.9 % in urban and 13.3 % in rural municipalities. In the multivariate regression analysis the odds ratio (OR) for 30-day mortality was 2.8 (95 % confidence interval 1.0 to 7.9, P = 0.05) in urban municipalities. There was no difference in the length of ICU stay or scores. Twenty patients died on scene or during transportation and 56 missions were aborted because of pre-hospital death. Conclusions The severely injured urban trauma patients had a trend toward higher 30-day mortality compared with patients injured in rural areas but the length of ICU stay was similar. However, more pre-hospital deaths occurred in rural municipalities. The time before mobile ICU arrival appears to be critical for trauma patients’ survival, especially in rural areas. Other/Unknown Material Northern Finland BioMed Central |
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English |
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Emergency medical services Helicopter Rural Urban Finland |
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Emergency medical services Helicopter Rural Urban Finland Raatiniemi, Lasse Liisanantti, Janne Niemi, Suvi Nal, Heini Ohtonen, Pasi Antikainen, Harri Martikainen, Matti Alahuhta, Seppo Short-term outcome and differences between rural and urban trauma patients treated by mobile intensive care units in Northern Finland: a retrospective analysis |
topic_facet |
Emergency medical services Helicopter Rural Urban Finland |
description |
Abstract Background Emergency medical services are an important part of trauma care, but data comparing urban and rural areas is needed. We compared 30-day mortality and length of intensive care unit (ICU) stay for trauma patients injured in rural and urban municipalities and collected basic data on trauma care in Northern Finland. Methods We examined data from all trauma patients treated by the Finnish Helicopter Emergency Medical Services in 2012 and 2013. Only patients surviving to hospital were included in the analysis but all pre-hospital deaths were recorded. All data was retrieved from the national Helicopter Emergency Medical Services database, medical records, and the Finnish Causes of Death Registry. Patients were defined as urban or rural depending on the type of municipality where the injury occurred. Results A total of 472 patients were included. Age and Injury Severity Score did not differ between rural and urban patients. The pre-hospital time intervals and distances to trauma centers were longer for rural patients and a larger proportion of urban patients had intentional injuries (23.5 % vs. 9.3 %, P <0.001). The 30-day mortality for severely injured patients (Injury Severity Score >15) was 23.9 % in urban and 13.3 % in rural municipalities. In the multivariate regression analysis the odds ratio (OR) for 30-day mortality was 2.8 (95 % confidence interval 1.0 to 7.9, P = 0.05) in urban municipalities. There was no difference in the length of ICU stay or scores. Twenty patients died on scene or during transportation and 56 missions were aborted because of pre-hospital death. Conclusions The severely injured urban trauma patients had a trend toward higher 30-day mortality compared with patients injured in rural areas but the length of ICU stay was similar. However, more pre-hospital deaths occurred in rural municipalities. The time before mobile ICU arrival appears to be critical for trauma patients’ survival, especially in rural areas. |
format |
Other/Unknown Material |
author |
Raatiniemi, Lasse Liisanantti, Janne Niemi, Suvi Nal, Heini Ohtonen, Pasi Antikainen, Harri Martikainen, Matti Alahuhta, Seppo |
author_facet |
Raatiniemi, Lasse Liisanantti, Janne Niemi, Suvi Nal, Heini Ohtonen, Pasi Antikainen, Harri Martikainen, Matti Alahuhta, Seppo |
author_sort |
Raatiniemi, Lasse |
title |
Short-term outcome and differences between rural and urban trauma patients treated by mobile intensive care units in Northern Finland: a retrospective analysis |
title_short |
Short-term outcome and differences between rural and urban trauma patients treated by mobile intensive care units in Northern Finland: a retrospective analysis |
title_full |
Short-term outcome and differences between rural and urban trauma patients treated by mobile intensive care units in Northern Finland: a retrospective analysis |
title_fullStr |
Short-term outcome and differences between rural and urban trauma patients treated by mobile intensive care units in Northern Finland: a retrospective analysis |
title_full_unstemmed |
Short-term outcome and differences between rural and urban trauma patients treated by mobile intensive care units in Northern Finland: a retrospective analysis |
title_sort |
short-term outcome and differences between rural and urban trauma patients treated by mobile intensive care units in northern finland: a retrospective analysis |
publisher |
BioMed Central Ltd. |
publishDate |
2015 |
url |
http://www.sjtrem.com/content/23/1/91 |
genre |
Northern Finland |
genre_facet |
Northern Finland |
op_relation |
http://www.sjtrem.com/content/23/1/91 |
op_rights |
Copyright 2015 Raatiniemi et al. |
_version_ |
1766144270579793920 |