Factors associated with discharge destination from acute care after moderate-to-severe traumatic injuries in Norway: a prospective population-based study
Background Previous studies have demonstrated that the trauma population has needs for rehabilitation services that are best provided in a continuous and coordinated way. The discharge destination after acute care is the second step to ensuring quality of care. There is a lack of knowledge regarding...
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fthsosloakersoda:oai:oda.oslomet.no:11250/3081919 2023-08-27T04:11:11+02:00 Factors associated with discharge destination from acute care after moderate-to-severe traumatic injuries in Norway: a prospective population-based study Moksnes, Håkon Øgreid Schäfer, Christoph Rasmussen, Mari Storli Søberg, Helene L. Røise, Olav Anke, Audny Gabriele Wagner Røe, Cecilie Næss, Pål Aksel Gaarder, Aslaug Christine Helseth, Eirik DAHL, HILDE MARGRETE Hestnes, Morten Brunborg, Cathrine Andelic, Nada Hellstrøm, Torgeir 2023-06-27T09:27:06Z application/pdf https://hdl.handle.net/11250/3081919 https://doi.org/10.1186/s40621-023-00431-y eng eng Injury Epidemiology. 2023, 10 . urn:issn:2197-1714 https://hdl.handle.net/11250/3081919 https://doi.org/10.1186/s40621-023-00431-y cristin:2158306 Navngivelse 4.0 Internasjonal http://creativecommons.org/licenses/by/4.0/deed.no Injury Epidemiology 10 0 Peer reviewed Journal article 2023 fthsosloakersoda https://doi.org/10.1186/s40621-023-00431-y 2023-08-02T22:39:41Z Background Previous studies have demonstrated that the trauma population has needs for rehabilitation services that are best provided in a continuous and coordinated way. The discharge destination after acute care is the second step to ensuring quality of care. There is a lack of knowledge regarding the factors associated with the discharge destination for the overall trauma population. This paper aims to identify sociodemographic, geographical, and injury-related factors associated with discharge destination following acute care at trauma centers for patients with moderate-to-severe traumatic injuries. Methods A multicenter, population-based, prospective study was conducted with patients of all ages with traumatic injury [New Injury Severity Score (NISS) > 9] admitted within 72 h after the injury to regional trauma centers in south-eastern and northern Norway over a 1-year period (2020). Results In total, 601 patients were included; a majority (76%) sustained severe injuries, and 22% were discharged directly to specialized rehabilitation. Children were primarily discharged home, and most of the patients ≥ 65 years to their local hospital. Depending on the centrality of their residence [Norwegian Centrality Index (NCI) 1–6, where 1 is most central], we found that patients residing in NCI 3–4 and 5–6 areas sustained more severe injuries than patients residing in NCI 1–2 areas. An increase in the NISS, number of injuries, or a spinal injury with an Abbreviated Injury Scale (AIS) ≥ 3 was associated with discharge to local hospitals and specialized rehabilitation than to home. Patients with an AIS ≥ 3 head injury (RRR 6.1, 95% Confidence interval 2.80–13.38) were significantly more likely to be discharged to specialized rehabilitation than patients with a less severe head injury. Age < 18 years was negatively associated with discharge to a local hospital, while NCI 3–4, preinjury comorbidity, and increased severity of injuries in the lower extremities were positively associated. publishedVersion Article in Journal/Newspaper Northern Norway OsloMet (Oslo Metropolitan University): ODA (Open Digital Archive) Norway Injury Epidemiology 10 1 |
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OsloMet (Oslo Metropolitan University): ODA (Open Digital Archive) |
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fthsosloakersoda |
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English |
description |
Background Previous studies have demonstrated that the trauma population has needs for rehabilitation services that are best provided in a continuous and coordinated way. The discharge destination after acute care is the second step to ensuring quality of care. There is a lack of knowledge regarding the factors associated with the discharge destination for the overall trauma population. This paper aims to identify sociodemographic, geographical, and injury-related factors associated with discharge destination following acute care at trauma centers for patients with moderate-to-severe traumatic injuries. Methods A multicenter, population-based, prospective study was conducted with patients of all ages with traumatic injury [New Injury Severity Score (NISS) > 9] admitted within 72 h after the injury to regional trauma centers in south-eastern and northern Norway over a 1-year period (2020). Results In total, 601 patients were included; a majority (76%) sustained severe injuries, and 22% were discharged directly to specialized rehabilitation. Children were primarily discharged home, and most of the patients ≥ 65 years to their local hospital. Depending on the centrality of their residence [Norwegian Centrality Index (NCI) 1–6, where 1 is most central], we found that patients residing in NCI 3–4 and 5–6 areas sustained more severe injuries than patients residing in NCI 1–2 areas. An increase in the NISS, number of injuries, or a spinal injury with an Abbreviated Injury Scale (AIS) ≥ 3 was associated with discharge to local hospitals and specialized rehabilitation than to home. Patients with an AIS ≥ 3 head injury (RRR 6.1, 95% Confidence interval 2.80–13.38) were significantly more likely to be discharged to specialized rehabilitation than patients with a less severe head injury. Age < 18 years was negatively associated with discharge to a local hospital, while NCI 3–4, preinjury comorbidity, and increased severity of injuries in the lower extremities were positively associated. publishedVersion |
format |
Article in Journal/Newspaper |
author |
Moksnes, Håkon Øgreid Schäfer, Christoph Rasmussen, Mari Storli Søberg, Helene L. Røise, Olav Anke, Audny Gabriele Wagner Røe, Cecilie Næss, Pål Aksel Gaarder, Aslaug Christine Helseth, Eirik DAHL, HILDE MARGRETE Hestnes, Morten Brunborg, Cathrine Andelic, Nada Hellstrøm, Torgeir |
spellingShingle |
Moksnes, Håkon Øgreid Schäfer, Christoph Rasmussen, Mari Storli Søberg, Helene L. Røise, Olav Anke, Audny Gabriele Wagner Røe, Cecilie Næss, Pål Aksel Gaarder, Aslaug Christine Helseth, Eirik DAHL, HILDE MARGRETE Hestnes, Morten Brunborg, Cathrine Andelic, Nada Hellstrøm, Torgeir Factors associated with discharge destination from acute care after moderate-to-severe traumatic injuries in Norway: a prospective population-based study |
author_facet |
Moksnes, Håkon Øgreid Schäfer, Christoph Rasmussen, Mari Storli Søberg, Helene L. Røise, Olav Anke, Audny Gabriele Wagner Røe, Cecilie Næss, Pål Aksel Gaarder, Aslaug Christine Helseth, Eirik DAHL, HILDE MARGRETE Hestnes, Morten Brunborg, Cathrine Andelic, Nada Hellstrøm, Torgeir |
author_sort |
Moksnes, Håkon Øgreid |
title |
Factors associated with discharge destination from acute care after moderate-to-severe traumatic injuries in Norway: a prospective population-based study |
title_short |
Factors associated with discharge destination from acute care after moderate-to-severe traumatic injuries in Norway: a prospective population-based study |
title_full |
Factors associated with discharge destination from acute care after moderate-to-severe traumatic injuries in Norway: a prospective population-based study |
title_fullStr |
Factors associated with discharge destination from acute care after moderate-to-severe traumatic injuries in Norway: a prospective population-based study |
title_full_unstemmed |
Factors associated with discharge destination from acute care after moderate-to-severe traumatic injuries in Norway: a prospective population-based study |
title_sort |
factors associated with discharge destination from acute care after moderate-to-severe traumatic injuries in norway: a prospective population-based study |
publishDate |
2023 |
url |
https://hdl.handle.net/11250/3081919 https://doi.org/10.1186/s40621-023-00431-y |
geographic |
Norway |
geographic_facet |
Norway |
genre |
Northern Norway |
genre_facet |
Northern Norway |
op_source |
Injury Epidemiology 10 0 |
op_relation |
Injury Epidemiology. 2023, 10 . urn:issn:2197-1714 https://hdl.handle.net/11250/3081919 https://doi.org/10.1186/s40621-023-00431-y cristin:2158306 |
op_rights |
Navngivelse 4.0 Internasjonal http://creativecommons.org/licenses/by/4.0/deed.no |
op_doi |
https://doi.org/10.1186/s40621-023-00431-y |
container_title |
Injury Epidemiology |
container_volume |
10 |
container_issue |
1 |
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1775353712037855232 |