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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ftoslouniv:oai:www.duo.uio.no:10852/101942 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 Ø. Schäfer, Christoph Rasmussen, Mari S. Søberg, Helene L. Røise, Olav Anke, Audny Røe, Cecilie Næss, Pål A. Gaarder, Christine Helseth, Eirik Dahl, Hilde M. Hestnes, Morten Brunborg, Cathrine Andelic, Nada Hellstrøm, Torgeir 2023 http://hdl.handle.net/10852/101942 https://doi.org/10.1186/s40621-023-00431-y eng eng Injury Epidemiology. 2023 Apr 13;10(1):20 http://hdl.handle.net/10852/101942 2158306 https://doi.org/10.1186/s40621-023-00431-y The Author(s); licensee BioMed Central Ltd. Attribution 4.0 International http://creativecommons.org/licenses/by/4.0/ Journal article Tidsskriftartikkel Peer reviewed PublishedVersion 2023 ftoslouniv https://doi.org/10.1186/s40621-023-00431-y 2023-08-09T22:38:51Z 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 southeastern 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. Conclusions Two-thirds of the ... Article in Journal/Newspaper Northern Norway Universitet i Oslo: Digitale utgivelser ved UiO (DUO) Norway Injury Epidemiology 10 1 |
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Universitet i Oslo: Digitale utgivelser ved UiO (DUO) |
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ftoslouniv |
language |
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 southeastern 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. Conclusions Two-thirds of the ... |
format |
Article in Journal/Newspaper |
author |
Moksnes, Håkon Ø. Schäfer, Christoph Rasmussen, Mari S. Søberg, Helene L. Røise, Olav Anke, Audny Røe, Cecilie Næss, Pål A. Gaarder, Christine Helseth, Eirik Dahl, Hilde M. Hestnes, Morten Brunborg, Cathrine Andelic, Nada Hellstrøm, Torgeir |
spellingShingle |
Moksnes, Håkon Ø. Schäfer, Christoph Rasmussen, Mari S. Søberg, Helene L. Røise, Olav Anke, Audny Røe, Cecilie Næss, Pål A. Gaarder, Christine Helseth, Eirik Dahl, Hilde M. 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 Ø. Schäfer, Christoph Rasmussen, Mari S. Søberg, Helene L. Røise, Olav Anke, Audny Røe, Cecilie Næss, Pål A. Gaarder, Christine Helseth, Eirik Dahl, Hilde M. Hestnes, Morten Brunborg, Cathrine Andelic, Nada Hellstrøm, Torgeir |
author_sort |
Moksnes, Håkon Ø. |
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 |
http://hdl.handle.net/10852/101942 https://doi.org/10.1186/s40621-023-00431-y |
geographic |
Norway |
geographic_facet |
Norway |
genre |
Northern Norway |
genre_facet |
Northern Norway |
op_relation |
Injury Epidemiology. 2023 Apr 13;10(1):20 http://hdl.handle.net/10852/101942 2158306 https://doi.org/10.1186/s40621-023-00431-y |
op_rights |
The Author(s); licensee BioMed Central Ltd. Attribution 4.0 International http://creativecommons.org/licenses/by/4.0/ |
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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1775353710725038080 |