Increased risk of fatal paediatric injuries in rural Northern Norway
BACKGROUND: Finnmark, Northern Norway, had a mortality rate for paediatric injury in 1998‐2007 that was more than twice the national average. We investigated whether this rate had decreased in 2008‐2015 after improvements in emergency care. We also compared the mortality rate to rates of non‐fatal i...
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ftpubmed:oai:pubmedcentral.nih.gov:6767509 2023-05-15T16:13:32+02:00 Increased risk of fatal paediatric injuries in rural Northern Norway Holter, June A. Wisborg, Torben 2019-05-09 http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6767509/ http://www.ncbi.nlm.nih.gov/pubmed/31074013 https://doi.org/10.1111/aas.13384 en eng John Wiley and Sons Inc. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6767509/ http://www.ncbi.nlm.nih.gov/pubmed/31074013 http://dx.doi.org/10.1111/aas.13384 © 2019 The Authors. Acta Anaesthesiologica Scandinavica published by John Wiley & Sons Ltd on behalf of Acta Anaesthesiologica Scandinavica Foundation. This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes. CC-BY-NC Emergency Medicine Text 2019 ftpubmed https://doi.org/10.1111/aas.13384 2019-10-06T00:45:19Z BACKGROUND: Finnmark, Northern Norway, had a mortality rate for paediatric injury in 1998‐2007 that was more than twice the national average. We investigated whether this rate had decreased in 2008‐2015 after improvements in emergency care. We also compared the mortality rate to rates of non‐fatal injury and trauma team activation both regionally and in Norway. METHODS: The study was based on 4 national registries. Mortality and injury rates were calculated per 100 000 persons per year. The study population was divided into age groups; 0‐5, 6‐10, 11‐15 and 16‐17 years. RESULTS: Between 1998‐2007 and 2008‐2015 there was an overall decrease in paediatric mortality rate due to external causes in Norway in total from 7.1 to 4.0. Despite this, in 2008‐2015, the mortality rate remained 2.5 times higher in Finnmark than in Norway (9.7, RR = 2.5 CI 1.4‐4.3, P = 0.001), similar to findings for 1998‐2007. Finnmark had half the rate of non‐fatal injuries in 1999‐2007 (5052, RR = 0.6, 95% CI 0.6‐0.7, P < 0.001) and in 2008‐2015 (3893, RR = 0.5, 95% CI 0.5‐0.6, P < 0.001) as in Norway. The rate of trauma team activation was similar in Finnmark and Norway. CONCLUSIONS: The risk of injury‐related death remained significantly higher, while the overall risk of non‐fatal injury was significantly reduced for children in rural Northern Norway. Thus, injuries in this rural area seem to be less frequent but more severe. There is a need for detailed examination of each death to determine possible preventive measures. Text Finnmark Northern Norway Finnmark PubMed Central (PMC) Norway Acta Anaesthesiologica Scandinavica 63 8 1089 1094 |
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PubMed Central (PMC) |
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English |
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Emergency Medicine |
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Emergency Medicine Holter, June A. Wisborg, Torben Increased risk of fatal paediatric injuries in rural Northern Norway |
topic_facet |
Emergency Medicine |
description |
BACKGROUND: Finnmark, Northern Norway, had a mortality rate for paediatric injury in 1998‐2007 that was more than twice the national average. We investigated whether this rate had decreased in 2008‐2015 after improvements in emergency care. We also compared the mortality rate to rates of non‐fatal injury and trauma team activation both regionally and in Norway. METHODS: The study was based on 4 national registries. Mortality and injury rates were calculated per 100 000 persons per year. The study population was divided into age groups; 0‐5, 6‐10, 11‐15 and 16‐17 years. RESULTS: Between 1998‐2007 and 2008‐2015 there was an overall decrease in paediatric mortality rate due to external causes in Norway in total from 7.1 to 4.0. Despite this, in 2008‐2015, the mortality rate remained 2.5 times higher in Finnmark than in Norway (9.7, RR = 2.5 CI 1.4‐4.3, P = 0.001), similar to findings for 1998‐2007. Finnmark had half the rate of non‐fatal injuries in 1999‐2007 (5052, RR = 0.6, 95% CI 0.6‐0.7, P < 0.001) and in 2008‐2015 (3893, RR = 0.5, 95% CI 0.5‐0.6, P < 0.001) as in Norway. The rate of trauma team activation was similar in Finnmark and Norway. CONCLUSIONS: The risk of injury‐related death remained significantly higher, while the overall risk of non‐fatal injury was significantly reduced for children in rural Northern Norway. Thus, injuries in this rural area seem to be less frequent but more severe. There is a need for detailed examination of each death to determine possible preventive measures. |
format |
Text |
author |
Holter, June A. Wisborg, Torben |
author_facet |
Holter, June A. Wisborg, Torben |
author_sort |
Holter, June A. |
title |
Increased risk of fatal paediatric injuries in rural Northern Norway |
title_short |
Increased risk of fatal paediatric injuries in rural Northern Norway |
title_full |
Increased risk of fatal paediatric injuries in rural Northern Norway |
title_fullStr |
Increased risk of fatal paediatric injuries in rural Northern Norway |
title_full_unstemmed |
Increased risk of fatal paediatric injuries in rural Northern Norway |
title_sort |
increased risk of fatal paediatric injuries in rural northern norway |
publisher |
John Wiley and Sons Inc. |
publishDate |
2019 |
url |
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6767509/ http://www.ncbi.nlm.nih.gov/pubmed/31074013 https://doi.org/10.1111/aas.13384 |
geographic |
Norway |
geographic_facet |
Norway |
genre |
Finnmark Northern Norway Finnmark |
genre_facet |
Finnmark Northern Norway Finnmark |
op_relation |
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6767509/ http://www.ncbi.nlm.nih.gov/pubmed/31074013 http://dx.doi.org/10.1111/aas.13384 |
op_rights |
© 2019 The Authors. Acta Anaesthesiologica Scandinavica published by John Wiley & Sons Ltd on behalf of Acta Anaesthesiologica Scandinavica Foundation. This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes. |
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CC-BY-NC |
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https://doi.org/10.1111/aas.13384 |
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Acta Anaesthesiologica Scandinavica |
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63 |
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8 |
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1089 |
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1094 |
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