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...
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ftunivtroemsoe:oai:munin.uit.no:10037/17515 2023-05-15T16:13:32+02:00 Increased risk of fatal paediatric injuries in rural Northern Norway Holter, June Alette Wisborg, Torben 2019-05-09 https://hdl.handle.net/10037/17515 https://doi.org/10.1111/aas.13384 eng eng Wiley Acta Anaesthesiologica Scandinavica Holter JA, Wisborg TW. Increased risk of fatal paediatric injuries in rural Northern Norway. Acta Anaesthesiologica Scandinavica. 2019;63(8):1089-1094 FRIDAID 1738493 doi:10.1111/aas.13384 0001-5172 1399-6576 https://hdl.handle.net/10037/17515 openAccess Copyright 2019 The Author(s) VDP::Medical disciplines: 700 VDP::Medisinske Fag: 700 Journal article Tidsskriftartikkel Peer reviewed publishedVersion 2019 ftunivtroemsoe https://doi.org/10.1111/aas.13384 2021-06-25T17:57:06Z 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. Article in Journal/Newspaper Finnmark Northern Norway Finnmark University of Tromsø: Munin Open Research Archive Norway Acta Anaesthesiologica Scandinavica 63 8 1089 1094 |
institution |
Open Polar |
collection |
University of Tromsø: Munin Open Research Archive |
op_collection_id |
ftunivtroemsoe |
language |
English |
topic |
VDP::Medical disciplines: 700 VDP::Medisinske Fag: 700 |
spellingShingle |
VDP::Medical disciplines: 700 VDP::Medisinske Fag: 700 Holter, June Alette Wisborg, Torben Increased risk of fatal paediatric injuries in rural Northern Norway |
topic_facet |
VDP::Medical disciplines: 700 VDP::Medisinske Fag: 700 |
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 |
Article in Journal/Newspaper |
author |
Holter, June Alette Wisborg, Torben |
author_facet |
Holter, June Alette Wisborg, Torben |
author_sort |
Holter, June Alette |
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 |
Wiley |
publishDate |
2019 |
url |
https://hdl.handle.net/10037/17515 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 |
Acta Anaesthesiologica Scandinavica Holter JA, Wisborg TW. Increased risk of fatal paediatric injuries in rural Northern Norway. Acta Anaesthesiologica Scandinavica. 2019;63(8):1089-1094 FRIDAID 1738493 doi:10.1111/aas.13384 0001-5172 1399-6576 https://hdl.handle.net/10037/17515 |
op_rights |
openAccess Copyright 2019 The Author(s) |
op_doi |
https://doi.org/10.1111/aas.13384 |
container_title |
Acta Anaesthesiologica Scandinavica |
container_volume |
63 |
container_issue |
8 |
container_start_page |
1089 |
op_container_end_page |
1094 |
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1765999303557382144 |