Discover the critical impact of prehospital time and urban-remote disparities on trauma outcomes through a comprehensive Norwegian national study, shedding light on the urgent need for optimized emergency response strategies.
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Functional outcome and associations with prehospital time and urban-remote disparities in trauma: A Norwegian national population-based study.
Nilsbakken et al., Injury 2024
<!– DOI: 10.1016/j.injury.2024.111459 //–>
https://doi.org/10.1016/j.injury.2024.111459
This study investigates the functional outcomes of trauma patients in Norway, focusing on the impact of prehospital time and urban-remote disparities. Analyzing data from 34,611 patients in the Norwegian Trauma Registry (2015-2020), it utilizes the Glasgow Outcome Scale (GOS) to measure outcomes at discharge. Key findings include that 94% of patients had no or moderate disability upon discharge, with severe injuries (NISS > 15) and fall-related injuries leading to the worst outcomes. The study reveals that each additional minute of prehospital time increases the odds of moderate disability in children and adults. Urban areas are linked to higher odds of moderate disability across all age groups, while remote areas pose a higher risk of severe disability or vegetative state in the elderly. This highlights the significant influence of prehospital time and location on trauma outcomes, underscoring the need for targeted interventions to improve patient recovery, especially in remote areas.