Epidemiology of trauma: A population-based study of geographical risk factors for injury deaths in the working-age population of Norway

Kristiansen, Thomas; Lossius, Hans Morten; Rehn, Marius; Kristensen, Petter; Gravseth, Hans Magne; Røislien, Jo; Søreide, Kjetil

doi:10.1016/j.injury.2013.07.007

Cited by 63 publications

(94 citation statements)

References 38 publications

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“…However, their different inclusion criteria, and definitions of trauma, prevents a direct comparison of the data sets. Our findings are, however, comparable to several other studies performed in rural areas 3, 12…”

Section: Discussionsupporting

confidence: 92%

“…We should also acknowledge that considerable geographic and demographic heterogeneity exists within our definitions of rural vs. urban areas, as does socioeconomic status, and the variable quality in EMS provision. That said, the population density of a municipality correlated well with injury mortality 12, 27…”

Section: Discussionmentioning

confidence: 99%

“…rurality), according to a number of different criteria. However, given that the ‘urban to rural’ transition represents a continuum, it is not surprising that there is no consensus among researchers as to how to assign individual regions 4, 12. We chose to use the municipality classification as categorized by Statistics Finland, as this was the most locally relevant reference 13.…”

Section: Methodsmentioning

confidence: 99%

See 2 more Smart Citations

Fatal injuries in rural and urban areas in northern Finland: a 5‐year retrospective study

Raatiniemi

Steinvik

Liisanantti

et al. 2016

Acta Anaesthesiol Scand

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BackgroundFinland has the fourth highest injury mortality rate in the European Union. To better understand the causes of the high injury rate, and prevent these fatal injuries, studies are needed. Therefore, we set out to complete an analysis of the epidemiology of fatal trauma, and any contributory role for alcohol, long suspected to promote fatal injuries. As a study area, we chose the four northernmost counties of Finland; their mix of remote rural areas and urban centres allowed us to correlate mortality rates with ‘rurality’.MethodsThe Causes of Death Register was consulted to identify deaths from external causes over a 5‐year time period. Data were retrieved from death certificates, autopsy reports and medical records. The municipalities studied were classified as either rural or urban.ResultsOf 2915 deaths categorized as occurring from external causes during our study period, 1959 were eligible for inclusion in our study. The annual crude mortality rate was 54 per 100,000 inhabitants; this rate was higher in rural vs. urban municipalities (65 vs. 45 per 100,000 inhabitants/year). Additionally, a greater number of pre‐hospital deaths from accidental high‐energy trauma occurred in rural areas (78 vs. 69%). 42% of all pre‐hospital deaths occurred under the influence of alcohol.ConclusionThe crude mortality rate for fatal injuries was high overall as compared to other studies, and elevated in rural areas, where pre‐hospital deaths were more common. Almost half of pre‐hospital deaths occurred under the influence of alcohol.

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Section: Discussionsupporting

confidence: 92%

Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

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Fatal injuries in rural and urban areas in northern Finland: a 5‐year retrospective study

Raatiniemi

Steinvik

Liisanantti

et al. 2016

Acta Anaesthesiol Scand

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“…Flere studier viser at risikoen for å dø etter traumer er større i tynt befolkede områder enn i tett befolkede områder, og at risikoen saerlig er knyttet til transportulykker (Kristiansen et al, 2012;Kristiansen et al, (2014). I en studie fra 2013 er det påvist høyere skadeforekomst og dødelig-het ved skader og ulykker i Finnmark sammenliknet med tilsvarende hendelser i rurale og urbane områder i Hordaland (Bakke et al, 2013).…”

Section: Sentralisering Av Funksjoner I Den Akuttmedisinske Kjedenunclassified

“…Finnmark er et fylke med statistisk signifikant høyere dødelighet etter traumer sammenliknet med resten av landet. Det samme mønsteret finner man på traumer hos barn (0-15 år), der dødeligheten er større i rurale områder sammenliknet med urbane (Wei et al, 2008;Kristiansen, Rehn, Gravseth, Lossius & Kristensen, 2012;Kristiansen et al, 2014).…”

Section: Nytteeffekten Av Legebemannet Ambulanseunclassified

For en bedre akuttmedisinsk tjeneste i Norge

Lund¹,

Ness²,

Rørtveit³

et al. 2016

Tidsskriftet

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Deaths caused by injury among people of working age (18–64) are decreasing, while those among older people (64+) are increasing

Bäckström

Larsen

Steinvall

et al. 2017

Eur J Trauma Emerg Surg

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BackgroundInjury is an important cause of death in all age groups worldwide, and contributes to many losses of human and economic resources. Currently, we know a few data about mortality from injury, particularly among the working population. The aim of the present study was to examine death from injury over a period of 14 years (1999–2012) using the Swedish Cause of Death Registry (CDR) and the National Patient Registry, which have complete national coverage.MethodCDR was used to identify injury-related deaths among adults (18 years or over) during the years 1999–2012. ICD-10 diagnoses from V01 to X39 were included. The significance of changes over time was analyzed by linear regression.ResultsThe incidence of prehospital death decreased significantly (coefficient −0.22, r 2 = 0.30; p = 0.041) during the study period, while that of deaths in hospital increased significantly (coefficient 0.20, r 2 = 0.75; p < 0.001). Mortality/100,000 person-years in the working age group (18–64 years) decreased significantly (coefficient −0.40, r 2 = 0.37; p = 0.020), mainly as a result of decrease in traffic-related deaths (coefficient −0.34, r 2 = 0.85; p < 0.001). The incidence of deaths from injury among elderly (65 years and older) patients increased because of the increase in falls (coefficient 1.71, r 2 = 0.84; p < 0.001) and poisoning (coefficient 0.13, r 2 = 0.69; p < 0.001).ConclusionThe epidemiology of injury in Sweden has changed during recent years in that mortality from injury has declined in the working age group and increased among those people 64 years old and over.

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Epidemiology of trauma: A population-based study of geographical risk factors for injury deaths in the working-age population of Norway

Cited by 63 publications

References 38 publications

Fatal injuries in rural and urban areas in northern Finland: a 5‐year retrospective study

Fatal injuries in rural and urban areas in northern Finland: a 5‐year retrospective study

For en bedre akuttmedisinsk tjeneste i Norge

Deaths caused by injury among people of working age (18–64) are decreasing, while those among older people (64+) are increasing

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