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Short-term outcome and differences between rural and urban trauma patients treated by mobile intensive care units in Northern Finland: a retrospective analysis

Overview of attention for article published in Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine, November 2015
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3 tweeters

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41 Mendeley
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Title
Short-term outcome and differences between rural and urban trauma patients treated by mobile intensive care units in Northern Finland: a retrospective analysis
Published in
Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine, November 2015
DOI 10.1186/s13049-015-0175-2
Pubmed ID
Authors

Lasse Raatiniemi, Janne Liisanantti, Suvi Niemi, Heini Nal, Pasi Ohtonen, Harri Antikainen, Matti Martikainen, Seppo Alahuhta

Abstract

Emergency medical services are an important part of trauma care, but data comparing urban and rural areas is needed. We compared 30-day mortality and length of intensive care unit (ICU) stay for trauma patients injured in rural and urban municipalities and collected basic data on trauma care in Northern Finland. We examined data from all trauma patients treated by the Finnish Helicopter Emergency Medical Services in 2012 and 2013. Only patients surviving to hospital were included in the analysis but all pre-hospital deaths were recorded. All data was retrieved from the national Helicopter Emergency Medical Services database, medical records, and the Finnish Causes of Death Registry. Patients were defined as urban or rural depending on the type of municipality where the injury occurred. A total of 472 patients were included. Age and Injury Severity Score did not differ between rural and urban patients. The pre-hospital time intervals and distances to trauma centers were longer for rural patients and a larger proportion of urban patients had intentional injuries (23.5 % vs. 9.3 %, P <0.001). The 30-day mortality for severely injured patients (Injury Severity Score >15) was 23.9 % in urban and 13.3 % in rural municipalities. In the multivariate regression analysis the odds ratio (OR) for 30-day mortality was 2.8 (95 % confidence interval 1.0 to 7.9, P = 0.05) in urban municipalities. There was no difference in the length of ICU stay or scores. Twenty patients died on scene or during transportation and 56 missions were aborted because of pre-hospital death. The severely injured urban trauma patients had a trend toward higher 30-day mortality compared with patients injured in rural areas but the length of ICU stay was similar. However, more pre-hospital deaths occurred in rural municipalities. The time before mobile ICU arrival appears to be critical for trauma patients' survival, especially in rural areas.

Twitter Demographics

The data shown below were collected from the profiles of 3 tweeters who shared this research output. Click here to find out more about how the information was compiled.

Mendeley readers

The data shown below were compiled from readership statistics for 41 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
United Kingdom 1 2%
Mexico 1 2%
Unknown 39 95%

Demographic breakdown

Readers by professional status Count As %
Student > Master 9 22%
Student > Bachelor 5 12%
Student > Doctoral Student 5 12%
Researcher 4 10%
Other 3 7%
Other 7 17%
Unknown 8 20%
Readers by discipline Count As %
Medicine and Dentistry 20 49%
Biochemistry, Genetics and Molecular Biology 2 5%
Social Sciences 2 5%
Nursing and Health Professions 2 5%
Economics, Econometrics and Finance 1 2%
Other 5 12%
Unknown 9 22%

Attention Score in Context

This research output has an Altmetric Attention Score of 2. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 09 November 2015.
All research outputs
#7,679,230
of 14,264,009 outputs
Outputs from Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
#536
of 893 outputs
Outputs of similar age
#114,376
of 285,354 outputs
Outputs of similar age from Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
#44
of 92 outputs
Altmetric has tracked 14,264,009 research outputs across all sources so far. This one is in the 44th percentile – i.e., 44% of other outputs scored the same or lower than it.
So far Altmetric has tracked 893 research outputs from this source. They typically receive more attention than average, with a mean Attention Score of 8.1. This one is in the 36th percentile – i.e., 36% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 285,354 tracked outputs that were published within six weeks on either side of this one in any source. This one has gotten more attention than average, scoring higher than 58% of its contemporaries.
We're also able to compare this research output to 92 others from the same source and published within six weeks on either side of this one. This one is in the 48th percentile – i.e., 48% of its contemporaries scored the same or lower than it.