Item request has been placed! ×
Item request cannot be made. ×
loading  Processing Request

Primary care doctors in acute call-outs to severe trauma incidents in Norway - associations with factors related to patients and doctors.

Item request has been placed! ×
Item request cannot be made. ×
loading   Processing Request
اقرأ على الانترنت اقرأ أكثر حفظ في قائمتي
  • معلومة اضافية
    • المصدر:
      Publisher: Taylor & Francis Country of Publication: United States NLM ID: 8510679 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1502-7724 (Electronic) Linking ISSN: 02813432 NLM ISO Abbreviation: Scand J Prim Health Care Subsets: MEDLINE
    • بيانات النشر:
      Publication: Philadelphia, PA : Taylor & Francis
      Original Publication: Stockholm, Sweden : Almqvist & Wiksell Periodical Co., [1983-
    • الموضوع:
      Physicians* ; General Practice* ; Emergency Medical Services*; Humans ; Male ; Hospitalization ; Norway ; Primary Health Care
    • نبذة مختصرة :
      Objective: Severe trauma patients need immediate prehospital intervention and transfer to a specialised trauma hospital. In Norway, primary care doctors (PCDs) are an integrated part of the prehospital trauma care. The aim of this study was to investigate the degree to which PCDs were involved in prehospital care of severe trauma patients and how factors related to patients and doctors were associated with call-outs to these incidents.
      Design: This was a registry-based study in Norway on severe trauma patients with acute hospital admission during the period 2012-2018.
      Setting: Data was obtained from three Norwegian official registries.
      Subjects: By linking the registries, we studied the actions taken by the PCDs, whether they called out to severe trauma incidents.
      Main Outcome Measures: In multivariable regression models, we investigated whether factors related to the PCDs (age, sex, specialisation in general practice (GP)) and patients (age, sex, duration of hospital stay, type of injury) were associated with call-outs.
      Results: Out of 4342 severe trauma incidents, PCDs had documented involvement in 1683 (39%) and called out to 644 (15%). Increased proportions of PCD call-outs to severe trauma incidents were significantly associated with lower age of PCD, being a GP specialist, lower patient age, being a male patient, increased length of hospital stay and injuries to the head and the neck.
      Conclusions: PCDs called out to a relatively low proportion of severe trauma patients. Several factors related to patients and doctors were associated with call-outs to severe trauma incidents in Norway.
    • References:
      Injury. 2021 Mar;52(3):450-459. (PMID: 33243523)
      Injury. 2018 Sep;49(9):1712-1719. (PMID: 30126534)
      Scand J Prim Health Care. 2016 Dec;34(4):377-384. (PMID: 27827547)
      J Gen Intern Med. 2000 Mar;15(3):163-8. (PMID: 10718896)
      Tidsskr Nor Laegeforen. 2008 May 1;128(9):1057-9. (PMID: 18451887)
      BMC Health Serv Res. 2019 Aug 14;19(1):568. (PMID: 31412931)
      BMC Health Serv Res. 2020 Sep 16;20(1):876. (PMID: 32938473)
      Emerg Med J. 2020 Mar;37(3):141-145. (PMID: 31959616)
      Scand J Trauma Resusc Emerg Med. 2021 Jul 23;29(1):100. (PMID: 34301281)
      BMC Emerg Med. 2010 Mar 06;10:5. (PMID: 20205933)
      Resuscitation. 2004 Apr;61(1):9-21. (PMID: 15081176)
      Tidsskr Nor Laegeforen. 2009 May 28;129(11):1089-93. (PMID: 19488089)
      JAMA Surg. 2022 Feb 1;157(2):146-156. (PMID: 34878511)
      Scand J Trauma Resusc Emerg Med. 2013 Dec 19;21:89. (PMID: 24354953)
      Fam Pract. 2022 May 28;39(3):381-388. (PMID: 34694363)
      Eur J Trauma Emerg Surg. 2012 Jun;38(3):253-60. (PMID: 26815956)
      BMC Health Serv Res. 2013 Apr 23;13:147. (PMID: 23617296)
      Scand J Prim Health Care. 2019 Jun;37(2):233-241. (PMID: 31033360)
      MMWR Recomm Rep. 2012 Jan 13;61(RR-1):1-20. (PMID: 22237112)
      Scand J Trauma Resusc Emerg Med. 2017 Sep 21;25(1):97. (PMID: 28934985)
      BJGP Open. 2023 Jun 27;7(2):. (PMID: 36931699)
    • Contributed Indexing:
      Keywords: Norway; Prehospital emergency care; casualty clinic; out-of-hours care; primary care doctor; trauma care systems
      Local Abstract: [plain-language-summary] Factors related to doctors and patients affect the Primary Care Doctor’s (PCD’s) decision to call out to severe trauma incidents.PCDs were involved in 39% out of 4342 severe trauma incidents and called out to 15%.Increased proportion of PCD call-outs to severe trauma incidents was significantly associated with lower age of the PCD and being a GP specialist.Lower patient age, being a male patient, and injury to the head and the neck increased the likelihood of PCD call-outs.
    • الموضوع:
      Date Created: 20230531 Date Completed: 20230904 Latest Revision: 20230907
    • الموضوع:
      20240829
    • الرقم المعرف:
      PMC10478583
    • الرقم المعرف:
      10.1080/02813432.2023.2216235
    • الرقم المعرف:
      37256689