Impact of hospital type on risk-adjusted, traffic-related 30-day mortality: a population-based registry study

Viktor Ydenius; Robert Larsen; Ingrid Steinvall; Denise Bäckström; Michelle Chew; Folke Sjöberg

doi:10.1093/burnst/tkaa051

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Impact of hospital type on risk-adjusted, traffic-related 30-day mortality: a population-based registry study

更新时间：2022-06-14

- Impact of hospital type on risk-adjusted, traffic-related 30-day mortality: a population-based registry study
- Impact of hospital type on risk-adjusted, traffic-related 30-day mortality: a population-based registry study
- Burns & Trauma 2021年9卷第1期
- 作者机构：
  
  1. Department of Biomedical and Clinical Sciences (BVK)
  2. Department of Anaesthesiology and Intensive care
  3. Department of Hand Surgery, Plastic Surgery and Burns Linköping University Hospital
  4. Life Regiment Hussars
- 作者简介：
- 基金信息：
  
  The study was supported by the Carnegie Foundation and the Region Östergötland together with Linköping University.
- DOI：10.1093/burnst/tkaa051
  中图分类号：
- 纸质出版日期：2021，
  
  网络出版日期：2021-3-6，
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Viktor Ydenius, Robert Larsen, Ingrid Steinvall, 等. Impact of hospital type on risk-adjusted, traffic-related 30-day mortality: a population-based registry study[J]. Burns & Trauma, 2021,9(1).

Viktor Ydenius, Robert Larsen, Ingrid Steinvall, Denise Bäckström, Michelle Chew, Folke Sjöberg, Impact of hospital type on risk-adjusted, traffic-related 30-day mortality: a population-based registry study, Burns & Trauma, Volume 9, 2021, tkaa051, https://doi.org/10.1093/burnst/tkaa051
Viktor Ydenius, Robert Larsen, Ingrid Steinvall, 等. Impact of hospital type on risk-adjusted, traffic-related 30-day mortality: a population-based registry study[J]. Burns & Trauma, 2021,9(1). DOI： 10.1093/burnst/tkaa051.

Viktor Ydenius, Robert Larsen, Ingrid Steinvall, Denise Bäckström, Michelle Chew, Folke Sjöberg, Impact of hospital type on risk-adjusted, traffic-related 30-day mortality: a population-based registry study, Burns & Trauma, Volume 9, 2021, tkaa051, https://doi.org/10.1093/burnst/tkaa051 DOI：

摘要

Abstract

BackgroundTraffic incidents are still a major contributor to hospital admissions and trauma-related mortality. The aim of this nationwide study was to examine risk-adjusted traffic injury mortality to determine whether hospital type was an independent survival factor.MethodsData on all patients admitted to Swedish hospitals with traffic-related injuries

based on International Classification of Diseases codes

between 2001 and 2011 were extracted from the Swedish inpatient and cause of death registries. Using the binary outcome measure of death or survival

data were analysed using logistic regression

adjusting for age

sex

comorbidity

severity of injury and hospital type. The severity of injury was established using the International Classification of Diseases Injury Severity Score (ICISS).ResultsThe final study population consisted of 152

693 hospital admissions. Young individuals (0–25 years of age) were overrepresented

accounting for 41% of traffic-related injuries. Men were overrepresented in all age categories. Fatalities at university hospitals had the lowest mean (SD) ICISS 0.68 (0.19). Regional and county hospitals had mean ICISS 0.75 (0.15) and 0.77 (0.15)

respectively

for fatal traffic incidents. The crude overall mortality in the study population was 1193

with a mean ICISS 0.72 (0.17). Fatalities at university hospitals had the lowest mean ICISS 0.68 (0.19). Regional and county hospitals had mean ICISS 0.75 (0.15) and 0.77 (0.15)

respectively

for fatal traffic incidents.When regional and county hospitals were merged into one group and its risk-adjusted mortality compared with university hospitals

no significant difference was found. A comparison between hospital groups with the most severely injured patients (ICISS ≤0.85) also did not show a significant difference (odds ratio

1.13; 95% confidence interval

0.97–1.32).ConclusionsThis study shows that

in Sweden

the type of hospital does not influence risk adjusted traffic related mortality

where the most severely injured patients are transported to the university hospitals and centralization of treatment is common.

关键词

Keywords

EpidemiologicalInternational classification of diseases injury severity scoreInjuryRisk-adjusted mortalityTrauma

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