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dc.contributor.authorMoksnes, Håkon Øgreid
dc.contributor.authorSchäfer, Christoph
dc.contributor.authorRasmussen, Mari Storli
dc.contributor.authorSøberg, Helene L.
dc.contributor.authorRøise, Olav
dc.contributor.authorAnke, Audny Gabriele Wagner
dc.contributor.authorRøe, Cecilie
dc.contributor.authorNæss, Pål Aksel
dc.contributor.authorGaarder, Aslaug Christine
dc.contributor.authorHelseth, Eirik
dc.contributor.authorDAHL, HILDE MARGRETE
dc.contributor.authorHestnes, Morten
dc.contributor.authorBrunborg, Cathrine
dc.contributor.authorAndelic, Nada
dc.contributor.authorHellstrøm, Torgeir
dc.identifier.citationInjury Epidemiology. 2023, 10 .en_US
dc.description.abstractBackground Previous studies have demonstrated that the trauma population has needs for rehabilitation services that are best provided in a continuous and coordinated way. The discharge destination after acute care is the second step to ensuring quality of care. There is a lack of knowledge regarding the factors associated with the discharge destination for the overall trauma population. This paper aims to identify sociodemographic, geographical, and injury-related factors associated with discharge destination following acute care at trauma centers for patients with moderate-to-severe traumatic injuries. Methods A multicenter, population-based, prospective study was conducted with patients of all ages with traumatic injury [New Injury Severity Score (NISS) > 9] admitted within 72 h after the injury to regional trauma centers in south-eastern and northern Norway over a 1-year period (2020). Results In total, 601 patients were included; a majority (76%) sustained severe injuries, and 22% were discharged directly to specialized rehabilitation. Children were primarily discharged home, and most of the patients ≥ 65 years to their local hospital. Depending on the centrality of their residence [Norwegian Centrality Index (NCI) 1–6, where 1 is most central], we found that patients residing in NCI 3–4 and 5–6 areas sustained more severe injuries than patients residing in NCI 1–2 areas. An increase in the NISS, number of injuries, or a spinal injury with an Abbreviated Injury Scale (AIS) ≥ 3 was associated with discharge to local hospitals and specialized rehabilitation than to home. Patients with an AIS ≥ 3 head injury (RRR 6.1, 95% Confidence interval 2.80–13.38) were significantly more likely to be discharged to specialized rehabilitation than patients with a less severe head injury. Age < 18 years was negatively associated with discharge to a local hospital, while NCI 3–4, preinjury comorbidity, and increased severity of injuries in the lower extremities were positively associated.en_US
dc.rightsNavngivelse 4.0 Internasjonal*
dc.titleFactors associated with discharge destination from acute care after moderate-to-severe traumatic injuries in Norway: a prospective population-based studyen_US
dc.typePeer revieweden_US
dc.typeJournal articleen_US
dc.source.journalInjury Epidemiologyen_US

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Navngivelse 4.0 Internasjonal
Except where otherwise noted, this item's license is described as Navngivelse 4.0 Internasjonal