Fatal injury as a function of rurality-a tale of two Norwegian counties

Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine

Torben Wisborg¹  Peer K Lilleng⁴  Inge Morild⁴  Anette Bakkane Bendixen²  Ingrid Schrøder Hansen²  Håkon Kvåle Bakke³ 

[1] Hammerfest Hospital, Department of Anaesthesiology and Intensive Care, Finnmark Health Trust, Hammerfest, Norway;Section of Pathology, The Gade Institute, University of Bergen, Bergen, Norway;Anaesthesia and Critical Care Research Group, Faculty of Health Sciences, IKM, University of Tromsø, Tromsø 9037, Norway;Department of Pathology Haukeland University Hospital, Bergen, Norway

关键词: Injury;    Road traffic injuries;    Urban;    Rural;    Epidemiology;    Trauma;   

Others  :  826107
DOI  :  10.1186/1757-7241-21-14

 received in 2012-08-31, accepted in 2013-02-24,  发布年份 2013

【 摘 要 】

Background

Many studies indicate rural location as a separate risk for dying from injuries. For decades, Finnmark, the northernmost and most rural county in Norway, has topped the injury mortality statistics in Norway. The present study is an exploration of the impact of rurality, using a point-by-point comparison to another Norwegian county.

Methods

We identified all fatalities following injury occurring in Finnmark between 2000 and 2004, and in Hordaland, a mixed rural/urban county in western Norway between 2003 and 2004 using data from the Norwegian Cause of Death Registry. Intoxications and low-energy trauma in patients aged over 64 years were excluded. To assess the effect of a rural locale, Hordaland was divided into a rural and an urban group for comparison. In addition, data from Statistics Norway were analysed.

Results

Finnmark reported 207 deaths and Hordaland 217 deaths. Finnmark had an injury death rate of 33.1 per 100,000 inhabitants. Urban Hordaland had 18.8 deaths per 100,000 and rural Hordaland 23.7 deaths per 100,000. In Finnmark, more victims were male and were younger than in the other areas. Finnmark and rural Hordaland both had more fatal traffic accidents than urban Hordaland, but fewer non-fatal traffic accidents.

Conclusions

This study illustrates the disadvantages of the most rural trauma victims and suggests an urban-rural continuum. Rural victims seem to be younger, die mainly at the site of injury, and from road traffic accident injuries. In addition to injury prevention, the extent and possible impact of lay people’s first aid response should be explored.

【 授权许可】

   
2013 Bakke et al; licensee BioMed Central Ltd.

【 图 表 】

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