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- Bagher, Ali Mohammad, et al.
(författare)
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Outcome after red trauma alarm at an urban Swedish hospital: Implications for prevention.
- 2015
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Ingår i: Scandinavian Journal of Public Health. - : SAGE Publications. - 1651-1905 .- 1403-4948. ; 43:5, s. 506-513
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Tidskriftsartikel (refereegranskat)abstract
- We applied the new injury severity scoring system and studied mechanisms of injury and risk factors for mortality, in order to find potential preventive measures, in the present Scandinavian trauma cohort triaged through red trauma alarm according to the Medical Emergency Triage and Treatment System.
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- Bagher, Ali Mohammad, et al.
(författare)
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Socio-economic status and major trauma in a Scandinavian urban city: A population-based case-control study.
- 2016
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Ingår i: Scandinavian Journal of Public Health. - : SAGE Publications. - 1651-1905 .- 1403-4948. ; 44:2, s. 217-223
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Tidskriftsartikel (refereegranskat)abstract
- Epidemiological studies of patients with major trauma, including both hospitalized and immediately deceased whom are undergoing medico-legal autopsy, are very rare. We studied the incidence and mortality of major trauma in all 10 districts in the Scandinavian city of Malmö, Sweden, and the association between socio-economic status and major trauma.
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- MOHAMMAD BAGHER, ALI, et al.
(författare)
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Analysis of pre-hospital rescue times on mortality in trauma patients in a Scandinavian urban setting
- 2017
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Ingår i: Trauma. - : SAGE Publications. - 1460-4086 .- 1477-0350. ; 19:1, s. 28-34
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Tidskriftsartikel (refereegranskat)abstract
- Objective: To analyze if pre-hospital rescue times were associated with mortality in a trauma cohort arriving by ambulance to hospital in a Scandinavian urban setting. Methods: Between 2011 and 2013, individuals and pre-hospital rescue times were identified in Emergency Medical Dispatcher Centre, hospital, and forensic records in red alarm trauma. Major trauma was defined as a New InjurySeverity Score (NISS)>15. Results: Overall, 89% of 378 trauma patients received hospital care within 60 min; 51% had a response time of 8 min, and 95% had response time within 20 min. The on-scene time (p<0.05) and total pre-hospital time (p<0.05) were longer for patients 65 years, in comparison with patients <65 years. The patients with penetrating trauma had shorter on-scene time (p<0.01), total pre-hospital time (p<0.01), and shorter transport distance from trauma scene to hospital (p¼0.004), compared to those with blunt trauma. Patients with NISS>15 were found to have the same pre-hospital rescue times as those with NISS15. There was a trend that the occurrence of gunshots was associatedwith increased mortality (p¼0.074). When entering age, NISS, penetrating versus blunt injury, response time, and on-scene time in a multivariate regression analysis, age (p<0.001), NISS (p<0.001), and penetrating injury (p=0.009) remained as independent factors associated with mortality and a trend for shorter on-scene time (p=0.093). Conclusions: Pre-hospital rescue times had less impact on mortality than injury severity, age, and penetrating trauma. Even though penetrating traumas were associated with shorter on-scene time and shorter transport distance to hospital, mortality was increased in this Scandinavian urban setting.
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- Wingren, Carl Johan, et al.
(författare)
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Body mass index and suicide methods
- 2016
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Ingår i: Journal of Forensic and Legal Medicine. - : Elsevier BV. - 1752-928X. ; 42, s. 45-50
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Tidskriftsartikel (refereegranskat)abstract
- Overweight and obesity is associated with lower rates of suicide. However, little is known about the association with different suicide methods. We studied the association between groups of body mass index and suicide methods. We identified all medicolegal autopsy cases with a cause of death due to external causes in Sweden during 1999-2013 (N = 39,368) and included 11,715 suicides and 13,316 accidents or homicides as controls. We applied multinomial regression models adjusted for age, sex, year and season of death. Obesity was associated with suicidal intoxication, OR 1.15 [95% confidence interval (CI) 1.02, 1.30] and negatively associated with all other suicide methods studied. Underweight showed a negative association with suicidal drowning and there was an indication towards a negative association with hanging in men OR 0.81 (95% CI 0.65, 1.01). We conclude that body mass index (BMI) is associated with the choice of suicide method. This may be of importance in a public health perspective, e.g. potential for prevention of intoxications. In the practice of forensic medicine, the physician's level of suspicion may rise if the apparent suicidal method is less common for the individual characteristics of the deceased, such as BMI.
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