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

Figures & data

Figure 1. Trauma incidents in Norway, hospital admissions and primary care doctor involvement, 2012–2018.

¹International Statistical Classification of Diseases and Related Health Problems version 10 (ICD-10).

²Block S-T, (Chapter 19) of ICD-10 are diseases classified as Injuries, Poisoning and Certain Other Consequences of External Causes.

³Hospitals make Diagnosis-Related Group (DRG) codes, an international validated code system based on the ICD-10 code and other patient information.

Table 1. Contact type in severe trauma incidents involving primary care doctors, Norway, 2012-2018.

Contact type	n	%
Call-out	644	38.3
Clinic consultation	721	42.8
Telephone contact	318	18.9
Total	1683	100

Table 2. Primary care doctor (PCD) call-outs to severe trauma patients, Norway, 2012–2018.

	PCD call-out to severe trauma patients
Variable	N^a	N^b	%	RRcrude	95%CI	RRadj^c	95% CI
Total	1683	644	38.3
PCD Age (years)
≤35	495	225	45.5	1.00		1.00
36-45	417	172	41.3	0.91	0.78–1.05	0.85	0.73–0.98
46-55	216	77	35.7	0.78	0.64–0.96	0.72	0.59–0.89
≥56	227	70	30.8	0.68	0.55–0.84	0.60	0.48–0.75
PCD Sex
Male	934	371	39.7	1.00		1.00
Female	421	173	41.0	1.03	0.90–1.19	0.95	0.84–1.09
GP specialist
No	1030	402	39.3	1.00		1.00
Yes	369	157	42.6	1.12	0.97–1.29	1.34	1.15–1.56
Patient Age (years)
≤20	185	102	55.1	1.00		1.00
21–40	254	134	52.8	0.96	0.80–1.14	0.95	0.79–1.14
41–60	359	164	45.7	0.83	0.69–0.98	0.89	0.74–1.06
61–80	466	156	33.5	0.61	0.51–0.73	0.59	0.49–0.72
≥81	419	88	21.0	0.38	0.30–0.48	0.43	0.34–0.55
Patient Sex
Male	1017	441	43.4	1.00		1.00
Female	666	203	30.5	0.70	0.61–0.80	0.83	0.72–0.96
Discharge Diagnosis (ICD-10) Injuries to the
Extremities	502	172	34.3	1.00		1.00
Abdomen and pelvic area	484	159	32.9	0.96	0.80–1.14	0.80	0.67–0.97
Chest area	362	152	42.0	1.23	1.03–1.45	1.14	0.96–1.35
Head and neck	335	161	48.0	1.40	1.19–1.65	1.30	1.10–1.54
Duration of hospital stay (days)
≤2	399	139	34.8	1.00		1.00
3–5	439	140	31.9	0.92	0.76–1.11	0.94	0.77–1.14
6–10	435	149	34.2	0.98	0.82–1.19	1.08	0.89–1.31
≥11	410	216	52.7	1.51	1.29–1.78	1.53	1.30–1.81

^aN = number of severe trauma patients with PCD involvement.

^bn = number of severe trauma patients with PCD call-out.

^cAdjusted relative risk (RR) obtained from generalized linear model adjusted for the variables included in this table, using the first category of each variable as reference category.

GP factors: 1355 observations. Patient factors: 1683 observations.