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Expect many more encounters with members of the Kardashian clan, plus the adventures of allegedly Real Housewives from almost every conceivable metropolitan location in the developed world.
There were 1303 patients injured in a large metropolitan location (47 %), 692 in a medium/small metropolitan location (25%%), and 799 in a non-metropolitan location (29 %).
We observed a significant difference between geographic location of injury and mortality outcome, with crude mortality of 1.8 % for large-metropolitan location of injury, 2.3 % for small/medium metropolitan location of injury, and 4.5 % for non-metropolitan location of injury (Table 3).
The population consisted of all final year Bachelor of Nursing students at Queensland University of Technology, who undertook their clinical placement in either a rural or metropolitan location.
This paper tests whether the percentage of occupancy and metropolitan location are associated with the likelihood of using EIS for clinical care support.
Of children with a rural location of injury, 95%% were indicated as receiving no treatment in the ED to which they initially presented, compared to 84%% of children with a large metropolitan location of injury.
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When controlling for potential confounders (age, race, gender, insurance), the estimated adjusted odds of mortality among children injured in a non-metropolitan location, compared to those in large metropolitan locations, was 2.4 (95 % CI, 1.4 3.9) (Additional file 1: Table S5).
Of 2794 pediatric patients with TBI, 46.6 % were injured in large metropolitan locations, 24.8 % in medium/small metropolitan locations, and 28.6 % in non-metropolitan (rural) locations.
Children injured in non-metropolitan (rural) locations were 2.5 times more likely to die compared to those in large metropolitan locations (OR, 2.5; 95 % CI, 1.6 4.0) (Table 4).
This would lead to falsely attenuated odds of mortality for non-metropolitan and small/medium metropolitan locations.
In contrast, there was no statistically significant difference in odds of mortality for patients injured in small/medium metropolitan locations compared to those in large metropolitan locations (OR, 1.3; 95 % CI, 0.6 2.8).
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