Skip to main content

Table 3 Summary of evidence on mortality

From: Effects of service changes affecting distance/time to access urgent and emergency care facilities on patient outcomes: a systematic review

PopulationRelevant studiesEvidence statementStrength of evidenceComments
General UECHsia 2012 [10] =
Mustonen 2017 [12] =
Knowles 2018 [3] =
No effect of reconfiguration on mortalityStrongerInterpret as no evidence of an effect
Acute MIAvdic 2016 [6] −
Shen 2012 [14] −
Shen 2016 [15] −
Increased mortality risk following reconfigurationStronger? 
TraumaHsia 2014 [11] −
Yaghoubian 2008 [16] +
Unclear effect on mortality risk following reconfigurationInconsistent 
MaternityCombier 2013 [7] =Insufficient evidenceVery limited 
  1. Controlled studies in bold; = means no significant difference in outcomes; + means better outcome with increasing distance; − means worse outcome with increasing distance; +/− varying results within study; ? results difficult to interpret in comparative terms