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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

Population

Relevant studies

Evidence statement

Strength of evidence

Comments

General UEC

Hsia 2012 [10] =

Mustonen 2017 [12] =

Knowles 2018 [3] =

No effect of reconfiguration on mortality

Stronger

Interpret as no evidence of an effect

Acute MI

Avdic 2016 [6] −

Shen 2012 [14] −

Shen 2016 [15] −

Increased mortality risk following reconfiguration

Stronger?

 

Trauma

Hsia 2014 [11] −

Yaghoubian 2008 [16] +

Unclear effect on mortality risk following reconfiguration

Inconsistent

 

Maternity

Combier 2013 [7] =

Insufficient evidence

Very 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