Trauma deserts: Distance from a trauma center, transport times, and mortality from gunshot wounds in Chicago

M. Crandall, D. Sharp, E. Unger, D. Straus, K. Brasel, R. Hsia and T. Esposito

American Journal of Public Health, 2013, vol. 103, issue 6, 1103-1109

Abstract: Objectives. We examined whether urban patients who suffered gunshot wounds (GSWs) farther from a trauma center would have longer transport times and higher mortality. Methods. We used the Illinois State Trauma Registry (1999-2009). Scene address data for Chicago-area GSWs was geocoded to calculate distance to the nearest trauma center and compare prehospital transport times. We used multivariate regression to calculate the effect on mortality of being shot more than 5 miles from a trauma center. Results. Of 11 744 GSW patients during the study period, 4782 were shot more than 5 miles from a trauma center. Mean transport time and unadjusted mortality were higher for these patients (P

Keywords: adolescent; adult; aged; article; child; emergency health service; female; gunshot injury; human; infant; male; middle aged; mortality; newborn; patient transport; preschool child; register; regression analysis; statistics; time; United States, Adolescent; Adult; Aged; Chicago; Child; Child, Preschool; Female; Humans; Infant; Infant, Newborn; Male; Middle Aged; Registries; Regression Analysis; Time Factors; Transportation of Patients; Trauma Centers; Wounds, Gunshot; Young Adult (search for similar items in EconPapers)
Date: 2013
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Citations: View citations in EconPapers (2)

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Persistent link: https://EconPapers.repec.org/RePEc:aph:ajpbhl:10.2105/ajph.2013.301223_1

DOI: 10.2105/AJPH.2013.301223

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