Trauma Deserts

Distance From a Trauma Center, Transport Times, and Mortality From Gunshot Wounds in Chicago

Bibliographic Data

ID11038337
AuthorsMarie Crandall (0000-0002-6536-3123, Marie Crandall and Douglas Sharp are with the Department of Surgery, Feinberg School of Medicine, Northwestern University, Chicago, IL. Erin Unger is with the Feinberg School of Medicine, Northwestern University, Chicago. At the time of the study, David Straus was with The University of Chicago Pritzker School of Medicine, Chicago, IL, and then with Rush University Medical Center, Chicago, IL. Karen Brasel is with the Department of Surgery, Medical College of Wisconsin, Milwaukee. Renee Hsia is with the...), Douglas Sharp (Marie Crandall and Douglas Sharp are with the Department of Surgery, Feinberg School of Medicine, Northwestern University, Chicago, IL. Erin Unger is with the Feinberg School of Medicine, Northwestern University, Chicago. At the time of the study, David Straus was with The University of Chicago Pritzker School of Medicine, Chicago, IL, and then with Rush University Medical Center, Chicago, IL. Karen Brasel is with the Department of Surgery, Medical College of Wisconsin, Milwaukee. Renee Hsia is with the...), Douglas P Sharp (0000-0002-2419-7237, Northwestern University), Erin Unger (Marie Crandall and Douglas Sharp are with the Department of Surgery, Feinberg School of Medicine, Northwestern University, Chicago, IL. Erin Unger is with the Feinberg School of Medicine, Northwestern University, Chicago. At the time of the study, David Straus was with The University of Chicago Pritzker School of Medicine, Chicago, IL, and then with Rush University Medical Center, Chicago, IL. Karen Brasel is with the Department of Surgery, Medical College of Wisconsin, Milwaukee. Renee Hsia is with the...), David Straus (Marie Crandall and Douglas Sharp are with the Department of Surgery, Feinberg School of Medicine, Northwestern University, Chicago, IL. Erin Unger is with the Feinberg School of Medicine, Northwestern University, Chicago. At the time of the study, David Straus was with The University of Chicago Pritzker School of Medicine, Chicago, IL, and then with Rush University Medical Center, Chicago, IL. Karen Brasel is with the Department of Surgery, Medical College of Wisconsin, Milwaukee. Renee Hsia is with the...), David C Straus (Northwestern University), Karen J Brasel (Northwestern University), Karen Brasel (Marie Crandall and Douglas Sharp are with the Department of Surgery, Feinberg School of Medicine, Northwestern University, Chicago, IL. Erin Unger is with the Feinberg School of Medicine, Northwestern University, Chicago. At the time of the study, David Straus was with The University of Chicago Pritzker School of Medicine, Chicago, IL, and then with Rush University Medical Center, Chicago, IL. Karen Brasel is with the Department of Surgery, Medical College of Wisconsin, Milwaukee. Renee Hsia is with the...), Renee Y Hsia (0000-0001-9819-6926, Northwestern University), Renee Hsia (Marie Crandall and Douglas Sharp are with the Department of Surgery, Feinberg School of Medicine, Northwestern University, Chicago, IL. Erin Unger is with the Feinberg School of Medicine, Northwestern University, Chicago. At the time of the study, David Straus was with The University of Chicago Pritzker School of Medicine, Chicago, IL, and then with Rush University Medical Center, Chicago, IL. Karen Brasel is with the Department of Surgery, Medical College of Wisconsin, Milwaukee. Renee Hsia is with the...), Tonio Esposito (0000-0003-0569-8965, Northwestern University), Thomas Esposito (Marie Crandall and Douglas Sharp are with the Department of Surgery, Feinberg School of Medicine, Northwestern University, Chicago, IL. Erin Unger is with the Feinberg School of Medicine, Northwestern University, Chicago. At the time of the study, David Straus was with The University of Chicago Pritzker School of Medicine, Chicago, IL, and then with Rush University Medical Center, Chicago, IL. Karen Brasel is with the Department of Surgery, Medical College of Wisconsin, Milwaukee. Renee Hsia is with the...)
Year2013
Volume103
Issue6
Pages1103-1109
Publication date2013-06-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueAmerican Journal of Public Health (JOURNAL)
Journal identifiersISSN: 0090-0036 • E-ISSN: 1541-0048
PublisherAmerican Public Health Association (PUBLISHER • US)
DOI10.2105/ajph.2013.301223
PMID23597339
PMCIDPMC3698742
OpenAlexW2035326933
LanguageEN
Citations received24
References cited22

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 Conclusions. Relative “trauma deserts” with decreased access to immediate care were found in certain areas of Chicago and adversely affected mortality from GSWs. These results may inform decisions about trauma systems planning and funding

Center (category theory) · Environmental health · GUNSHOT INJURY · Gunshot wound · Injury prevention · Medical emergency · Occupational safety and health · Poison control · Retrospective cohort study · Sociology · Trauma center · Demography · Emergency Medicine · Gun Ownership and Violence Research · Injury Epidemiology and Prevention · Medicine · Surgery · Trauma and Emergency Care Studies

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