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

Marie Crandall, Douglas Sharp, Erin Unger, David Straus, Karen Brasel, Renee Hsia, Thomas Esposito

Research output: Contribution to journalArticle

43 Citations (Scopus)

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 <.001 for both). In a multivariate model, suffering a GSW more than 5 miles from a trauma center was associated with an increased risk of death (odds ratio = 1.23; 95% confidence interval = 1.02, 1.47; P = .03). 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.

Original languageEnglish (US)
Pages (from-to)1103-1109
Number of pages7
JournalAmerican Journal of Public Health
Volume103
Issue number6
DOIs
StatePublished - Jun 2013
Externally publishedYes

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Gunshot Wounds
Trauma Centers
Mortality
Wounds and Injuries
Geographic Mapping
Registries
Odds Ratio
Confidence Intervals

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

Cite this

Trauma deserts : Distance from a trauma center, transport times, and mortality from gunshot wounds in Chicago. / Crandall, Marie; Sharp, Douglas; Unger, Erin; Straus, David; Brasel, Karen; Hsia, Renee; Esposito, Thomas.

In: American Journal of Public Health, Vol. 103, No. 6, 06.2013, p. 1103-1109.

Research output: Contribution to journalArticle

Crandall, Marie ; Sharp, Douglas ; Unger, Erin ; Straus, David ; Brasel, Karen ; Hsia, Renee ; Esposito, Thomas. / Trauma deserts : Distance from a trauma center, transport times, and mortality from gunshot wounds in Chicago. In: American Journal of Public Health. 2013 ; Vol. 103, No. 6. pp. 1103-1109.
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