Arid
DOI10.1093/pubmed/fdx156
Adult and elderly population access to trauma centers: an ecological analysis evaluating the relationship between injury-related mortality and geographic proximity in the United States in 2010
Dodson, B. K.1; Braswell, M.2; David, A. P.3; Young, J. S.4; Riccio, L. M.5; Kim, Y.4; Calland, J. F.4
通讯作者Calland, J. F.
来源期刊JOURNAL OF PUBLIC HEALTH
ISSN1741-3842
EISSN1741-3850
出版年2018
卷号40期号:4页码:848-857
英文摘要

Background Ongoing development and expansion of trauma centers in the United States necessitates empirical analysis of the effect of investment in such resources on population-level health outcomes.


Methods Multiple linear regressions were performed to predict state-level trauma-related mortality among adults and the elderly across 50 US states in 2010. The number of trauma centers per capita in each state and the percentage of each state’s population living within 45-min of a trauma center served as the key independent variables and injury-related mortality served as the dependent variable. All analyses were stratified by age (adult versus elderly; elderly >= 65 years old) and were performed in SPSS.


Results The proportion of a population with geographic proximity to a trauma center demonstrates a consistent inverse linear relationship to injury-related mortality. The relationship reliably retains its significance in models including demographic covariates. Interestingly, access to Levels I and II trauma centers demonstrates a stronger correlation with mortality than was observed with Level III centers.


Conclusion Trauma center access is associated with reduced trauma-related mortality among both adults and the elderly as measured by state reported mortality rates. Ongoing efforts to designate and verify new trauma centers, particularly in poorly-served ’trauma deserts’, could lead to lower mortality for large populations.


英文关键词emergency care geography mortality
类型Article
语种英语
国家USA
收录类别SCI-E ; SSCI
WOS记录号WOS:000456087600048
WOS关键词GERIATRIC TRAUMA ; INSURANCE STATUS ; CENTER CARE ; OUTCOMES ; DISPARITIES ; IMPACT ; SEVERITY ; COVERAGE ; FRAILTY ; TRIAGE
WOS类目Public, Environmental & Occupational Health
WOS研究方向Public, Environmental & Occupational Health
资源类型期刊论文
条目标识符http://119.78.100.177/qdio/handle/2XILL650/211253
作者单位1.Eastern Virginia Med Sch, Sch Med, Norfolk, VA 23501 USA;
2.Inst Adv Studies Culture, Charlottesville, VA 22903 USA;
3.Univ Virginia, Sch Med, Charlottesville, VA 22908 USA;
4.Univ Virginia, Div Acute Care Surg & Outcomes Res, Dept Surg, Sch Med, Charlottesville, VA 22908 USA;
5.Winchester Med Ctr, Acute Care Emergency Surg Serv, Winchester, VA 22601 USA
推荐引用方式
GB/T 7714
Dodson, B. K.,Braswell, M.,David, A. P.,et al. Adult and elderly population access to trauma centers: an ecological analysis evaluating the relationship between injury-related mortality and geographic proximity in the United States in 2010[J],2018,40(4):848-857.
APA Dodson, B. K..,Braswell, M..,David, A. P..,Young, J. S..,Riccio, L. M..,...&Calland, J. F..(2018).Adult and elderly population access to trauma centers: an ecological analysis evaluating the relationship between injury-related mortality and geographic proximity in the United States in 2010.JOURNAL OF PUBLIC HEALTH,40(4),848-857.
MLA Dodson, B. K.,et al."Adult and elderly population access to trauma centers: an ecological analysis evaluating the relationship between injury-related mortality and geographic proximity in the United States in 2010".JOURNAL OF PUBLIC HEALTH 40.4(2018):848-857.
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