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

Author

Listed:
  • Crandall, M.
  • Sharp, D.
  • Unger, E.
  • Straus, D.
  • Brasel, K.
  • Hsia, R.
  • Esposito, T.

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

Suggested Citation

  • Crandall, M. & Sharp, D. & Unger, E. & Straus, D. & Brasel, K. & Hsia, R. & Esposito, T., 2013. "Trauma deserts: Distance from a trauma center, transport times, and mortality from gunshot wounds in Chicago," American Journal of Public Health, American Public Health Association, vol. 103(6), pages 1103-1109.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2013.301223_1
    DOI: 10.2105/AJPH.2013.301223
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    Cited by:

    1. Stephen Wu, 2021. "Leadership Matters: Police Chief Race and Fatal Shootings by Police Officers," Social Science Quarterly, Southwestern Social Science Association, vol. 102(1), pages 407-419, January.
    2. Jacoby, Sara F. & Richmond, Therese S. & Holena, Daniel N. & Kaufman, Elinore J., 2018. "A safe haven for the injured? Urban trauma care at the intersection of healthcare, law enforcement, and race," Social Science & Medicine, Elsevier, vol. 199(C), pages 115-122.

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