ArticleInjury2017
Disparities in access to trauma care in the United States: A population-based analysis.
Article in Injury, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04487496 (Determinants of Access to Emergency Surgery at the University College Hospital, Ibadan), which is not on this map. Cited by 73 papers, 4 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Determinants of Access to Emergency Surgery at the University College Hospital, Ibadan
Who cites it
73 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- Clinical Policy: Critical Issues in the Management of Adult Patients Presenting to the Emergency Department With Mild Traumatic Brain Injury: Approved by ACEP Board of Directors, February 1, 2023 Clinical Policy Endorsed by the Emergency Nurses Association (April 5, 2023).Annals of emergency medicine · 2023Guideline
- National guideline for the field triage of injured patients: Recommendations of the National Expert Panel on Field Triage, 2021.The journal of trauma and acute care surgery · 2022Guideline
- Society of behavioral medicine statement on COVID-19 and rural health.Translational behavioral medicine · 2021Guideline
- Disparities in Surgical Access: A Systematic Literature Review, Conceptual Model, and Evidence Map.Journal of the American College of Surgeons · 2019Pooled it
- Geographic Accessibility of Burn Centers in the United States.JAMA network open · 2026Article
- "Nobody Wants to Die That Way": The Intersection of Immigration Enforcement and Emergency Medical Services in a Rural South Texas County.Journal of immigrant and minority health · 2026Article
- The Effects of Transport Altitude on Outcomes in Traumatic Brain Injury (HEIGHT-TBI): An Observational Cohort Study.Neurocritical care · 2026Article
- Agricultural Injuries With Dementia: Double Whammy?American journal of industrial medicine · 2026Article
- State Trauma Center Designation Criteria and Expansion of For-Profit vs Nonprofit Trauma Centers.JAMA network open · 2026Article
- Strategies for improving rural trauma health systems.Trauma surgery & acute care open · 2026Article
- Elevated Length of Stay and Cost of Orthopedic Hospitalization are Associated with Urban Setting, Non-Trauma Diagnosis, and Medicare Enrollment.Orthopedic research and reviews · 2026Article
- A Twelve-Year Retrospective Analysis of a Journey Towards Rural Level I Trauma Center Verification.Open access emergency medicine : OAEM · 2026Article
- A Research Agenda to Mitigate Racial and Ethnic Disparities in U.S. Critical Care Medicine: An Official American Thoracic Society Research Statement.American journal of respiratory and critical care medicine · 2025Article
- A stochastic programming model for trauma hospital network expansion considering rural communities and COVID-19.Health care management science · 2025Article
- Disparities in Access to Trauma Care in Canada: A Geospatial Analysis of Census Data.Annals of surgery open : perspectives of surgical history, education, and clinical approaches · 2025Article
- Comparison of blood sugar levels in the limb with open IIIC fractures and normal limb (unraveling the link).Journal of clinical orthopaedics and trauma · 2025Article
- Racial and Socioeconomic Disparities in Autism Providers' ACEs Inquiries.Journal of autism and developmental disorders · 2025Article
- Nationwide estimates of potential lives saved with prehospital blood transfusions.Transfusion · 2025Article
- Intentional transit practice through a nearby hospital for remote area emergencies provides earlier primary care than helicopter emergency medical services alone in rural emergencies: a single-center, observational study.Journal of rural medicine : JRM · 2025Article
- Assessing the effectiveness of a rural distribution program in reducing time to prothrombin complex concentrate administration in patients taking warfarin.Hospital practice (1995) · 2025Article
13 more citing papers are in PubMed but not listed here.
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
backgroundInjury is a major contributor to morbidity and mortality in the United States. Accordingly, expanding access to trauma care is a Healthy People priority. The extent to which disparities in access to trauma care exist in the US is unknown. Our objective was to describe geographic, demographic, and socioeconomic disparities in access to trauma care in the United States.
methodsCross-sectional study of the US population in 2010 using small units of geographic analysis and validated estimates of population access to a Level I or II trauma center within 60minutes via ambulance or helicopter. We examined the association between geographic, demographic, and socioeconomic factors and trauma center access, with subgroup analyses of urban-rural disparities.
resultsOf the 309 million people in the US in 2010, 29.7 million lacked access to trauma care. Across the country, areas with higher income were significantly more likely to have access (OR 1.30, 95% CI 1.12-1.50), as were major cities (OR 2.13, 95% CI 1.25-3.62) and suburbs (OR 1.27, 95% CI 1.02-1.57). Areas with higher rates of uninsured (OR 0.09, 95% CI 0.07-0.11) and Medicaid or Medicare eligible patients (OR 0.69, 95% CI 0.59-0.82) were less likely to have access. Areas with higher proportions of blacks and non-whites were more likely to have access (OR 1.37, 95% CI 1.19-1.58), as were areas with higher proportions of Hispanics and foreign-born persons (OR 1.51, 95% CI 1.13-2.01). Overall, rurality was associated with significantly lower access to trauma care (OR 0.20, 95% CI 0.18-0.23).
conclusionWhile the majority of the United States has access to trauma care within an hour, almost 30 million US residents do not. Significant disparities in access were evident for vulnerable populations defined by insurance status, income, and rurality.
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Registered trials
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