ArticleThe journal of trauma and acute care surgery2017
Distance matters: Effect of geographic trauma system resource organization on fatal motor vehicle collisions.
Article in The journal of trauma and acute care surgery, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.
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Who cites it
19 citing papers in PubMed.
- Multi-level socioeconomic modifiers of the comorbidity of post-traumatic stress and tobacco, alcohol, and cannabis use: the importance of income.Social psychiatry and psychiatric epidemiology · 2025Article
- Socioeconomic disadvantage is a leading variable in risk score for major amputation following emergent infrainguinal arterial bypass surgery.Journal of vascular surgery · 2024Article
- Effectiveness of road safety interventions: An evidence and gap map.Campbell systematic reviews · 2024Article
- Racial, Gender, and Neighborhood-Level Disparities in Pediatric Trauma Care.Journal of racial and ethnic health disparities · 2023Article
- Redefining trauma deserts: novel technique to accurately map prehospital transport time.Trauma surgery & acute care open · 2023Article
- Do new trauma centers provide needed or redundant access? A nationwide analysis.The journal of trauma and acute care surgery · 2022Article
- A Delphi study of rescue and clinical subject matter experts on the extrication of patients following a motor vehicle collision.Scandinavian journal of trauma, resuscitation and emergency medicine · 2022Review
- Population Access to Hospital Emergency Departments: The Spatial Analysis in Public Health Research.International journal of environmental research and public health · 2022Article
- Article
- Effect of Distance to Trauma Centre, Trauma Centre Level, and Trauma Centre Region on Fatal Injuries among Motorcyclists in Taiwan.International journal of environmental research and public health · 2021Article
- Geographic access to critical care obstetrics for women of reproductive age by race and ethnicity.American journal of obstetrics and gynecology · 2021Article
- Trauma center funding: time for an update.Trauma surgery & acute care open · 2021Article
- Age of thawed plasma does not affect clinical outcomes or biomarker expression in patients receiving prehospital thawed plasma: a PAMPer secondary analysis.Trauma surgery & acute care open · 2021Article
- Disparities in rural versus urban field triage: Risk and mitigating factors for undertriage.The journal of trauma and acute care surgery · 2020Article
- Chest Trauma Outcomes: Public Versus Private Level I Trauma Centers.World journal of surgery · 2020Article
- Defining geographic emergency medical services coverage in trauma systems.The journal of trauma and acute care surgery · 2019Article
- Spatial Methods to Enhance Public Health Surveillance and Resource Deployment in the Opioid Epidemic.American journal of public health · 2018Article
- Mapping areas with concentrated risk of trauma mortality: A first step toward mitigating geographic and socioeconomic disparities in trauma.The journal of trauma and acute care surgery · 2018Article
- Associations of Distance to Trauma Care, Community Income, and Neighborhood Median Age With Rates of Injury Mortality.JAMA surgery · 2018Article
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
backgroundTrauma systems improve outcome; however, it is unclear how geographic organization of trauma system resources (TSR) affects outcome. Our objective was to evaluate the relationship of fatal motor vehicle collision (MVC) rates and the distance from individual MVC locations to the nearest TSR as a measure of the geographical organization of trauma systems, as well as how theoretical changes in the distribution of TSR may affect fatal MVC rates.
methodsAll fatal MVC in Pennsylvania 2013-2014 were mapped from the Fatality Analysis Reporting System database. Deaths on scene were excluded. TSR including trauma centers and helicopter bases were mapped. Distance between each fatal MVC and nearest TSR was calculated. The primary outcome was fatal MVC rate per 100 million vehicle miles traveled (VMT). Empiric Bayes kriging and hot spot analysis were performed to evaluate geographic patterns in fatal MVC rates. Association between fatal MVC rate and distance to the nearest TSR was evaluated with linear regression. Spatial lag regression evaluated this association while controlling for MVC and county-level characteristics.
resultsWe identified 886 fatalities from 863 fatal MVC. Median fatal MVC rate was 0.187 per 100 million VMT. Higher fatal MVC rates and fatality hot spots occur in locations farther from TSR. The fatal MVC rate increased 0.141 per 100 million VMT for every 10 miles farther from the nearest TSR (p < 0.01). When controlling for confounders, the fatal MVC rate increased by 0.089 per 100 million VMT for every 10 miles farther from the nearest TSR (p < 0.01). If two helicopters stationed at trauma centers were relocated into the highest fatality regions, our model predicts a 12.3% relative reduction in the overall MVC fatality rate.
conclusionsIncreasing distance to the nearest TSR is associated with increasing fatal MVC rate. The geographic organization of trauma systems may impact outcome, and geospatial analysis can allow data-driven changes to potentially improve outcome. LEVEL OF EVIDENCE: Prognostic/Epidemiologic, level III; Case management, level III.
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