ArticleThe journal of trauma and acute care surgery2018
Mapping areas with concentrated risk of trauma mortality: A first step toward mitigating geographic and socioeconomic disparities in trauma.
Article in The journal of trauma and acute care surgery, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.
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Who cites it
15 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Relationships between trauma death, disability, and geographic factors: a systematic review.Clinical and experimental emergency medicine · 2023Pooled it
- Nationwide analysis of minimally invasive surgical approach in patients with penetrating abdominal trauma.Surgical endoscopy · 2026Article
- The influence of socioeconomic status on pre-hospital triage in the Netherlands; a multi-center cohort study.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025Article
- Understanding disparities in firearm mortality: The role of person- and place-based factors.Injury · 2025Article
- Article
- Conference Proceedings for theTrauma surgery & acute care open · 2025Article
- Equitable and effective clinical guidance development and dissemination: trauma aims to lead the way.Trauma surgery & acute care open · 2024Article
- Defining Referral Regions for Inpatient Trauma Care: The Utility of a Novel Geographic Definition.The Journal of surgical research · 2022Article
- The actual, long-term cost of intentional injury care among a cohort of Maryland Medicaid recipients.The journal of trauma and acute care surgery · 2022Article
- The effect of socioeconomic status on severe traumatic injury: a statistical analysis.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2021Article
- Demographics and Incident Location of Traumatic Injuries at a Single Level I Trauma Center.Kansas journal of medicine · 2021Article
- Is it a matter of time? The effect of transfer time on femur fracture outcomes.Trauma surgery & acute care open · 2021Article
- Hepatopancreatobiliary Surgery: the Role of Clinical Resources and Variation in Performance of Hospitals Located in "Distressed" Communities.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2020Article
- Geospatial characteristics of non-motor vehicle and assault-related trauma events in greater Phoenix, Arizona.Injury epidemiology · 2020Article
- Enduring Neuroprotective Effect of Subacute Neural Stem Cell Transplantation After Penetrating TBI.Frontiers in neurology · 2018Review
Corrections and comments
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Authors and funding
4 authors.
Funding
Abstract
backgroundMany rural, low-income, and historically underrepresented minority communities lack access to trauma center services, including surgical care and injury prevention efforts. Along with features of the built and social environment at injury incident locations, geographic barriers to trauma center services may contribute to injury disparities. This study sought to classify injury event locations based on features of the built and social environment at the injury scene, and to examine patterns in individual patient demographics, injury characteristics, and mortality by location class.
methodsData from the 2015 Maryland Adult Trauma Registry and associated prehospital records (n = 16,082) were used in a latent class analysis of characteristics of injury event locations, including trauma center distance, trauma center characteristics, land use, community-level per capita income, and community-level median age. Mortality effects of location class were estimated with logistic regression, with and without adjustment for individual patient demographics and injury characteristics.
resultsEight classes were identified: rural, exurban, young suburban, aging suburban, inner suburban, urban fringe, high-income urban core, and low-income urban core. Patient characteristics and odds of death varied across classes. Compared with inner suburban locations, adjusted odds of death were highest at rural (odds ratio [OR], 1.98; 95% confidence interval [CI], 1.36-2.88), young suburb (OR, 1.57; 95% CI, 1.14-2.17), aging suburb (OR, 1.36; 95% CI, 1.04-1.78), and low-income urban core (OR, 1.38; 95% CI, 1.04-1.83) locations.
conclusionInjury incident locations can be categorized into distinguishable classes with varying mortality risk. Identification of location classes may be useful for targeted primary prevention and treatment interventions, both by identifying geographic areas with the highest risk of injury mortality and by identifying patterns of individual risk within location classes. LEVEL OF EVIDENCE: Prognostic and epidemiological, level III.
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