Geospatial Analysis of Prehospital Triage and Early Potential Preventable Traumatic Deaths-Reference-Cited by-同舟云学术

Geospatial Analysis of Prehospital Triage and Early Potential Preventable Traumatic Deaths

Published:2023-02-17 Issue:7 Volume:89 Page:3322-3324
ISSN:0003-1348
Container-title:The American Surgeon™
language:en
Short-container-title:The American Surgeon™

Author:

Klutts Garrett N.¹^ORCID,Kalkwarf Kyle J.¹,Yang Yijiong²,Gill Joseph P.³,Wade Charles E.⁴,Persse David⁵,Wolf Dwayne A.⁶,Deloach Joe P.¹,Smedley Weston A.¹,Corbin Seana L.¹,Schulz Kevin³,Tabor Jeff⁶,Bhavaraju Avi¹,Drake Stacy⁷

Affiliation:

1. Department of Surgery, University of Arkansas for Medical Sciences, Little Rock, AR, USA

2. Department of Management, Policy and Community Health, University of Texas Health Science Center, Houston, TX, USA

3. Department of Emergency Medicine, University of Texas Health Science Center, Houston, TX, USA

4. Department of Surgery, University of Texas Health Science Center, Houston, TX, USA

5. Department of Health & Human Services City of Houston, Houston, TX, USA

6. Arkansas Trauma Communications Center, Little Rock, AR, USA

7. Ottawa County, Coroner’s Office, Port Clinton, OH, USA

Abstract

Severely injured patients often depend on prompt prehospital triage for survival. This study aimed to examine the under-triage of preventable or potentially preventable traumatic deaths. A retrospective review of Harris County, TX, revealed 1848 deaths within 24 hours of injury, with 186 being preventable or potentially preventable (P/PP). The analysis evaluated the geospatial relationship between each death and the receiving hospital. Out of the 186 P/PP deaths, these were more commonly male, minority, and penetrating mechanisms when compared with NP deaths. Of the 186 PP/P, 97 patients were transported to hospital care, 35 (36%) were transported to Level III, IV, or non-designated hospitals. Geospatial analysis revealed an association between the location of initial injury and proximity to receiving Level III, IV, and non-designated centers. Geospatial analysis supports proximity to the nearest hospital as one of the primary reasons for under-triage.

Publisher

SAGE Publications

Subject

General Medicine

Link

http://journals.sagepub.com/doi/pdf/10.1177/00031348231157910

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