Abstract
Background To date, attempts to assess the relationship between motor vehicle collision (MVC)-related mortality and medical resources availability have largely been unsuccessful.Methods Information regarding sociodemographic characteristics, prehospital resources, and hospital-based resources for each county (n = 67) in the state of Alabama was obtained. MVC-related mortality rates (deaths per 1,000 collisions) by county were calculated and compared according to prehospital and hospital-based resource availability within each county after correcting for sociodemographic factors.Results Counties with 24-hour availability of a general surgeon, orthopedic surgeon, neurosurgeon, computed tomographic scanner, and operating room were shown to have decreased MVC-related mortality (relative risk (RR), 0.88). The same was true for those counties with hospitals classified as Level I-II (RR, 0.71) and Level III-IV (RR, 0.83) trauma centers compared with counties with no trauma centers.Conclusion Appropriate, readily available hospital-based resources are associated with lower MVC-related mortality rates. This information may be useful in trauma system planning and development.
Original language | English (US) |
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Pages (from-to) | 273-279 |
Number of pages | 7 |
Journal | Journal of Trauma |
Volume | 54 |
Issue number | 2 |
DOIs | |
State | Published - Feb 2003 |
Externally published | Yes |
Keywords
- Mortality
- Motor vehicle collisions
- Prehospital
- Resource availability
- Trauma centers
ASJC Scopus subject areas
- Surgery
- Critical Care and Intensive Care Medicine