Titre :
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Trauma Deserts : Distance From a Trauma Center, Transport Times, and Mortality From Gunshot Wounds in Chicago. (2013)
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Auteurs :
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Marie CRANDALL ;
BRASEL (Karen) : USA. Department of Surgery. Medical College of Wisconsin. Milwaukee. ;
ESPOSITO (Thomas) : USA. Department of Surgery. Loyola University Medical Center. Maywood. IL. ;
HSIA (Renee) : USA. Department of Emergency Medicine. University of California. San Francisco. ;
Douglas SHARP ;
STRAUS (David) : USA. The University of Chicago. Pritzker School of Medicine. Chicago. IL. ;
UNGER (Erin) : USA. Feinberg School of Medicine. Northwestern University. Chicago. ;
Department of Surgery. Feinberg School of Medicine. Northwestern University. Chicago. IL. USA
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Type de document :
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Article
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Dans :
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American journal of public health (vol. 103, n° 6, 2013)
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Pagination :
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1103-1109
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Langues:
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Anglais
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Mots-clés :
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Traumatisme
;
Désert
;
Transport
;
Epidémiologie
;
Mortalité
;
Plaie
;
Amérique
;
Centre
;
Amérique du Nord
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Résumé :
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[BDSP. Notice produite par INIST-CNRS p9DR0xrm. Diffusion soumise à autorisation]. Objectives. We examined whether urban patients who suffered gunshot wounds (GSWs) farther from a trauma center would have longer transport times and higher mortality. Methods. We used the Illinois State Trauma Registry (1999-2009). Scene address data for Chicago-area GSWs was geocoded to calculate distance to the nearest trauma center and compare prehospital transport times. We used multivariate regression to calculate the effect on mortality of being shot more than 5 miles from a trauma center. Results. Of 11 744 GSW patients during the study period, 4782 were shot more than 5 miles from a trauma center. Mean transport time and unadjusted mortality were higher for these patients (P<. for both in a multivariate model suffering gsw more than miles from trauma center was associated with an increased risk of death ratio="1.23" confidence interval="1.02,1.47" p="03)." conclusions. relative deserts decreased access to immediate care were found certain areas chicago and adversely affected mortality gsws. these results may inform decisions about systems planning funding.>
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