Geospatial Analysis of Prehospital Triage and Early Potential Preventable Traumatic Deaths
| Autor: | Garrett N. Klutts, Kyle J. Kalkwarf, Yijiong Yang, Joseph P. Gill, Charles E. Wade, David Persse, Dwayne A. Wolf, Joe P Deloach, Weston A Smedley, Seana L Corbin, Kevin Schulz, Jeff Tabor, Avi Bhavaraju, Stacy Drake |
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| Rok vydání: | 2023 |
| Předmět: | |
| Zdroj: | The American Surgeon. :000313482311579 |
| ISSN: | 1555-9823 0003-1348 |
| Popis: | 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. |
| Databáze: | OpenAIRE |
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