Cited by 61Gun Ownership and Violence ResearchTrauma and Emergency Care StudiesCrime Patterns and Interventions

The DOI matches its Crossref record; 16 of the 16 references it cites were found in a registry or an index.

Distance to trauma centres among gunshot wound victims: Identifying trauma “deserts” and “oases” in Detroit

Circo, Giovanni M·2019·Injury Prevention

Abstract

INTRODUCTION: Among the factors related to survival among individuals with gun shot wounds (GSW) is distance to trauma care. Relatively little is known about neighbourhood-level patterns of GSW mortality and distance to hospitals with trauma centres. This study focuses on distance to the nearest trauma centre as a correlate of survival among GSW victims. METHODS: Fatal and non-fatal shooting incident data for 9,205 victimisation in Detroit, Michigan between 2011 and 2017 were collected. A Bayesian conditional autoregressive model was utilised to estimate block-group levels of GSW mortality. Clustering techniques were used to identify spatially proximate neighbourhoods with higher or lower than expected rates of GSW mortality. RESULTS: * analysis identified 91 block groups with lower than expected rates of GSW mortality and 12 block-groups with higher than expected rates. CONCLUSION: Distance to the nearest trauma centre is associated with GSW victim survival. Clusters of block-groups with below-average GSW mortality were observed within close proximity of major trauma centres in Detroit. Improving speed and access to trauma care may play a role in reducing GSW mortality.

Overview

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Crossref · 10.1136/injuryprev-2019-043180

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16 of 16 references verified0 citation errors · 0 not checkable

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Metadata

Authors
Circo, G. M.
Affiliations
University of New Haven (US)
Corresponding author
Circo, Giovanni M
Venue
Injury Prevention
Publisher
BMJ
Published
2019-06-03
Volume
25
Issue
Suppl 1
Pages
i39-i43
ISSN
  • 1353-8047 (ISSN-L)
  • 1475-5785
OpenAlex
W2948865774
Cited by
60
References
16
Citations by year
2026: 1 · 2025: 4 · 2024: 3 · 2023: 3 · 2022: 22 · 2021: 20 · 2020: 6 · 2019: 1
FWCI
11.90
Type
journal article
Language
en
Open access
closed
Locations
  • Injury Prevention (publishedVersion)
  • PubMed (publishedVersion)
  • HighWire Press Open Archive (submittedVersion)
Funders
National Institute of Justice (2013-R2-CX-0015)
Topics
  • Social Sciences › Health › Gun Ownership and Violence Research
  • Health Sciences › Medicine › Emergency Medicine › Trauma and Emergency Care Studies
  • Social Sciences › Sociology and Political Science › Crime Patterns and Interventions
Keywords
gunshot wounds, trauma centers, trauma care access, census block groups, Detroit
MeSH terms
Bayes Theorem, Emergency Medical Services, Humans, Trauma Centers, United States, Wounds, Gunshot, Injury Severity Score, Time-to-Treatment

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