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
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.
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“Any analysis of police deadly force restricted to data that only include fatalities may produce results that are statistically biased by factors that influence mortality, such as whether bullets strike vital organs [12], whether police officers administer first aid or engage in “scoop and run” practices [15, 16], and whether an adult trauma care center is nearby [17, 18].”
From Factors associated with police shooting mortality: A focus on race and a plea for more comprehensive data (2021) · cites this paper as [17]
Citations
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Do criminals go to the hospital when they are shot?
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Cited by
Sorted by citations
Neighborhood disadvantage and firearm injury: does shooting location matter?
Dalve, K., Gause, E. L., Mills, B. M., Floyd, A. S., Rivara, F. P., & Rowhani‐Rahbar, A. (2021) · Injury Epidemiology · doi:10.1186/s40621-021-00304-2 · Cited by 82
Nix, J., & Shjarback, J. A. (2021) · PLoS ONE · doi:10.1371/journal.pone.0259024 · Cited by 57
“If such information was made available, future studies might endeavor to geolocate shootings and measure the distance in miles or average drive time to the nearest or the exact trauma center to provide for more specificity in spatial-temporal analyses [17, 18].”
BackgroundShjarback, J. A., White, M. D., & Bishopp, S. A. (2021) · Injury Prevention · doi:10.1136/injuryprev-2020-043932 · Cited by 57
Community-Level Social Processes and Firearm Shooting Events: A Multilevel Analysis
Magee, L. A. (2020) · Journal of Urban Health · doi:10.1007/s11524-020-00424-y · Cited by 52
Shjarback, J. A., & Nix, J. (2019) · Journal of Criminal Justice · doi:10.1016/j.jcrimjus.2019.101653 · Cited by 38
Metadata
- Authors
- Circo, G. M.
- Affiliations
- University of New Haven (US)
- Corresponding author
- Circo, Giovanni M
- ORCID
- 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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