Geospatial Analysis of Prehospital Triage and Early Potential Preventable Traumatic Deaths

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

doi:10.1177/00031348231157910

Geospatial Analysis of Prehospital Triage and Early Potential Preventable Traumatic Deaths

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

Research output: Contribution to journal › Article › peer-review

Abstract

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.

Original language	English (US)
Pages (from-to)	3322-3324
Number of pages	3
Journal	American Surgeon
Volume	89
Issue number	7
Early online date	Feb 17 2023
DOIs	https://doi.org/10.1177/00031348231157910
State	Published - Jul 2023

Keywords

geospatial analysis
preventable mortality
trauma deaths
Hospitals
Humans
Trauma Centers
Male
Retrospective Studies
Triage
Emergency Medical Services
Wounds and Injuries/therapy

ASJC Scopus subject areas

Surgery

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10.1177/00031348231157910

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title = "Geospatial Analysis of Prehospital Triage and Early Potential Preventable Traumatic Deaths",

abstract = "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.",

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AU - Klutts, Garrett N.

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AU - Gill, Joseph P.

AU - Wade, Charles E.

AU - Persse, David

AU - Wolf, Dwayne A.

AU - Deloach, Joe P.

AU - Smedley, Weston A.

AU - Corbin, Seana L.

AU - Schulz, Kevin

AU - Tabor, Jeff

AU - Bhavaraju, Avi

AU - Drake, Stacy

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N2 - 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.

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Geospatial Analysis of Prehospital Triage and Early Potential Preventable Traumatic Deaths

Abstract

Keywords

ASJC Scopus subject areas

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