@article{ref1,
title="Geographic disparities in access to urban trauma care: defining the problem and identifying a solution for gunshot wound victims in Chicago",
journal="American journal of surgery",
year="2016",
author="Wandling, Michael and Behrens, Jess and Hsia, Renee and Crandall, Marie",
volume="212",
number="4",
pages="587-591",
abstract="BACKGROUND: Timely transport to designated trauma centers impacts mortality following serious injury. We examined whether the distribution of trauma centers in Chicago has created disparities in access to trauma care. <br><br>METHODS: Using the Illinois State Trauma Registry, locations of Chicago-area gunshot wounds (GSWs) from 1999 to 2009 were geocoded and transport times were analyzed for pediatric (age ≤ 15) and adult (age ≥ 16) GSWs. <br><br>RESULTS: A total of 11,744 included pediatric and adult GSWs were analyzed. Adults experienced longer mean transport times (11.3 vs 10.2 minutes, P <.001). Disproportionate numbers of adult GSW victims experienced over 30-minute transport times on Chicago's south side. Pediatric GSWs demonstrated no such disparity, likely attributable to the presence of a pediatric trauma center on the southeast side. <br><br>CONCLUSIONS: Geographic disparities in access to trauma care exist even within urban trauma systems. The absence of an adult trauma center on Chicago's southeast side has contributed to these disparities.<br><br>Copyright © 2016 Elsevier Inc. All rights reserved.<p /> <p>Language: en</p>",
language="en",
issn="0002-9610",
doi="10.1016/j.amjsurg.2016.06.020",
url="http://dx.doi.org/10.1016/j.amjsurg.2016.06.020"
}