Motor vehicle crash-related mortality is associated with prehospital and hospital-based resource availability.

Academic Article


  • BACKGROUND: To date, attempts to assess the relationship between motor vehicle collision (MVC)-related mortality and medical resources availability have largely been unsuccessful. METHODS: Information regarding sociodemographic characteristics, prehospital resources, and hospital-based resources for each county (n = 67) in the state of Alabama was obtained. MVC-related mortality rates (deaths per 1,000 collisions) by county were calculated and compared according to prehospital and hospital-based resource availability within each county after correcting for sociodemographic factors. RESULTS: Counties with 24-hour availability of a general surgeon, orthopedic surgeon, neurosurgeon, computed tomographic scanner, and operating room were shown to have decreased MVC-related mortality (relative risk [RR], 0.88). The same was true for those counties with hospitals classified as Level I-II (RR, 0.71) and Level III-IV (RR, 0.83) trauma centers compared with counties with no trauma centers. CONCLUSION: Appropriate, readily available hospital-based resources are associated with lower MVC-related mortality rates. This information may be useful in trauma system planning and development.
  • Published In

  • Journal of Trauma  Journal
  • Keywords

  • Accidents, Traffic, Alabama, Emergency Medical Services, Emergency Service, Hospital, Humans, Income, Population Surveillance, Rural Population, Urban Population
  • Digital Object Identifier (doi)

    Pubmed Id

  • 10271783
  • Author List

  • Melton SM; McGwin G; Abernathy JH; MacLennan P; Cross JM; Rue LW
  • Start Page

  • 273
  • End Page

  • 279
  • Volume

  • 54
  • Issue

  • 2