This Article  • Full text  • PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citing articles on HighWire  • Citing articles on ISI (6)  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Topic Collections  • Public Health  • Injury Prevention & Control  • Surgery, Other  • Alert me on articles by topic  Social Bookmarking   What's this?

David Chang, PhD, MPH, MBA; Edward E. Cornwell III, MD; Judith Phillips, RN; Deborah Baker, RN; Michael Yonas, MPH; Kurtis Campbell, MD

Arch Surg. 2003;138:1344-1346.

Hypothesis  To focus the efforts of a hospital-based injury prevention outreach program, information on patient demographics, community characteristics, and catchment area must be known.

Design and Setting  Evaluation of prospectively collected data maintained in the Trauma Registry of a level I university-based trauma center.

Patients and Main Outcome Measures  Demographics, mechanism of injury, mortality, and home ZIP codes of patients admitted to the Adult Trauma Service, The Johns Hopkins Medical Institution, Baltimore, Md, were compared for 2 separate calendar years, at 2 years before (1995) and at 2 years after (2000) the implementation of a dedicated trauma program that includes an injury prevention outreach program.

Results  The list of common patient ZIP codes varied minimally from 1995 to 2000. The 18 most common ZIP codes represent (1) 80% of patients, (2) total area of 99 square miles (257.4 km²) (5.7-mile [9.1-km] radius), and (3) a region with a mean household income that is 67% of the statewide median. An increasingly disproportionate percentage of patients with gunshot wounds (GSWs) were the youngest patients (ages 15-24 years) treated by the Adult Trauma Service. While overall survival of trauma patients improved in 2000, no improvement was seen among patients with GSWs. Over half of the nonsurviving patients (37/65 [57%]) seen in 2000 and more than two thirds of patients with lethal GSWs (25/37 [67.6%]) were declared dead in the emergency department, suggesting nonpreventability from a clinical care standpoint.

Conclusions  The catchment area represented by the bulk of patients admitted to a level I urban trauma center is compact and economically disadvantaged. While overall trauma mortality has decreased, GSWs are more lethal and prevalent in teenagers and young men. This identifies violence prevention as an area of emphasis.

From the School of Public Health (Dr Chang and Mr Yonas) and The Johns Hopkins Medical Institution (Drs Cornwell and Kurtis and Mss Phillips and Baker), Baltimore, Md.

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati     What's this?

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Alarming Surge in Nonsurvivable Urban Trauma and the Case for Violence Prevention
Efron et al.
Arch Surg 2006;141:800-805.
ABSTRACT | FULL TEXT