Geographic variation in preventable deaths from motor vehicle crashes

Short Title:
Geographic variation in preventable deaths from motor vehicle crashes
Model System:
SCI
Reference Type:
Journal Article
Accession No.:
J36896.
Journal:
Journal of Trauma: Injury, Infection, and Critical Care
Year, Volume, Issue, Page(s):
1995, vol. 38, issue 2, pp 228-232
Publication Website:
Abstract:
Retrospective cohort study examines autopsy results from motor vehicle crash (MVC) victims from three rural and one nonrural county in order to test the hypothesis that the preventable death rate (PDR) is higher and anatomical injury severity is lower for rural compared to nonrural MVC fatalities. Using the Abbreviated Injury Scale, 1985 version (AIS-85), Injury Severity Scores (ISSs) and Anatomical Profile G scores were calculated. ISSs of <59 and AIS scores in the head region <5 were used to determine preventability. Results from 143 rural and 306 nonrural fatalities showed that the rural PDR was 37.1% and nonrural 48.0% (p<0.05). ISSs and G scores were significantly different between rural (54.8; -2.1) and nonrural (50.2; -1.2) areas. This study suggests that regional variation in the quality of acute trauma care is not a significant factor in regional variation in MVC mortality. This document is included in NCDDR's Guide to Substance Abuse and Disability Resources produced by NIDRR Grantees, number D.24. and in NCDDR's Guide to Substance Abuse and Disability Resources produced by NIDRR Grantees, 2nd Ed, number D.29.
Author(s):
Chen, B.; Maio, R. F.; Green, P. E.; Burney, R. E.
Author Address(es):

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