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Access to Pediatric Trauma Care in the United States

Access to Pediatric Trauma Care in the United States ARTICLE Michael L. Nance, MD; Brendan G. Carr, MD, MA, MS; Charles C. Branas, PhD Objectives: To catalog trauma center resources and es- Results: A total of 170 verified PTCs were identified in timate access to age-specific trauma care for children 41 states (including the District of Columbia). An esti- younger than 15 years in the United States. mated 71.5% of pediatric patients were within 60 min- utes of a verified PTC by air or ground transport, 43% if Design: Cross-sectional study collating information from ground transportation only was considered. An esti- national, state, and local trauma systems authorities to mated 17.4 million children did not have access to a PTC create a catalog of verified pediatric trauma centers (PTCs) within 60 minutes. Access ranged from 22.9% of the popu- and self-designated “candidate” trauma centers. Access- lation in the most rural areas of the United States to 93.5% to-care calculations were estimated using all US block in the most urban. The addition of 24 candidate centers groups and prior validated methods. increased coverage to 77.4% of the pediatric population being within 60 minutes of a PTC. Setting: United States. Conclusions: Current pediatric trauma resources vary Patients: Children in the http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA Pediatrics American Medical Association

Access to Pediatric Trauma Care in the United States

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References (27)

Publisher
American Medical Association
Copyright
Copyright 2009 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
2168-6203
eISSN
2168-6211
DOI
10.1001/archpediatrics.2009.65
pmid
19487606
Publisher site
See Article on Publisher Site

Abstract

ARTICLE Michael L. Nance, MD; Brendan G. Carr, MD, MA, MS; Charles C. Branas, PhD Objectives: To catalog trauma center resources and es- Results: A total of 170 verified PTCs were identified in timate access to age-specific trauma care for children 41 states (including the District of Columbia). An esti- younger than 15 years in the United States. mated 71.5% of pediatric patients were within 60 min- utes of a verified PTC by air or ground transport, 43% if Design: Cross-sectional study collating information from ground transportation only was considered. An esti- national, state, and local trauma systems authorities to mated 17.4 million children did not have access to a PTC create a catalog of verified pediatric trauma centers (PTCs) within 60 minutes. Access ranged from 22.9% of the popu- and self-designated “candidate” trauma centers. Access- lation in the most rural areas of the United States to 93.5% to-care calculations were estimated using all US block in the most urban. The addition of 24 candidate centers groups and prior validated methods. increased coverage to 77.4% of the pediatric population being within 60 minutes of a PTC. Setting: United States. Conclusions: Current pediatric trauma resources vary Patients: Children in the

Journal

JAMA PediatricsAmerican Medical Association

Published: Jun 1, 2009

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