Feasibility and utility of population-level geospatial injury profiling: Prospective, national cohort study

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Feasibility and utility of population-level geospatial injury profiling : Prospective, national cohort study. / Jansen, Jan O.; Morrison, Jonathan J.; Wang, Handing; He, Shan; Lawrenson, Robin; Campbell, Marion K.; Green, David R.

In: The Journal of Trauma and Acute Care Surgery, Vol. 78, No. 5, 07.05.2015, p. 962-969.

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Jansen, Jan O. ; Morrison, Jonathan J. ; Wang, Handing ; He, Shan ; Lawrenson, Robin ; Campbell, Marion K. ; Green, David R. / Feasibility and utility of population-level geospatial injury profiling : Prospective, national cohort study. In: The Journal of Trauma and Acute Care Surgery. 2015 ; Vol. 78, No. 5. pp. 962-969.

Bibtex

@article{9cd0c963c58d47abbe38e54f96ef1adb,
title = "Feasibility and utility of population-level geospatial injury profiling: Prospective, national cohort study",
abstract = "BACKGROUND Geospatial analysis is increasingly being used to evaluate the design and effectiveness of trauma systems, but there are no metrics to describe the geographic distribution of incidents. The aim of this study, therefore, was to evaluate the feasibility and utility of using spatial analysis to characterize, at scale, the geospatial profile of an injured population. METHODS This is a prospective national cohort study of all trauma patients attended to by the Scottish Ambulance Service in a complete year (between July 1, 2013, and June 30, 2014). Incident location and severity were collected at source. Incident distribution was evaluated using geostatistical techniques. RESULTS There were 80,391 recorded incidents involving traumatic injury. Incident density was highest in the central Southern part of the country and along the East coast, broadly following the population distribution and road network. The overall distribution was highly clustered, and centered on the central Southern and Eastern parts of the country. When analyzed by triage category, the distribution of incidents triaged to major trauma center care was slightly less clustered than that of incidents triaged to trauma unit or local emergency hospital care, but the spread was similar. When analyzed by type of injury, assaults and falls were more clustered than incidents relating to traffic and transportation. CONCLUSION This study demonstrates the feasibility and power of describing the geographic distribution of a group of injured patients. The methodology described has potential application for injury surveillance and trauma system design and evaluation.",
keywords = "Geospatial modeling, Health services research, Scotland, Trauma epidemiology, Trauma systems",
author = "Jansen, {Jan O.} and Morrison, {Jonathan J.} and Handing Wang and Shan He and Robin Lawrenson and Campbell, {Marion K.} and Green, {David R.}",
year = "2015",
month = may,
day = "7",
doi = "10.1097/TA.0000000000000617",
language = "English",
volume = "78",
pages = "962--969",
journal = "The Journal of Trauma and Acute Care Surgery",
issn = "2163-0755",
publisher = "Lippincott Williams and Wilkins",
number = "5",

}

RIS

TY - JOUR

T1 - Feasibility and utility of population-level geospatial injury profiling

T2 - Prospective, national cohort study

AU - Jansen, Jan O.

AU - Morrison, Jonathan J.

AU - Wang, Handing

AU - He, Shan

AU - Lawrenson, Robin

AU - Campbell, Marion K.

AU - Green, David R.

PY - 2015/5/7

Y1 - 2015/5/7

N2 - BACKGROUND Geospatial analysis is increasingly being used to evaluate the design and effectiveness of trauma systems, but there are no metrics to describe the geographic distribution of incidents. The aim of this study, therefore, was to evaluate the feasibility and utility of using spatial analysis to characterize, at scale, the geospatial profile of an injured population. METHODS This is a prospective national cohort study of all trauma patients attended to by the Scottish Ambulance Service in a complete year (between July 1, 2013, and June 30, 2014). Incident location and severity were collected at source. Incident distribution was evaluated using geostatistical techniques. RESULTS There were 80,391 recorded incidents involving traumatic injury. Incident density was highest in the central Southern part of the country and along the East coast, broadly following the population distribution and road network. The overall distribution was highly clustered, and centered on the central Southern and Eastern parts of the country. When analyzed by triage category, the distribution of incidents triaged to major trauma center care was slightly less clustered than that of incidents triaged to trauma unit or local emergency hospital care, but the spread was similar. When analyzed by type of injury, assaults and falls were more clustered than incidents relating to traffic and transportation. CONCLUSION This study demonstrates the feasibility and power of describing the geographic distribution of a group of injured patients. The methodology described has potential application for injury surveillance and trauma system design and evaluation.

AB - BACKGROUND Geospatial analysis is increasingly being used to evaluate the design and effectiveness of trauma systems, but there are no metrics to describe the geographic distribution of incidents. The aim of this study, therefore, was to evaluate the feasibility and utility of using spatial analysis to characterize, at scale, the geospatial profile of an injured population. METHODS This is a prospective national cohort study of all trauma patients attended to by the Scottish Ambulance Service in a complete year (between July 1, 2013, and June 30, 2014). Incident location and severity were collected at source. Incident distribution was evaluated using geostatistical techniques. RESULTS There were 80,391 recorded incidents involving traumatic injury. Incident density was highest in the central Southern part of the country and along the East coast, broadly following the population distribution and road network. The overall distribution was highly clustered, and centered on the central Southern and Eastern parts of the country. When analyzed by triage category, the distribution of incidents triaged to major trauma center care was slightly less clustered than that of incidents triaged to trauma unit or local emergency hospital care, but the spread was similar. When analyzed by type of injury, assaults and falls were more clustered than incidents relating to traffic and transportation. CONCLUSION This study demonstrates the feasibility and power of describing the geographic distribution of a group of injured patients. The methodology described has potential application for injury surveillance and trauma system design and evaluation.

KW - Geospatial modeling

KW - Health services research

KW - Scotland

KW - Trauma epidemiology

KW - Trauma systems

UR - http://www.scopus.com/inward/record.url?scp=84928919877&partnerID=8YFLogxK

U2 - 10.1097/TA.0000000000000617

DO - 10.1097/TA.0000000000000617

M3 - Article

C2 - 25909416

AN - SCOPUS:84928919877

VL - 78

SP - 962

EP - 969

JO - The Journal of Trauma and Acute Care Surgery

JF - The Journal of Trauma and Acute Care Surgery

SN - 2163-0755

IS - 5

ER -