Featured Research

from universities, journals, and other organizations

Significant Regional Variations Exist Regarding Proximity To Burn Centers

Date:
October 27, 2009
Source:
JAMA and Archives Journals
Summary:
Although nearly 80 percent of the US population lives within 2 hours by ground or helicopter transport to a verified burn center, there is substantial state and regional variation in geographic access to these centers, according to a new study.

Although nearly 80 percent of the U.S. population lives within 2 hours by ground or helicopter transport to a verified burn center, there is substantial state and regional variation in geographic access to these centers, according to a study in the October 28 issue of JAMA.

Related Articles


More than 500,000 burn injuries occur in the United States each year, causing approximately 4,000 burn-related deaths, according to the American Burn Association. In addition, more than 40,000 patients are admitted to hospitals each year for treatment of burn injury. The authors write that the delivery of optimal burn care to these patients is a resource-intensive endeavor requiring specialized equipment and experienced personnel, and that these resources are typically available only at dedicated burn centers. They add that timely access to a burn center may benefit patients. The current distribution of burn centers relative to geographic area and population is unknown, according to background information in the article.

Matthew B. Klein, M.D., M.S., of the University of Washington, Seattle, and colleagues conducted a study to estimate the proportion of the U.S. population living within 1 and 2 hours by ground or helicopter transport of a burn care facility, evaluating state, regional, and national access. The researchers compiled and analyzed information from the 2000 U.S. census, road and speed limit data, the Atlas and Database of Air Medical Services database, and the 2008 American Burn Association Directory.

The researchers found that in the U.S. in 2008, there were 128 self-reported burn centers, including 51 verified burn centers (verified by the American Burn Association, in which the quality of burn care provided at a center is assessed and confirmed). A total of 782 helipads and 804 helicopters served these centers. Nationally, about 25 percent of the U.S. population lived within 1 hour by ground transport of a verified center; 46.3 percent lived within 2 hours; and 67.7 percent lived within 4 hours by ground transport of a verified burn center.

"By air transport [helicopter], 53.9 percent and 79.0 percent of the population lived within 1 and 2 hours, respectively, of a verified center, and 75.3 percent lived within 1 hour and more than 96.4 percent lived within 2 hours of any self-reported center," the authors write. They add that one-third of the U.S. population must be transported by air to reach a verified burn care center within 2 hours.

The researchers also found that there was significant regional variation in access to verified burn centers by both ground and rotary air transport. "The greatest proportion of the population with access was highest in the northeast region and lowest in the southern United States," they write.

"The variation in baseline geographic access rates found in this study may be an influential predictor of optimal regionalization strategy. For states and regions with a relatively high baseline rate of access, the best strategy for improving access and reducing time to definitive care may involve optimization of air and ground emergency medical service systems. For states and regions with a relatively low baseline rate of access, the best strategy may involve construction or verification of new regional burn care facilities."

"While the optimal distribution of burn centers relative to population and area remains to be determined, these data provide important information about population access that may be used to guide resource allocation in burn care," the authors conclude.


Story Source:

The above story is based on materials provided by JAMA and Archives Journals. Note: Materials may be edited for content and length.


Journal Reference:

  1. Matthew B. Klein; C. Bradley Kramer; Jason Nelson; Frederick P. Rivara; Nicole S. Gibran; Thomas Concannon. Geographic Access to Burn Center Hospitals. JAMA, 2009; 302 (16): 1774-1781 [link]

Cite This Page:

JAMA and Archives Journals. "Significant Regional Variations Exist Regarding Proximity To Burn Centers." ScienceDaily. ScienceDaily, 27 October 2009. <www.sciencedaily.com/releases/2009/10/091027161530.htm>.
JAMA and Archives Journals. (2009, October 27). Significant Regional Variations Exist Regarding Proximity To Burn Centers. ScienceDaily. Retrieved November 27, 2014 from www.sciencedaily.com/releases/2009/10/091027161530.htm
JAMA and Archives Journals. "Significant Regional Variations Exist Regarding Proximity To Burn Centers." ScienceDaily. www.sciencedaily.com/releases/2009/10/091027161530.htm (accessed November 27, 2014).

Share This


More From ScienceDaily



More Health & Medicine News

Thursday, November 27, 2014

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

Ebola Leaves Orphans Alone in Sierra Leone

Ebola Leaves Orphans Alone in Sierra Leone

AFP (Nov. 27, 2014) — The Ebola epidemic sweeping Sierra Leone is having a profound effect on the country's children, many of whom have been left without any family members to support them. Duration: 01:02 Video provided by AFP
Powered by NewsLook.com
Experimental Ebola Vaccine Shows Promise In Human Trial

Experimental Ebola Vaccine Shows Promise In Human Trial

Newsy (Nov. 27, 2014) — A recent test of a prototype Ebola vaccine generated an immune response to the disease in subjects. Video provided by Newsy
Powered by NewsLook.com
Pet Dogs to Be Used in Anti-Ageing Trial

Pet Dogs to Be Used in Anti-Ageing Trial

Reuters - Innovations Video Online (Nov. 26, 2014) — Researchers in the United States are preparing to discover whether a drug commonly used in human organ transplants can extend the lifespan and health quality of pet dogs. Video provided by Reuters
Powered by NewsLook.com
Today's Prostheses Are More Capable Than Ever

Today's Prostheses Are More Capable Than Ever

Newsy (Nov. 26, 2014) — Advances in prosthetics are making replacement body parts stronger and more lifelike than they’ve ever been. Video provided by Newsy
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
 
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:  

Breaking News:

Strange & Offbeat Stories

 

Health & Medicine

Mind & Brain

Living & Well

In Other News

... from NewsDaily.com

Science News

Health News

Environment News

Technology News



Save/Print:
Share:  

Free Subscriptions


Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

Get Social & Mobile


Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

Have Feedback?


Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
Mobile iPhone Android Web
Follow Facebook Twitter Google+
Subscribe RSS Feeds Email Newsletters
Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins