Abstract

To identify and evaluate potentially modifiable pre-hospital factors associated with better health outcomes after motor vehicle collisions, using existing county-specific data. Study Design: A series of related studies using multiple-year government databases linked to each other and to additional data using deterministic and probabilistic methods. Small-area (county) variability and changes over time will be described. Outcome analysis will use multilevel regression to account for clustered data structures (e.g., persons

Public Health Relevance

This project presents an opportunity to assemble data already available and apply contemporary statistical methods to evaluate the pre-hospital component of trauma systems. By combining data from multiple sources and controlling properly for the effects of variables at different levels of aggregation, the proposed project will provide valuable information to policy makers and trauma system managers about system improvements that can benefit individuals, particularly those living in rural areas.

  Funding Agency

Agency
National Institute of Health (NIH)
Institute
Eunice Kennedy Shriver National Institute of Child Health & Human Development (NICHD)
Type
Exploratory/Developmental Grants (R21)
Project #
1R21HD061318-01A1
Application #
7690993
Study Section
Special Emphasis Panel (ZRG1-RPHB-K (50))
Program Officer
Spittel, Michael
Project Start
2009-08-15
Project End
2011-06-30
Budget Start
2009-08-15
Budget End
2010-06-30
Support Year
1
Fiscal Year
2009
Total Cost
$188,125
Indirect Cost

  Institution

Name
Maine Medical Center
Department
Type
DUNS #
071732663
City
Portland
State
ME
Country
United States
Zip Code
04102

  Publications

Peura, Christine; Kilch, Joseph A; Clark, David E (2015) Evaluating adverse rural crash outcomes using the NHTSA State Data System. Accid Anal Prev 82:257-62
Clark, David E; Hannan, Edward L (2013) Inverse propensity weighting to adjust for bias in fatal crash samples. Accid Anal Prev 50:1244-51
Haskins, Amy E; Clark, David E; Travis, Lori L (2013) Racial disparities in survival among injured drivers. Am J Epidemiol 177:380-7
Travis, Lori L; Clark, David E; Haskins, Amy E et al. (2012) Mortality in rural locations after severe injuries from motor vehicle crashes. J Safety Res 43:375-80
Goldstein, Gregory P; Clark, David E; Travis, Lori L et al. (2011) Explaining regional disparities in traffic mortality by decomposing conditional probabilities. Inj Prev 17:84-90
Clark, David E; Hannan, Edward L; Wu, Chuntao (2010) Predicting risk-adjusted mortality for trauma patients: logistic versus multilevel logistic models. J Am Coll Surg 211:224-31