Factors Associated With Incidence of Inappropriate Ambulance Transport in Rural Areas in Cases of Moderate to Severe Head Injury in Children
Journal of Rural Health, 21(3):272-277.
An analysis was conducted to identify a set of
significant predictors of cases of inappropriate
deliveries to acute care facilities with no trauma-center
designation of any level. Greater distance (mean = 19.96
miles) to the nearest trauma center and shorter distance
traveled by the ambulance squad to the receiving facility
(mean = 19.07 miles) corresponded to higher probabilities
of mistriage, especially when a child was Native American
(16 times more likely) and the transportation was
conducted in the winter (9 times more likely).
Upper Midwest Rural Health Research Center
Dmitri Poltavski, Kyle Muus