TY - JOUR
T1 - Trauma center accessibility for road traffic injuries in Hanoi, Vietnam
AU - Nagata, Takashi
AU - Takamori, Ayako
AU - Kimura, Yoshinari
AU - Kimura, Akio
AU - Hashizume, Makoto
AU - Nakahara, Shinji
N1 - Funding Information:
This study was funded by the Ministry of Health, Welfare and Labor, Japan, as the Grant for International Health Cooperation Research (19C-5). It was one of the international research projects entitled “Research for injury prevention and clinical education improvement in developing countries,” directed by Dr. Akio Kimura, the director of emergency medicine and critical care, National Center for Global Health and Medicine, Tokyo, Japan. Dr. Minoru Akiyama, the official advisor for the Ministry of Health, Vietnam, and Mr. Michimasa Takagi, the project leader in education for traffic safety in Hanoi, Vietnam cooperated in the fieldwork. The data-mining and mapping processes were performed by Mr. Vu Van Chat, of the Continental Horizon Corporation in Hanoi. This research was presented at American College of Emergency Physician, Scientific Assembly in Boston, USA, on October 5-8, 2009.
PY - 2011/9/30
Y1 - 2011/9/30
N2 - Background: Rapid economic growth in Vietnam over the last decade has led to an increased frequency of road traffic injury (RTI), which now represents one of the leading causes of death in the nation. Various efforts toward injury prevention have not produced a significant decline in the incidence of RTIs. Our study sought to describe the geographic distribution of RTIs in Hanoi, Vietnam and to evaluate the accessibility of trauma centers to those injured in the city.Methods: We performed a cross-sectional study using Hanoi city police reports from 2006 to describe the epidemiology of RTIs occurring in Hanoi city. Additionally, we identified geographic patterns and determined the direct distance from injury sites to trauma centers by applying geographical information system (GIS) software. Factors associated with the accessibility of trauma centers were evaluated by multivariate regression analysis.Results: We mapped 1,271 RTIs in Hanoi city. About 40% of RTIs occurred among people 20-29 years of age. Additionally, 63% of RTIs were motorcycle-associated incidents. Two peak times of injury occurrence were observed: 12 am-4 pm and 8 pm-0 am. "Hot spots" of road traffic injuries/fatalities were identified in the city area and on main highways using Kernel density estimation. Interestingly, RTIs occurring along the two north-south main roads were not within easy access of trauma centers. Further, fatal cases, gender and injury mechanism were significantly associated with the distance between injury location and trauma centers.Conclusions: Geographical patterns of RTIs in Hanoi city differed by gender, time, and injury mechanism; such information may be useful for injury prevention. Specifically, RTIs occurring along the two north-south main roads have lower accessibility to trauma centers, thus an emergency medical service system should be established.
AB - Background: Rapid economic growth in Vietnam over the last decade has led to an increased frequency of road traffic injury (RTI), which now represents one of the leading causes of death in the nation. Various efforts toward injury prevention have not produced a significant decline in the incidence of RTIs. Our study sought to describe the geographic distribution of RTIs in Hanoi, Vietnam and to evaluate the accessibility of trauma centers to those injured in the city.Methods: We performed a cross-sectional study using Hanoi city police reports from 2006 to describe the epidemiology of RTIs occurring in Hanoi city. Additionally, we identified geographic patterns and determined the direct distance from injury sites to trauma centers by applying geographical information system (GIS) software. Factors associated with the accessibility of trauma centers were evaluated by multivariate regression analysis.Results: We mapped 1,271 RTIs in Hanoi city. About 40% of RTIs occurred among people 20-29 years of age. Additionally, 63% of RTIs were motorcycle-associated incidents. Two peak times of injury occurrence were observed: 12 am-4 pm and 8 pm-0 am. "Hot spots" of road traffic injuries/fatalities were identified in the city area and on main highways using Kernel density estimation. Interestingly, RTIs occurring along the two north-south main roads were not within easy access of trauma centers. Further, fatal cases, gender and injury mechanism were significantly associated with the distance between injury location and trauma centers.Conclusions: Geographical patterns of RTIs in Hanoi city differed by gender, time, and injury mechanism; such information may be useful for injury prevention. Specifically, RTIs occurring along the two north-south main roads have lower accessibility to trauma centers, thus an emergency medical service system should be established.
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U2 - 10.1186/1752-2897-5-11
DO - 10.1186/1752-2897-5-11
M3 - Article
C2 - 21962210
AN - SCOPUS:84864345301
VL - 5
JO - Journal of Trauma Management and Outcomes
JF - Journal of Trauma Management and Outcomes
SN - 1752-2897
IS - 1
M1 - 11
ER -
