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• W4387032942 abstract "The American Association for the Surgery of Trauma and the American College of Surgeons have recently introduced emergency general surgery (EGS) center verification, which could enhance patient outcomes. Distance and resource availability may affect access to these centers, which has been linked to higher mortality. Although many patients can receive adequate care at community centers, those with critical conditions may require specialized treatment at EGS-verified centers. We aimed to evaluate geospatial access to potential EGS-verified centers and identify disparities across different scenarios of EGS verification program uptake in the US.We utilized hospital capabilities and verified pilot centers to estimate potential patterns of which centers would become EGS verified under four scenarios (EGS centers; high volume EGS centers; high volume EGS + level 1 trauma centers; quaternary referral centers). We calculated the spatial accessibility index (SPAI) using an enhanced 2-step floating catchment technique to determine geospatial access for each scenario. We also evaluated social determinants of health across geospatial access using the Area Deprivation Index (ADI).1932 hospitals were categorized as EGS centers, 307 as high volume EGS centers, 401 as high volume EGS + level 1trauma centers; and 146 as quaternary centers. SPAI decreased as the stringency of EGS verification increased in each scenario (226.6 [111.7, 330.7]; 51.8 [0, 126.1]; 71.52 [3.34-164.56]; 6.2 [0, 62.2], p < 0.001). Within each scenario, SPAI also declined as the ADI quartile increased (p < 0.001). The high volume EGS + level 1trauma center scenario had the most significant disparity in access between the 1st and 4th ADI quartiles (-54.68).Access to EGS-verified centers may vary considerably based on the program's implementation. Disadvantaged communities may be disproportionately affected by limited access. Further work to study regional needs can allow a strategic implementation of the EGS verification program to optimize outcomes while minimizing disparities.Level III, Epidemiological." @default.
• W4387032942 created "2023-09-27" @default.
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• W4387032942 date "2023-09-26" @default.
• W4387032942 modified "2023-09-27" @default.
• W4387032942 title "Evaluating Potential Disparities in Geospatial Access to ACS/AAST Verified Emergency General Surgery Centers" @default.
• W4387032942 doi "https://doi.org/10.1097/ta.0000000000004147" @default.
• W4387032942 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/37751150" @default.
• W4387032942 hasPublicationYear "2023" @default.
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