African-American and Caucasian mortalities are the same after traumatic injury: pair matched analysis from a national data

Trauma Surgery & Acute Care Open
Nasim AhmedYenhong Kuo

Abstract

African-Americans have worse outcomes than Caucasians in many clinical conditions studied, including trauma. We sought to analyze if mortality is different in these groups through analysis of a national data set. Recent data from the national Trauma Quality Improvement Program were assessed with analysis, including all African-American or Caucasian patients who were brought to level I or level II trauma centers for care. Propensity scores were calculated for each African-American patient using age, sex, Injury Severity Score (ISS), Glasgow Coma Scale (GCS), injury type, insurance information and American College of Surgeons trauma level. The primary outcome of this study was in-hospital mortality, and the secondary outcomes were hospital length of stay and discharge disposition. A total of 82 150 (13.65%) out of 601 768 patients who qualified for the inclusion in the study were African-American. The remaining 519 618 (86.35%) were Caucasian. The median age (IQR) of the patients was 54 (33 to 72) years old, and approximately two-thirds of the patients were male. The median ISS and GCS score were 12 (9 to 17) and 15 (15 to 15), respectively. More than 90% of patients sustained blunt injuries. Overall, there was no significant dif...Continue Reading

References

Aug 19, 1999·Journal of the National Cancer Institute·R G RoetzheimJ P Krischer
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Nov 13, 2007·The Journal of Trauma·Shahid ShafiLarry M Gentilello
Dec 7, 2007·European Journal of Cancer : Official Journal for European Organization for Research and Treatment of Cancer (EORTC) [and] European Association for Cancer Research (EACR)·Arun PokhrelTimo Hakulinen
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Methods Mentioned

BETA
ISS

Software Mentioned

R package ‘ MatchIt ’

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