Pedestrians struck by motor vehicles further worsen race- and insurance-based disparities in trauma outcomes: the case for inner-city pedestrian injury prevention programs

Surgery
Rubie Sue MayburyAdil Haider

Abstract

Pedestrian trauma is the most lethal blunt trauma mechanism, and the rate of mortality in African Americans and Hispanics is twice that compared with whites. Whether insurance status and differential survival contribute to this disparity is unknown. This study is a review of vehicle-struck pedestrians in the National Trauma Data Bank, v7.0. Patients <16 years and > or =65 years, as well as patients with Injury Severity Score (ISS) <9, were excluded. Patients were categorized as white, African American, or Hispanic, and as privately insured, government insured, or uninsured. With white and privately insured patients as reference, logistic regression was used to evaluate mortality by race and insurance status after adjusting for patient and injury characteristics. In all, 26,404 patients met inclusion criteria. On logistic regression, African Americans had 22% greater odds of mortality (odds ratio [OR], 1.22; 95% confidence interval [CI], 1.06-1.41) and Hispanics had 33% greater odds of mortality (OR, 1.33; 95% CI, 1.14-1.54) compared with whites. Uninsured patients had 77% greater odds of mortality (OR, 1.77; 95% CI, 1.52-2.06) compared with privately insured patients. African American and Hispanic race, as well as uninsured sta...Continue Reading

References

May 24, 2001·The Journal of Trauma·A B NathensG J Jurkovich
Jun 5, 2004·Injury Prevention : Journal of the International Society for Child and Adolescent Injury Prevention·B S RoudsariJ Crandall
Jul 9, 2004·Liver Transplantation : Official Publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society·Andrea E ReidJoel S Weissman
Mar 17, 2005·Circulation·George A MensahJanet B Croft
May 5, 2005·Accident; Analysis and Prevention·Chris Lee, Mohamed Abdel-Aty
Nov 8, 2006·Journal of Orthopaedic Trauma·Charles A GoldfarbWilliam M Ricci
Nov 14, 2006·The Journal of Trauma·Sally HollisMaralyn Woodford
Jan 2, 2007·Accident; Analysis and Prevention·Michael G LennéKaren Stephan
Oct 9, 2007·Accident; Analysis and Prevention·N N Sze, S C Wong
Dec 7, 2007·The Journal of Bone and Joint Surgery. American Volume·Michael T ArchdeaconJohn D Wyrick
Sep 23, 2008·The Journal of Surgical Research·Adil H HaiderDavid T Efron
Oct 22, 2008·Archives of Surgery·Adil H HaiderEdward E Cornwell
Aug 5, 2009·Injury Prevention : Journal of the International Society for Child and Adolescent Injury Prevention·J WarshA Howard
Oct 27, 2009·Journal of the American College of Surgeons·Timothy L FitzgeraldEmmanuel E Zervos

❮ Previous
Next ❯

Citations

Apr 24, 2013·The Journal of Trauma and Acute Care Surgery·Adil H HaiderLisa A Cooper
Apr 20, 2013·American Journal of Public Health·Marie CrandallThomas Esposito
Jul 6, 2013·The Journal of Surgical Research·Valerie K ScottAdil H Haider
Aug 4, 2012·The Journal of Surgical Research·Paul Logan WeygandtAdil H Haider
Jan 24, 2012·The Journal of Urology·Marc A BjurlinCourtney M P Hollowell
Apr 6, 2011·Journal of the American College of Surgeons·Joseph J TepasLewis M Flint
Nov 12, 2010·The Journal of Surgical Research·Tolulope A OyetunjiAdil H Haider
Aug 8, 2015·The Journal of Surgical Research·Thorsten JentzschRudolf Moos
Oct 21, 2016·Journal of Vascular Surgery·Caitlin W HicksMahmoud B Malas
May 15, 2013·Health Services Research·Laurent G GlanceAndrew W Dick
Sep 1, 2015·American Journal of Surgery·Tiffany L OvertonShahid Shafi
Sep 6, 2015·Quality of Life Research : an International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation·Suliman AlghnamRenan C Castillo
Mar 4, 2015·American Journal of Surgery·Nisha N BranchRobert H Wilson
Mar 15, 2015·Journal of Trauma Nursing : the Official Journal of the Society of Trauma Nurses·Gina M BergPaul B Harrison
Feb 26, 2016·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·JoAnne E NataleJames F Holmes
Oct 8, 2016·Accident; Analysis and Prevention·Courtney CoughenourJoshua Huebner
Nov 10, 2016·Journal of Trauma Nursing : the Official Journal of the Society of Trauma Nurses·Judy N MikhailSamir M Fakhry
Jan 27, 2017·Public Health Reports·Vatsal ChikaniRogelio Martinez
Apr 12, 2012·The Journal of Trauma and Acute Care Surgery·Anthony R HarrisStephen H Thomas
May 21, 2020·World Journal of Surgery·Carol SanchezAdel Elkbuli
Dec 7, 2018·Injury Epidemiology·Elizabeth D NesoffSilvia S Martins
Aug 5, 2020·Journal of Urban Health : Bulletin of the New York Academy of Medicine·Maia IngramEmily Yetman
Nov 16, 2018·Journal of Racial and Ethnic Health Disparities·Rachel M Nygaard, Ashley P Marek
May 30, 2021·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·Lukas FunkeValentin Neuhaus

❮ Previous
Next ❯

Related Concepts

Related Feeds

Auditory Perception

Auditory perception is the ability to receive and interpret information attained by the ears. Here is the latest research on factors and underlying mechanisms that influence auditory perception.

Related Papers

Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine
Wael HakmehCharlene B Irvin
Journal of the American College of Surgeons
Joseph J TepasLewis M Flint
© 2021 Meta ULC. All rights reserved