Jun 15, 2017

Race and Ethnicity Have a Mixed Effect on the Treatment of Tibial Plateau Fractures

Journal of Orthopaedic Trauma
Adam DriesmanKenneth A Egol

Abstract

To determine whether racial or economic disparities are associated with short-term complications and outcomes in tibial plateau fracture care. Retrospective cohort study. All New York State hospital admissions from 2000 to 2014, as recorded by the New York Statewide Planning and Research Cooperative System database. Thirteen thousand five hundred eighteen inpatients with isolated tibial plateau fractures (OTA/AO 44), stratified in 4 groups: white, African American, Hispanic, and other. Closed treatment and operative fixation of the tibial plateau. Hospital length of stay (LOS, days), in-hospital complications/mortality, estimated total costs, and 30-day readmission. There were no significant differences regarding in-hospital mortality, infection, deep vein thrombosis/pulmonary embolism, or wound complications between races, even when controlling for income. There was a higher rate of nonoperatively treated fractures in the racial minority populations. Minority patients had on average 2 days longer LOS compared with whites (P < 0.001), costing on average $4000 more per hospitalization (P < 0.001). Multivariate logistic regression found that neither race nor estimated median family income were independent risk factors for readmis...Continue Reading

  • References33
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References

  • References33
  • Citations1

Citations

Mentioned in this Paper

Research
Hispanics
Pulmonary Embolism
Deep Vein Thrombosis of Lower Limb
Hospitalization
Deep Vein Thrombosis
Tibial Fractures
Sample Fixation
Incidence Studies
Logistic Regression

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