Racial Disparities at Mixed-Race and Minority Hospitals: Treatment of African American Males With High-Grade Splenic Injuries

The American Surgeon
Christopher J TignanelliAnthony Charles

Abstract

Racial and socioeconomic disparities in health access and outcomes for many conditions are well known. However, for time-sensitive high-acuity diseases such as traumatic injuries, disparities in access and outcomes should be significantly diminished. Our primary objective was to characterize racial disparities across majority, mixed-race, and minority hospitals for African American (AA) versus white males with high-grade splenic injuries. Data from the National Trauma Data Bank was utilized from 2007 to 2015. A total of 24 855 AA or white males with high-grade splenic injuries were included. Multilevel mixed effects regression analysis was used to evaluate disparities in outcomes and resource allocation. Mortality was significantly higher for AA males at mixed-race (odds ratio [OR] 1.6; 95% CI 1.3-2.1; P < .001) and minority (OR 2.1; 95% CI 1.5-3.0; P < .001) hospitals, but not at majority hospitals. At minority hospitals, AA males were significantly less likely to be admitted to the intensive care unit (OR 0.7; 95% CI 0.49-0.97; P = .04) and experienced a significantly longer time to surgery (IRR 1.5; P = .02). Minority hospitals were significantly more likely to have failures from angiographic embolization requiring operative...Continue Reading

References

Jan 7, 1988·The New England Journal of Medicine·E C Halperin
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Apr 2, 1998·Journal of Health Politics, Policy and Law·D B Smith
May 2, 2003·American Journal of Public Health·David R Williams
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Mar 7, 2013·American Journal of Men's Health·Derek M GriffithJulie Ober Allen
Aug 21, 2015·Family & Community Health·Tyson H BrownDerek M Griffith
Dec 2, 2017·The Journal of Trauma and Acute Care Surgery·Christopher J TignanelliMark R Hemmila

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amputations

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