BACKGROUND: Although racial differences in hospital outcomes are well known for medical conditions (eg, cardiovascular disease), it is unknown whether differences exist for patients with traumatic brain injury (TBI). RESEARCH DESIGN: Using the National Trauma Data Bank, we examined racial and ethnic differences in hospital outcomes of 56,482 patients with moderate to severe TBI who were hospitalized in level I or II trauma-designated hospitals between 2000 and 2003. We examined racial and ethnic disparities in in-hospital mortality and the likelihood of survivors receiving postacute care at a rehabilitation center. RESULTS: After multivariable adjustment, compared with whites, we observed increased in-hospital mortality for blacks (odds ratio [OR] = 1.19, P = 0.026) and Asians (OR = 1.41, P = 0.005). We observed a trend toward significance for Hispanics (OR = 1.41, P = 0.077), but not for other races. For survivors, compared with whites, blacks and Hispanics were less likely to be discharged to a rehabilitation center (OR = 0.68, P < 0.001, and OR = 0.67, P = 0.002, respectively). CONCLUSIONS: Racial and ethnic disparities exist both in mortality and in discharge to postacute rehabilitation centers among persons with TBI.
BACKGROUND: Although racial differences in hospital outcomes are well known for medical conditions (eg, cardiovascular disease), it is unknown whether differences exist for patients with traumatic brain injury (TBI). RESEARCH DESIGN: Using the National Trauma Data Bank, we examined racial and ethnic differences in hospital outcomes of 56,482 patients with moderate to severe TBI who were hospitalized in level I or II trauma-designated hospitals between 2000 and 2003. We examined racial and ethnic disparities in in-hospital mortality and the likelihood of survivors receiving postacute care at a rehabilitation center. RESULTS: After multivariable adjustment, compared with whites, we observed increased in-hospital mortality for blacks (odds ratio [OR] = 1.19, P = 0.026) and Asians (OR = 1.41, P = 0.005). We observed a trend toward significance for Hispanics (OR = 1.41, P = 0.077), but not for other races. For survivors, compared with whites, blacks and Hispanics were less likely to be discharged to a rehabilitation center (OR = 0.68, P < 0.001, and OR = 0.67, P = 0.002, respectively). CONCLUSIONS: Racial and ethnic disparities exist both in mortality and in discharge to postacute rehabilitation centers among persons with TBI.
Authors: Monique R Pappadis; Angelle M Sander; Beata Łukaszewska; Margaret A Struchen; Patrick Leung; Dennis W Smith Journal: Arch Phys Med Rehabil Date: 2016-12-19 Impact factor: 3.966
Authors: Kazuma Nakagawa; Reid R Hoshide; Susan M Asai; Katherine G Johnson; Juliet G Beniga; Melanie C Albano; Johnna L del Castillo; Daniel J Donovan; Cherylee W Chang; Matthew A Koenig Journal: Hawaii J Med Public Health Date: 2013-04
Authors: Adil H Haider; Paul Logan Weygandt; Jessica M Bentley; Maria Francesca Monn; Karim Abdur Rehman; Benjamin L Zarzaur; Marie L Crandall; Edward E Cornwell; Lisa A Cooper Journal: J Trauma Acute Care Surg Date: 2013-05 Impact factor: 3.313