ArticleHealth services research2013
Trends in racial disparities for injured patients admitted to trauma centers.
Article in Health services research, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.
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Who cites it
16 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Disparities in Adult and Pediatric Trauma Outcomes: a Systematic Review and Meta-Analysis.World journal of surgery · 2020Pooled it
- Utilization of whole-body computed tomography in trauma: The role of trauma center level and ACS verification.Surgery open science · 2026Article
- The diagnostic utility of the PCL-5 in a traumatically injured black population.Journal of anxiety disorders · 2025Article
- History of Racial Discrimination by Police Contributes to Worse Physical and Emotional Quality of Life in Black Americans After Traumatic Injury.Journal of racial and ethnic health disparities · 2024Article
- Is ethnicity a risk factor for mortality in major trauma? A single-centred cohort study.Annals of the Royal College of Surgeons of England · 2024Article
- Does treatment at a level I trauma center reduce disparities in patient outcomes for open tibia fractures? A retrospective analysis of the National trauma Databank.Journal of clinical orthopaedics and trauma · 2023Article
- Racial disparities in mortality after severe traumatic brain injury in childhood: mediators identified by Oaxaca-Blinder decomposition of trauma registry data.Injury epidemiology · 2021Article
- Association Between Socioeconomic and Demographic Characteristics and Non-fatal Alcohol-Related Injury in Maringá, Brazil.Frontiers in public health · 2020Article
- Patient Representation in Medical Literature: Are We Appropriately Depicting Diversity?Plastic and reconstructive surgery. Global open · 2019Article
- Racial/Ethnic Disparities in Longer-term Outcomes Among Emergency General Surgery Patients: The Unique Experience of Universally Insured Older Adults.Annals of surgery · 2018Article
- Outcomes of trauma admission for falls: influence of race and age on inhospital and post-discharge mortality.American journal of surgery · 2016Article
- Age and preexisting conditions as risk factors for severe adverse events and failure to rescue after injury.The Journal of surgical research · 2016Article
- Socioeconomic Status and Hospitalization Costs for Children with Brain and Spinal Cord Injury.The Journal of pediatrics · 2016Article
- Who Gets Early Tracheostomy?: Evidence of Unequal Treatment at 185 Academic Medical Centers.Chest · 2015Article
- Trauma care does not discriminate: The association of race and health insurance with mortality following traumatic injury.The journal of trauma and acute care surgery · 2015Article
- Minority trauma patients tend to cluster at trauma centers with worse-than-expected mortality: can this phenomenon help explain racial disparities in trauma outcomes?Annals of surgery · 2013Article
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
objectiveTo determine whether outcome disparities between black and white trauma patients have decreased over the last 10 years. DATA SOURCE: Pennsylvania Trauma Outcome Study. STUDY
designWe performed an observational cohort study on 191,887 patients admitted to 28 Level 1 and Level II trauma centers. The main outcomes of interest were (1) death, (2) death or major complication, and (3) failure-to-rescue. Hospitals were categorized according to the proportion of black patients. Multivariate regression models were used to estimate trends in racial disparities and to assess whether the source of racial disparities was within or between hospitals. PRINCIPAL
findingsTrauma patients admitted to hospitals with high concentrations of blacks (>20 percent) had a 45 percent higher odds of death (adj OR: 1.45, 95 percent CI: 1.09-1.92) and a 73 percent higher odds of death or major complication (adj OR: 1.73, 95 percent CI: 1.42-2.11) compared with patients admitted to hospitals treating low proportions of blacks. Blacks and whites admitted to the same hospitals had no difference in mortality (adj OR: 1.05, 95 percent CI: 0.87, 1.27) or death or major complications (adj OR: 1.01; 95 percent CI: 0.90, 1.13). The odds of overall mortality, and death or major complications have been reduced by 32 percent (adj OR: 0.68; 95 percent CI: 0.54-0.86) and 28 percent (adj OR: 0.72; 95 percent CI: 0.60-0.85) between 2000 and 2009, respectively. Racial disparities did not change over 10 years.
conclusionDespite the overall improvement in outcomes, the gap in quality of care between black and white trauma patients in Pennsylvania has not narrowed over the last 10 years. Racial disparities in trauma are due to the fact that black patients are more likely to be treated in lower quality hospitals compared with whites.
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