ArticleThe journal of trauma and acute care surgery2015
Trauma care does not discriminate: The association of race and health insurance with mortality following traumatic injury.
Article in The journal of trauma and acute care surgery, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.
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Who cites it
13 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
- Understanding disparities in firearm mortality: The role of person- and place-based factors.Injury · 2025Article
- Insurance Type and Withdrawal of Life-Sustaining Therapy in Critically Injured Trauma Patients.JAMA network open · 2024Article
- The role of race and insurance in trauma patients' mortality: A cross-sectional analysis based on a nationwide sample.PloS one · 2024Article
- Race and trauma mortality: The effect of hospital-level Black-White patient race distribution.The journal of trauma and acute care surgery · 2022Article
- Impact of Medicaid expansion on young adult firearm and motor vehicle crash trauma patients.Surgery open science · 2022Article
- The Affordable Care Act and its Effects on Trauma Care Access, Short- and Long-term Outcomes and Financial Impact: A Review Article.Annals of surgery open : perspectives of surgical history, education, and clinical approaches · 2022Review
- Association of health insurance coverage and probability of dying in an emergency department or hospital from a motor vehicle traffic injury.Journal of the American College of Emergency Physicians open · 2022Article
- African-American and Caucasian mortalities are the same after traumatic injury: pair matched analysis from a national data.Trauma surgery & acute care open · 2020Article
- Penetrating Colon Trauma Outcomes in Black and White Males.American journal of preventive medicine · 2018Article
- Inpatient Trauma Mortality after Implementation of the Affordable Care Act in Illinois.The western journal of emergency medicine · 2018Article
- No Disparity for American Indians in Surgery for Pelvis/Lower Extremity Fractures: a Cohort Study of the National Trauma Data Bank (NTDB).Journal of racial and ethnic health disparities · 2017Article
- Potential impact of Affordable Care Act-related insurance expansion on trauma care reimbursement.The journal of trauma and acute care surgery · 2017Article
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6 authors.
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Abstract
backgroundPrevious studies have reported that black race and lack of health insurance coverage are associated with increased mortality following traumatic injury. However, the association of race and insurance status with trauma outcomes has not been examined using contemporary, national, population-based data.
methodsWe used data from the National Inpatient Sample on 215,615 patients admitted to 1 of 836 hospitals following traumatic injury in 2010. We examined the effects of race and insurance coverage on mortality using two logistic regression models, one for patients younger than 65 years and the other for older patients.
resultsUnadjusted mortality was low for white (2.71%), black (2.54%), and Hispanic (2.03%) patients. We found no difference in adjusted survival for nonelderly black patients compared with white patients (adjusted odds ratio [AOR], 1.04; 95% confidence interval [CI], 0.90-1.19; p = 0.550). Elderly black patients had a 25% lower odds of mortality compared with elderly white patients (AOR, 0.75; 95% CI, 0.63-0.90; p = 0.002). After accounting for survivor bias, insurance coverage was not associated with improved survival in younger patients (AOR, 0.91; 95% CI, 0.77-1.07; p = 0.233).
conclusionBlack race is not associated with higher mortality following injury. Health insurance coverage is associated with lower mortality, but this may be the result of hospitals' inability to quickly obtain insurance coverage for uninsured patients who die early in their hospital stay. Increasing insurance coverage may not improve survival for patients hospitalized following injury. LEVEL OF EVIDENCE: Epidemiologic and prognostic study, level III.
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