ArticleInjury prevention : journal of the International Society for Child and Adolescent Injury Prevention2015
Uncovering a missing demographic in trauma registries: epidemiology of trauma among American Indians and Alaska Natives in Washington State.
Article in Injury prevention : journal of the International Society for Child and Adolescent Injury Prevention, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.
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Who cites it
9 citing papers in PubMed, 1 synthesis or guideline pooled it, 13 citations in OpenAlex.
- Traumatic brain injury among American indians/alaska natives in the united states: a comprehensive systematic review of the literature.Neurosurgical review · 2025Pooled it
- Adolescent firearm injury trends at a Level I trauma center in Washington State, USA, 2011-2021.BMC pediatrics · 2025Article
- Disparities in Misclassification of Race and Ethnicity in Electronic Medical Records Among Patients with Traumatic Injury.Journal of racial and ethnic health disparities · 2024Article
- Misracialization of Indigenous people in population health and mortality studies: a scoping review to establish promising practices.Epidemiologic reviews · 2023Article
- The US Census and the People's Health: Public Health Engagement From Enslavement and "Indians Not Taxed" to Census Tracts and Health Equity (1790-2018).American journal of public health · 2019Article
- Differences in Injury Characteristics and Outcomes for American Indian/Alaska Native People Hospitalized with Traumatic Injuries: an Analysis of the National Trauma Data Bank.Journal of racial and ethnic health disparities · 2019Article
- Traumatic Brain Injury-Related Emergency Department Visits Among American Indian and Alaska Native Persons-National Patient Information Reporting System, 2005-2014.The Journal of head trauma rehabilitationArticle
- Assessing New Diagnoses of HIV Among American Indian/Alaska Natives Served by the Indian Health Service, 2005-2014.Public health reports (Washington, D.C. : 1974)Article
- The hidden epidemiology of trauma in Nunavik: a call for a dedicated trauma registry.Canadian journal of surgery. Journal canadien de chirurgieArticle
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Authors and funding
7 authors at 4 institutions in 1 country.
Funding
Abstract
backgroundThe objectives of this study were to evaluate racial misclassification in a statewide trauma registry and to describe the epidemiology of trauma among the Washington American Indian and Alaska Native (AI/AN) population.
methodsWe performed probabilistic record linkage between the Washington Trauma Registry (2005-2009) and Northwest Tribal Registry, a dataset of known AI/AN. AI/AN patients were compared with caucasians on demographic, injury and clinical outcome factors. A multivariable model estimated odds of mortality.
resultsRecord linkage increased ascertainment of AI/AN cases in the trauma registry 71%, from 1777 to 3039 cases. Compared with caucasians, AI/AN trauma patients were younger (mean age=36 vs 47 years, p<0.001) and more commonly male (66.5% vs 61.2%, p<0.001). AI/AN experienced more intentional injuries (suicide or homicide: 20.1% vs 6.7%, p<0.001), a higher proportion of severe traumatic brain injury (20.7% vs 16.8%, p=0.004) and were less likely than caucasians to use safety equipment such as seat belts/airbags (53.9% vs 76.7%, p<0.001). ISSs were similar (ISS >15: 21.4% vs 20.5%, p=0.63), and no difference was observed in mortality after adjustment for covariates (p=0.58).
conclusionsLinkage to a state trauma registry improved data quality by correcting racial misclassification, allowing for a comprehensive description of injury patterns for the AI/AN population. AI/AN sustained more severe injuries with similar postinjury outcomes to caucasians. Future efforts should focus on primary prevention for this population, including increased use of seat belts and child safety seats and reduction of interpersonal violence and suicide.
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