Observational studyMedicine2018
Associations of race, mechanism of injury, and neighborhood poverty with in-hospital mortality from trauma: A population-based study in the Detroit metropolitan area.
Observational study in Medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
19 citing papers in PubMed, 1 synthesis or guideline pooled it, 41 citations in OpenAlex.
- Disparities in Adult and Pediatric Trauma Outcomes: a Systematic Review and Meta-Analysis.World journal of surgery · 2020Pooled it
- Epidemiological and Surgical Insights Into Concomitant Ocular and Craniofacial Trauma and the Implications for Combined Face and Whole-eye Transplantation.Plastic and reconstructive surgery. Global open · 2026Article
- Impact of Social Determinants of Health in the Treatment of Closed Nasal Bone Fractures.Craniomaxillofacial trauma & reconstruction · 2026Article
- Understanding disparities in firearm mortality: The role of person- and place-based factors.Injury · 2025Article
- National analysis of health-related social needs among adult injury survivors.The journal of trauma and acute care surgery · 2025Article
- The Contribution of Adverse Childhood Experiences and Neighborhood Characteristics on Outcomes Experienced by Urban Dwelling Black Men After Serious Traumatic Injury.Journal of urban health : bulletin of the New York Academy of Medicine · 2025Article
- Experiences of racial discrimination and adverse gene expression among black individuals in a level 1 trauma center sample.Brain, behavior, and immunity · 2024Article
- The role of race and insurance in trauma patients' mortality: A cross-sectional analysis based on a nationwide sample.PloS one · 2024Article
- Perioperative mortality among trauma patients in Northwest Ethiopia: a prospective cohort study.Scientific reports · 2023Article
- Racial, Gender, and Neighborhood-Level Disparities in Pediatric Trauma Care.Journal of racial and ethnic health disparities · 2023Article
- Injury Patterns and Hospital Admission After Trauma Among People Experiencing Homelessness.JAMA network open · 2023Observational
- Association between trauma triage and time-to-vaso-occlusive events in patients with sickle cell disease after traumatic injury: a retrospective study.Trauma surgery & acute care open · 2023Article
- Impact of Medicaid expansion on young adult firearm and motor vehicle crash trauma patients.Surgery open science · 2022Article
- Article
- Characteristics and outcome of severe traumatic brain injuries based on occupational status.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2021Article
- Association of the Affordable Care Act Medicaid Expansion with Trauma Outcomes and Access to Rehabilitation among Young Adults: Findings Overall, by Race and Ethnicity, and Community Income Level.Journal of the American College of Surgeons · 2021Article
- Factors associated with survival in adult patients with traumatic arrest: a retrospective cohort study from US trauma centers.BMC emergency medicine · 2021Article
- Article
- Is Insurance Status Associated with the Likelihood of Operative Treatment of Clavicle Fractures?Clinical orthopaedics and related research · 2019Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Health disparities based on race and socioeconomic status are a serious problem in the US health care system, but disparities in outcomes related to traumatic injury have received relatively little attention in the research literature.This study uses data from the State Inpatient Database for Michigan including all trauma-related hospital admissions in the period from 2006 to 2014 in the Detroit metropolitan area (N = 407,553) to examine the relationship between race (White N = 232,109; African American N = 86,356, Hispanic N = 2709, Other N = 10,623), socioeconomic background, and in-hospital trauma mortality.Compared with other groups, there was a higher risk of mortality after trauma among African Americans (odds ratio [OR] = 1.20, P < .001), people living in high-poverty neighborhoods (OR = 1.01, P < .001), and those enrolled in public health insurance programs (OR = 1.53, P < .001). African American patients were more likely to have had traumatic injuries caused by certain mechanisms with higher risk of death (P < .001). After controlling for mechanism alone in multiple logistic regression, African American race remained a significant predictor of mortality risk (OR = 1.12, P < .001). After additionally controlling for the socioeconomic factors of insurance status and neighborhood poverty levels, there were no longer any significant differences between racial groups in terms of mortality (OR = 0.99, P = .746).These results suggest that in this population the racial inequalities in mortality outcomes were fully mediated by differences between groups in the pattern of injuries suffered and differences in risk based on socioeconomic factors.
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