@article{ref1,
title="Assessment of racial and sex disparities in open femoral fractures",
journal="American journal of surgery",
year="2015",
author="Branch, Nisha N. and Obirieze, Augustine and Wilson, Robert H.",
volume="209",
number="4",
pages="666-674",
abstract="BACKGROUND: Open femoral fractures are common; however, many factors may affect treatment protocol. We aim to assess any racial/ethnic or sex disparities associated with the definitive fixation of open femoral fractures. <br><br>METHODS: ICD-9 codes from the National Trauma Data Bank (2007 to 2010) for patients greater than or equal to 18 years with open femoral fractures who underwent operative management at level I or II trauma centers were identified and analyzed. <br><br>RESULTS: Of the 9,406 cases, the majority were White (61%), men (73%), and aged between 25 and 44 years (41%). The odds of definitive fixation after hospital day 2 (odds ratio [OR].96, 95% confidence interval [CI].82 to 1.09, P =.53) or any complication (OR.96, 95% CI.79 to 1.15, P =.69) were not associated with race/ethnicity. Men were 17% less likely to have surgery after hospital day 2 (OR.83, 95% CI.78 to.96, P <.001), and 18% more likely to have a complication (OR 1.18, 95% CI 1.03 to 1.35, P =.02). <br><br>CONCLUSIONS: There are no racial/ethnic disparities associated with the timing of definitive fixation. Men are more likely to undergo fixation earlier than women; however, they are more likely to have a complication. Fixation within the first 2 hospital days may decrease complications.<p /> <p>Language: en</p>",
language="en",
issn="0002-9610",
doi="10.1016/j.amjsurg.2014.12.014",
url="http://dx.doi.org/10.1016/j.amjsurg.2014.12.014"
}