@article{ref1,
title="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="Journal of racial and ethnic health disparities",
year="2019",
author="Fuentes, Molly M. and Moore, Megan and Qiu, Qian and Quistberg, Duane Alexander and Frank, Matthew and Vavilala, Monica S.",
volume="6",
number="2",
pages="335-344",
abstract="OBJECTIVE: This study compares characteristics of American Indian/Alaska Natives (AI/AN) and non-Hispanic Whites (NHW) hospitalized for traumatic injury and examines the effect of race on hospital disposition. <br><br>METHODS: Using 2007-2014 National Trauma Data Bank data, we described differences in demographic and injury characteristics between AI/AN (n = 39,656) and NHWs (n = 3,309,484) hospitalized with traumatic injuries. Multivariable regressions, adjusted for demographic and injury characteristics, compared in-hospital mortality and the risk of discharge to different dispositions (inpatient rehabilitation/long-term care facility, skilled nursing facility, home with home health services) rather than home between AI/AN and NHW patients. <br><br>RESULTS: Compared to NHWs, a higher proportion of AI/ANs were age 19-44 (49% versus 27%) years and hospitalized with assault-related injuries (25% versus 5%). AI/ANs had lower odds of dying than NHWs during hospitalization (adjusted odds ratio (aOR) 0.72, 95% CI 0.63-0.84). However, AI/ANs also had lower odds than NHWs to discharge to locations with additional health services even after controlling for injury severity (inpatient rehabilitation/long-term care facilities aOR 0.79, 95% CI 0.67-0.93; skilled nursing facility aOR 0.70, 95% CI 0.49-0.98; home with home health services aOR 0.62, 95% CI 0.49-0.79). <br><br>CONCLUSIONS: Injury patterns and acute hospitalization outcomes were significantly different for AI/ANs compared to NHWs. Injury prevention strategies targeting AI/ANs should reflect these differential injury patterns. Outcomes such as disability and access to rehabilitation services should be included when considering the burden of injury among AI/AN communities.<p /> <p>Language: en</p>",
language="en",
issn="2197-3792",
doi="10.1007/s40615-018-0529-3",
url="http://dx.doi.org/10.1007/s40615-018-0529-3"
}