@article{ref1,
title="Race impacts outcomes of patients with firearm injuries",
journal="American surgeon",
year="2020",
author="Peluso, Heather and Cull, John D. and Abougergi, Marwan S.",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="BACKGROUND: To study the relationship between race and outcomes of patients with firearm injuries hospitalized in the United States.   METHODS: The 2016 National Inpatient Sample was used. Patients were included if they had a principal diagnosis of firearm injury. Exclusion criteria were age <16 years and elective admissions. The primary outcome was in-hospital mortality. Secondary outcomes were morbidity (traumatic shock, prolonged mechanical ventilation, acute respiratory distress syndrome [ADRS], and ventilator-associated pneumonia [VAP]), and resource utilization (length of stay and total hospitalization charges and costs).   RESULTS: The sample included 31 335 patients; 52% were Black and 29% were Caucasian. The mean age was 32 years and 88% were male. Black patients had lower odds of mortality (adjusted odds ratio (aOR): 0.41 (95% CI: 0.32-0.53), P <.01). However, compared with Caucasians, Blacks had higher mean total hospitalization charges (adjusted mean difference (aMD) : $14 052 (CI: $1469-$26 635), P =.03) and costs (aMD: $3248 (CI: $654-$5842), P =.01) despite similar mean length of stay (aMD: 0.70 (CI: -0.05-1.45), P =.07). Both racial groups had similar rates of traumatic shock (aOR: 0.91 (0.72-1.15), P =.44), prolonged mechanical ventilation (aOR: 0.82 (0.63-1.09), P =.17), ARDS (aOR: 1.18 (0.45-3.07), P =.74) and VAP (aOR: 1.27 (0.47-3.41), P =.63).   DISCUSSION: Black patients with firearm injuries had a lower adjusted odds of in-hospital mortality compared with other races. However, despite having a similar hospital length of stay and in-hospital morbidity, -Black patients had higher total hospitalization costs and charges.<p /> <p>Language: en</p>",
language="en",
issn="0003-1348",
doi="10.1177/0003134820943558",
url="http://dx.doi.org/10.1177/0003134820943558"
}