@article{ref1,
title="Racial disparities at mixed-race and minority hospitals: treatment of African American males with high-grade splenic injuries",
journal="American surgeon",
year="2020",
author="Tignanelli, Christopher J. and Watarai, Bradly and Fan, Yunhua and Petersen, Ashley and Hemmila, Mark and Napolitano, Lena and Jarosek, Stephanie and Charles, Anthony",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="INTRODUCTION: Racial and socioeconomic disparities in health access and outcomes for many conditions is well known. However, for time-sensitive high-acuity diseases such as traumatic injuries, disparities in access and outcomes should be significantly diminished. Our primary objective was to characterize racial disparities across majority, mixed-race, and minority hospitals for African American ([AA] vs White) males with high-grade splenic injuries.   METHODS: Data from the National Trauma Data Bank were utilized from 2007 to 2015; 24 855 AA or White males with high-grade splenic injuries were included. Multilevel mixed-effects regression analysis was used to evaluate disparities in outcomes and resource allocation.   RESULTS: Mortality was significantly higher for AA males at mixed-race (OR 1.6; 95% CI 1.3-2.1; P <.001) and minority (OR 2.1; 95% CI 1.5-3.0; P <.001) hospitals, but not at majority hospitals. At minority hospitals, AA males were significantly less likely to be admitted to the intensive care unit (OR 0.7; 95% CI, 0.49-0.97; P =.04) and experienced a significantly longer time to surgery (IRR 1.5; P =.02). Minority hospitals were significantly more likely to have failures from angiographic embolization requiring operative intervention (OR 2.2, P =.009). At both types of nonmajority hospitals, AA males with penetrating injuries were more likely to be managed with angiography (mixed-race hospitals: OR 1.7; P =.046 vs minority hospitals: OR 1.6; P =.08).   DISCUSSION: While multiple studies have shown that minority hospitals have increased mortality compared to majority hospitals, this study found this disparity only existed for AAs.<p /> <p>Language: en</p>",
language="en",
issn="0003-1348",
doi="10.1177/0003134820947369",
url="http://dx.doi.org/10.1177/0003134820947369"
}