@article{ref1,
title="Impact of standardization on racial and socioeconomic disparities in non-accidental trauma evaluations in infants in a pediatric emergency department",
journal="Injury epidemiology",
year="2023",
author="Elliott, Laura Even and Gittelman, Michael A. and Kurowski, Eileen M. and Duma, Elena M. and Pomerantz, Wendy J.",
volume="10",
number="Suppl 1",
pages="e31-e31",
abstract="BACKGROUND: Studies have illustrated racial and socioeconomic disparities in evaluation of non-accidental trauma (NAT). We aimed to investigate how implementation of a standardized NAT guideline in a pediatric emergency department (PED) impacted racial and socioeconomic disparities in NAT evaluation. <br><br>RESULTS: 1199 patients (541 pre- and 658 post-guideline) were included for analysis. Pre-guideline, patients with governmental insurance were more likely than those with commercial insurance to have a social work (SW) consult completed (57.4% vs. 34.7%, p < 0.001) and a Child Protective Services (CPS) report filed (33.4% vs. 13.8%, p < 0.001). Post-guideline, these disparities were still present. There were no differences in race, ethnicity, insurance type, or social deprivation index (SDI) in rates of complete NAT evaluations pre- or post-guideline implementation. Overall adherence to all guideline elements increased from 19.0% before guideline implementation to 53.2% after (p < 0.001). <br><br>CONCLUSION: Implementation of a standardized NAT guideline led to significant increase in complete NAT evaluations. Guideline implementation was not associated with elimination of pre-existing disparities in SW consults or CPS reporting between insurance groups.<p /> <p>Language: en</p>",
language="en",
issn="2197-1714",
doi="10.1186/s40621-023-00441-w",
url="http://dx.doi.org/10.1186/s40621-023-00441-w"
}