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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 article   Open access   Peer reviewed

Differences in Injury Characteristics and Outcomes for American Indian/Alaska Native People Hospitalized with Traumatic Injuries: an Analysis of the National Trauma Data Bank

Molly M Fuentes, Megan Moore, Qian Qiu, Alex Quistberg, Matthew Frank and Monica S Vavilala
Journal of racial and ethnic health disparities, v 6(2), pp 335-344
Apr 2019
DOI: https://doi.org/10.1007/s40615-018-0529-3
PMID: 30276637
Featured in Collection :   UN Sustainable Development Goals @ Drexel
url
https://europepmc.org/articles/pmc6424619View
Accepted (AM) Open Open Access (License Unspecified)

Abstract

Accidental Falls - statistics & numerical data Accidents, Traffic - statistics & numerical data Adolescent Adult Age Distribution Aged Child Child, Preschool Databases, Factual European Continental Ancestry Group Female Glasgow Coma Scale Home Care Services Hospital Mortality - ethnology Hospitalization Humans Indians, North American Injury Severity Score Insurance, Health - statistics & numerical data Long-Term Care Male Medicaid Medically Uninsured Medicare Middle Aged Multivariate Analysis Patient Discharge - statistics & numerical data Patient Transfer - statistics & numerical data Rehabilitation Centers Skilled Nursing Facilities Violence - statistics & numerical data Wounds and Injuries - ethnology Wounds and Injuries - etiology Young Adult Alaskan Natives United States
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. 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. 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). 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.

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9 citations in Web of Science
9 citations in Scopus

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UN Sustainable Development Goals (SDGs)

This publication has contributed to the advancement of the following goals:

#3 Good Health and Well-Being

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Collaboration types
Domestic collaboration
Web of Science research areas
Public, Environmental & Occupational Health
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