000 02870nam a22004337a 4500
008 180220s20182018 xxu||||| |||| 00| 0 eng d
022 _a0002-9610
024 _a10.1016/j.amjsurg.2018.01.028 [doi]
024 _aS0002-9610(17)31235-7 [pii]
040 _aOvid MEDLINE(R)
099 _a29366485
245 _aPatient and social characteristics contributing to disparities in outcomes after burn injury: application of database research to minority health in the burn population.
251 _aAmerican Journal of Surgery. 2018 Jan 20
252 _aAm J Surg. 2018 Jan 20
253 _aAmerican journal of surgery
260 _c2018
260 _fFY2018
266 _d2018-02-20
501 _aAvailable online from MWHC library: 1995 - present, Available in print through MWHC library: 1999 - 2006
520 _aBACKGROUND: Although racial disparities have been well described in trauma and medical literature, less is known about disparities in the burn population, especially the Native American, Hispanic, Black, and Asian minority groups. This study seeks to identify at-risk populations for differences in patient and social characteristics that may link certain race groups to disparate burn outcomes.
520 _aCONCLUSIONS: These findings suggest that outcome disparities exist in burn-injured patients in multiple minority groups.
520 _aCopyright (c) 2018 Elsevier Inc. All rights reserved.
520 _aMETHODS: Data was reviewed from the National Burn Repository. Information regarding patient demographics, co-morbidities, complications, and clinical outcomes was recorded. Student's T-test, ANOVA, and binary logistic regression were used to assess relationships between patient factors and outcomes.
520 _aRESULTS: The Native American cohort had higher rates of alcoholism, drug abuse, and homelessness compared to all patients. Native Americans also had significantly longer hospital lengths of stay, and higher rates of respiratory failure, pneumonia, sepsis, and wound complications. The Black population demonstrated the highest percentage of injury at home, child abuse, and non-insurance. Mortality was highest in the Black population compared to all patients.
546 _aEnglish
650 _aIN PROCESS -- NOT YET INDEXED
651 _aMedStar Health Research Institute
656 _aFirefighters' Burn and Surgical Research Laboratory
657 _aJournal Article
700 _aCarney, Bonnie C
700 _aChen, Jason H
700 _aMoffatt, Lauren T
700 _aNosanov, Lauren B
700 _aShupp, Jeffrey W
700 _aVigiola Cruz, Mariana
790 _aCarney BC, Chen JH, Moffatt LT, Nosanov LB, Shupp JW, Vigiola Cruz M
856 _uhttps://dx.doi.org/10.1016/j.amjsurg.2018.01.028
_zhttps://dx.doi.org/10.1016/j.amjsurg.2018.01.028
942 _cART
_dArticle
999 _c3091
_d3091