Predictors of mortality, hospital utilization, and the role of race in outcomes in head and neck trauma.

Journal Article (Journal Article)

OBJECTIVE: A retrospective cross-sectional analysis was undertaken to determine the impact of race and insurance status on trauma outcomes in patients admitted to a Level I trauma center following head and neck fractures. STUDY DESIGN: Putative predictive factors, including injury mechanism, hemorrhagic shock, injury severity score (ISS), race, gender, and insurance status, were used in a multivariate outcome analysis to determine their influence on length of hospital stay, number of procedures performed, discharge status, and mortality; P < .05 was significant. RESULTS: Proportionately more male patients (76.5%) sustained head and neck fractures compared with females (23.5%). Blacks and Hispanics sustained proportionately more gunshot wounds (GSWs) compared with Whites, 16:1 and 7:1, respectively. There were no significant differences in length of hospital stay and mortality based on race or insurance status. Mortality was related to age, GSW as a mechanism of injury, increasing ISS, and shock on admission. CONCLUSIONS: Minority race and insurance status did not correlate with worse outcomes. Treatment biases in the acutely injured patient with head and neck injuries may be less prevalent than thought, if we consider mortality and utilization of care as primary outcome measures.

Full Text

Duke Authors

Cited Authors

  • Jesin, M; Rashewsky, S; Shapiro, M; Tobler, W; Agarwal, S; Burke, P; Salama, A

Published Date

  • January 2016

Published In

Volume / Issue

  • 121 / 1

Start / End Page

  • 12 - 16

PubMed ID

  • 26455290

Electronic International Standard Serial Number (EISSN)

  • 2212-4411

Digital Object Identifier (DOI)

  • 10.1016/j.oooo.2015.07.013


  • eng

Conference Location

  • United States