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

Publication ,  Journal Article
Jesin, M; Rashewsky, S; Shapiro, M; Tobler, W; Agarwal, S; Burke, P; Salama, A
Published in: Oral Surg Oral Med Oral Pathol Oral Radiol
January 2016

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.

Duke Scholars

Published In

Oral Surg Oral Med Oral Pathol Oral Radiol

DOI

EISSN

2212-4411

Publication Date

January 2016

Volume

121

Issue

1

Start / End Page

12 / 16

Location

United States

Related Subject Headings

  • Treatment Outcome
  • Trauma Centers
  • Spinal Fractures
  • Skull Fractures
  • Shock, Hemorrhagic
  • Sex Factors
  • Retrospective Studies
  • Middle Aged
  • Male
  • Length of Stay
 

Citation

APA
Chicago
ICMJE
MLA
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Jesin, M., Rashewsky, S., Shapiro, M., Tobler, W., Agarwal, S., Burke, P., & Salama, A. (2016). Predictors of mortality, hospital utilization, and the role of race in outcomes in head and neck trauma. Oral Surg Oral Med Oral Pathol Oral Radiol, 121(1), 12–16. https://doi.org/10.1016/j.oooo.2015.07.013
Jesin, Mark, Stephanie Rashewsky, Michael Shapiro, William Tobler, Suresh Agarwal, Peter Burke, and Andrew Salama. “Predictors of mortality, hospital utilization, and the role of race in outcomes in head and neck trauma.Oral Surg Oral Med Oral Pathol Oral Radiol 121, no. 1 (January 2016): 12–16. https://doi.org/10.1016/j.oooo.2015.07.013.
Jesin M, Rashewsky S, Shapiro M, Tobler W, Agarwal S, Burke P, et al. Predictors of mortality, hospital utilization, and the role of race in outcomes in head and neck trauma. Oral Surg Oral Med Oral Pathol Oral Radiol. 2016 Jan;121(1):12–6.
Jesin, Mark, et al. “Predictors of mortality, hospital utilization, and the role of race in outcomes in head and neck trauma.Oral Surg Oral Med Oral Pathol Oral Radiol, vol. 121, no. 1, Jan. 2016, pp. 12–16. Pubmed, doi:10.1016/j.oooo.2015.07.013.
Jesin M, Rashewsky S, Shapiro M, Tobler W, Agarwal S, Burke P, Salama A. Predictors of mortality, hospital utilization, and the role of race in outcomes in head and neck trauma. Oral Surg Oral Med Oral Pathol Oral Radiol. 2016 Jan;121(1):12–16.
Journal cover image

Published In

Oral Surg Oral Med Oral Pathol Oral Radiol

DOI

EISSN

2212-4411

Publication Date

January 2016

Volume

121

Issue

1

Start / End Page

12 / 16

Location

United States

Related Subject Headings

  • Treatment Outcome
  • Trauma Centers
  • Spinal Fractures
  • Skull Fractures
  • Shock, Hemorrhagic
  • Sex Factors
  • Retrospective Studies
  • Middle Aged
  • Male
  • Length of Stay