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Race affects mortality after moderate to severe traumatic brain injury.
J Surg Res. 2010 Oct; 163(2):303-8.JS

Abstract

BACKGROUND

Traumatic brain injury (TBI) is the most common cause of death and disability in trauma patients, affecting over 1 million Americans per year. Minorities are at disproportionate risk for TBI, and they account for nearly half of all brain injury hospitalizations. Little is known regarding racial disparities in TBI patients. The objective of this study was to investigate the association of race on mortality in patients with moderate to severe isolated TBI.

METHODS

The Los Angeles County Trauma System database, consisting of admissions from five Level I and eight Level II trauma centers, was queried for all patients with isolated moderate to severe TBI admitted between 1998 and 2005. Demographics and mortality were compared between races: Asian, African American, Hispanic, White, and Other. Multivariate logistic regression was used to determine the relationship between race and mortality.

RESULTS

A total of 17,977 (23.8% female, 76.2% male) severe TBI patients were evaluated. Of this study population, 7.1% were Asian, 13.5% were African American, 42.3% were Hispanic, 32.5% were White, and 4.7% where classified as Other. Overall, Asians (adjusted Odds Ratio [AOR] 1.4; 95% CI: 1.14-1.71, P = 0.001) had a significantly higher risk in mortality when compared with Whites. Surprisingly, neither African Americans (AOR 1.02; 95% CI: 0.87-1.2, P = 0.82), nor Hispanics (AOR 1.00; 95% CI: 0.89-1.13, P > 0.9) were at increased risk of death compared to their White counterparts.

CONCLUSION

This data supports the hypothesis that race may play a role in mortality in moderate to severe TBI. However, only Asians were at higher risk for death.

Authors+Show Affiliations

Department of Surgery, Division of Trauma and Critical Care, Cedars-Sinai Medical Center, Los Angeles, California 90048, USA.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

20605614

Citation

Berry, Cherisse, et al. "Race Affects Mortality After Moderate to Severe Traumatic Brain Injury." The Journal of Surgical Research, vol. 163, no. 2, 2010, pp. 303-8.
Berry C, Ley EJ, Mirocha J, et al. Race affects mortality after moderate to severe traumatic brain injury. J Surg Res. 2010;163(2):303-8.
Berry, C., Ley, E. J., Mirocha, J., & Salim, A. (2010). Race affects mortality after moderate to severe traumatic brain injury. The Journal of Surgical Research, 163(2), 303-8. https://doi.org/10.1016/j.jss.2010.03.018
Berry C, et al. Race Affects Mortality After Moderate to Severe Traumatic Brain Injury. J Surg Res. 2010;163(2):303-8. PubMed PMID: 20605614.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Race affects mortality after moderate to severe traumatic brain injury. AU - Berry,Cherisse, AU - Ley,Eric J, AU - Mirocha,James, AU - Salim,Ali, Y1 - 2010/04/01/ PY - 2010/01/08/received PY - 2010/02/24/revised PY - 2010/03/04/accepted PY - 2010/7/8/entrez PY - 2010/7/8/pubmed PY - 2010/10/13/medline SP - 303 EP - 8 JF - The Journal of surgical research JO - J Surg Res VL - 163 IS - 2 N2 - BACKGROUND: Traumatic brain injury (TBI) is the most common cause of death and disability in trauma patients, affecting over 1 million Americans per year. Minorities are at disproportionate risk for TBI, and they account for nearly half of all brain injury hospitalizations. Little is known regarding racial disparities in TBI patients. The objective of this study was to investigate the association of race on mortality in patients with moderate to severe isolated TBI. METHODS: The Los Angeles County Trauma System database, consisting of admissions from five Level I and eight Level II trauma centers, was queried for all patients with isolated moderate to severe TBI admitted between 1998 and 2005. Demographics and mortality were compared between races: Asian, African American, Hispanic, White, and Other. Multivariate logistic regression was used to determine the relationship between race and mortality. RESULTS: A total of 17,977 (23.8% female, 76.2% male) severe TBI patients were evaluated. Of this study population, 7.1% were Asian, 13.5% were African American, 42.3% were Hispanic, 32.5% were White, and 4.7% where classified as Other. Overall, Asians (adjusted Odds Ratio [AOR] 1.4; 95% CI: 1.14-1.71, P = 0.001) had a significantly higher risk in mortality when compared with Whites. Surprisingly, neither African Americans (AOR 1.02; 95% CI: 0.87-1.2, P = 0.82), nor Hispanics (AOR 1.00; 95% CI: 0.89-1.13, P > 0.9) were at increased risk of death compared to their White counterparts. CONCLUSION: This data supports the hypothesis that race may play a role in mortality in moderate to severe TBI. However, only Asians were at higher risk for death. SN - 1095-8673 UR - https://www.unboundmedicine.com/medline/citation/20605614/Race_affects_mortality_after_moderate_to_severe_traumatic_brain_injury_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0022-4804(10)00181-2 DB - PRIME DP - Unbound Medicine ER -