| Titre : | Racial Disparities in Survival Among Injured Drivers. (2013) |
| Auteurs : | Amy-E HASKINS ; David-E CLARK ; Lori-L TRAVIS ; Center for Outcomes Research and Evaluation. Maine Medical Center Research Institute. Maine Medical Center. Portland. ME. USA |
| Type de document : | Article |
| Dans : | American journal of epidemiology (vol. 177, n° 5, 2013) |
| Pagination : | 380-387 |
| Langues: | Anglais |
| Mots-clés : | Traumatisme ; Race ; Survie ; Accident ; Population ; Hospitalisation ; Plaie ; Epidémiologie |
| Résumé : | [BDSP. Notice produite par INIST-CNRS rEAlR0xq. Diffusion soumise à autorisation]. Prior studies on racial and ethnic disparities in survival after motor vehicle crashes have examined only population-based death rates or have been restricted to hospitalized patients. In the current study, we examined 3 components of crash survival by race/ethnicity : survival overall, survival to reach a hospital, and survival among those hospitalized. Nine years of data (from 2000 through 2008) from the National Automotive Sampling System Crashworthiness Data System were used to examine white non-Hispanic, black non-Hispanic, and Hispanic drivers aged>15 years with serious injuries (injury severity scores of>=9). By using multivariable logistic regression, we found that a driver's race/ethnicity was not significantly associated with overall survival after being injured in a crash (for blacks, odds ratio (OR)=0.69,95% confidence interval (CI) : 0.36,1.32 ; for Hispanics, OR=1.00,95% CI : 0.59,1.72), and blacks and Hispanics were equally likely to survive to be treated at a hospital compared with whites (for blacks, OR=1.00,95% CI : 0.52,1.93 ; for Hispanics, OR=1.13,95% CI : 0.71,1.79). However, among patients who were treated at a hospital, blacks were 50% less likely to survive 30 days compared with whites (OR=0.50,95% CI : 0.33,0.76). The disparity in survival after serious traffic injuries among blacks appears to occur after hospitalization, not in prehospital survival. |
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