Trauma patient's odds of in-hospital mortality are directly associated with the proportion of minority trauma patients treated


Patients treated at hospitals with higher proportions of minority trauma cases are at increased risk for death, even after controlling for confounding variables, according to conclusions from a study of 434 hospitals. The study was published online September 19 in the *Archives of Surgery*.

The adjusted odds of death in hospitals treating 25% to 50% minority patients were increased by 16% compared with hospitals treating less than 25% minority patients (adjusted odds ratio, 1.16; 95% confidence interval, 1.01 – 1.34). In hospitals treating more than 50% minority patients, that disparity increased to 37% (adjusted odds ratio, 1.37; 95% confidence interval, 1.16 – 1.61). Hospitals with more minority patients tended to be level 1 trauma centers and teaching hospitals.

The difference in outcomes was even greater in one subset of patients: those with blunt trauma injuries. Among that subset the odds of death increased 18% in hospitals treating 25% to 50% minority patients and to 45% in hospitals with more than 50% minority patients.

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