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Burn injury outcome differences in Native Americans.

Jacob A Swann1, Marc R Matthews2, Curt Bay3

  • 1William Beaumont Army Medical Center, Department of Surgery, United States.

Burns : Journal of the International Society for Burn Injuries
|October 20, 2018
PubMed
Summary

Native American (NA) burn patients in Arizona experience different healthcare outcomes and hospital courses compared to non-Native American (non-NA) patients. These disparities are largely attributed to socioeconomic factors influencing their burn injury experience and treatment.

Keywords:
BurnDisparityNative American

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Area of Science:

  • Burn injury epidemiology
  • Health disparities in Native Americans
  • Clinical outcomes research

Background:

  • Native Americans (NAs) face poorer health outcomes than non-Native Americans (non-NAs).
  • Limited data exists on differences in hospital care for burned NA versus non-NA patients.
  • This study addresses the gap in understanding NA burn injury experiences in Arizona.

Purpose of the Study:

  • To analyze the epidemiology of burn injuries among Native Americans in Arizona.
  • To compare the clinical course and outcomes of burn injuries in NA versus non-NA patients.
  • To identify factors contributing to healthcare outcome differences in burn patients.

Main Methods:

  • Retrospective review of burn center admissions from 2000-2015.
  • Analysis of 10,521 burn patients (966 NA, 9555 non-NA).
  • Examination of 29 data points including demographics, injury characteristics, and hospital course.

Main Results:

  • Significant differences found in age, injury circumstances, etiology (contact/flame more frequent in NAs), transport, length of stay, Injury Severity Score, % total body surface area burned, charges, and disposition.
  • NA burn patients were more likely to be injured during recreational activities.
  • NA patients had longer hospital stays, higher charges, and were less likely to be discharged home.

Conclusions:

  • Native Americans experience a distinct healthcare trajectory post-burn injury compared to non-Native Americans.
  • Socioeconomic differences are the primary drivers of these observed healthcare disparities.
  • Targeted interventions addressing socioeconomic factors are crucial for improving burn care outcomes for NAs.