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Race Impacts Outcomes of Patients With Firearm Injuries

Heather Peluso1, John D Cull1, Marwan S Abougergi2,3

  • 1Department of Surgery, Prisma Health Upstate, Greenville, SC, USA.

The American Surgeon
|August 25, 2020
PubMed

Insights

Black patients with firearm injuries had lower mortality but higher hospitalization costs. This study highlights racial disparities in healthcare charges despite similar morbidity and length of stay.

Area of Science:

  • Public Health
  • Trauma Surgery
  • Health Services Research

Background:

  • Firearm injuries represent a significant public health concern in the United States.
  • Understanding racial disparities in patient outcomes is crucial for equitable healthcare.
  • Previous research indicates potential differences in treatment and outcomes based on race.

Purpose of the Study:

  • To investigate the association between race and in-hospital outcomes for patients with firearm injuries.
  • To analyze differences in mortality, morbidity, and resource utilization across racial groups.

Main Methods:

  • Utilized the 2016 National Inpatient Sample database.
  • Included patients with a principal diagnosis of firearm injury, excluding those under 16 or with elective admissions.
  • Assessed in-hospital mortality, morbidity (traumatic shock, ARDS, VAP, prolonged ventilation), and resource utilization (LOS, charges, costs).

Main Results:

  • The study included 31,335 patients; 52% were Black and 29% Caucasian.
  • Black patients exhibited lower odds of in-hospital mortality (aOR: 0.41).
  • Despite similar length of stay and morbidity, Black patients incurred higher hospitalization charges and costs.

Conclusions:

  • Black patients with firearm injuries experienced reduced in-hospital mortality compared to other racial groups.
  • Racial disparities persist in healthcare costs and charges, even with similar clinical outcomes.
  • Findings underscore the need to address socioeconomic factors contributing to healthcare cost differences.
Abstract

Keywords:
disparityfirearm injurymortalityoutcomesracereseource utilization

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