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Ethnic Disparities in Initial Management of Trauma Patients in a Nationwide Sample of Emergency Department Visits—Invited Critique
David T. Efron, MD
Arch Surg. 2008;143(11):1061.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings. |
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Outcome differences by race have been identified across numerous medical specialties and over a spectrum of diseases. Given that race is linked to several variables that themselves affect outcomes (such as socioeconomic status, access to care, and insurance, to name a few), investigating outcome disparities is truly a complex undertaking. That emergent trauma care, arguably the most evenly available and protocolized treatment (especially in mature trauma systems), suffers from such disparities is troubling. For those of us who practice in centers where about 90% of trauma care is provided to minority patients, these results remain especially galling.
By analyzing data from the National Hospital Ambulatory Medical Care Survey database, Shafi and Gentilello present work that helps chip away at this issue. This thorough and well-constructed analysis shows that there do not appear to be any significant differences in the provision of care to patients who visit . . . [Full Text of this Article]
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Ethnic Disparities in Initial Management of Trauma Patients in a Nationwide Sample of Emergency Department Visits
Shahid Shafi and Larry M. Gentilello
Arch Surg. 2008;143(11):1057-1061.
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