Pedestrians struck by motor vehicles further worsen race- and insurance-based disparities in trauma outcomes: The case for inner-city pedestrian injury prevention programs

Pediatric Injury Outcomes in Racial/Ethnic Minorities in California

“…Although our unadjusted analysis showed a significant difference in mortality between racial/ethnic groups, this significance disappeared on adjusted analysis. Our work is in contrast to disparity studies [1][2][3][4][5][6] in adult racial/ethnic minorities, which showed higher mortality in nonwhites. One possible reason for the difference between children and adults is that in adults, there is differential access to insurance based on their financial, health, and immigration status; this differential access does not exist for children.…”

“…[1][2][3][4][5][6] Whether this exists in pediatric patients is less clear. We hypothesized that similar differences exist in pediatric racial/ ethnic minorities because their care is a function of their parents' access to health care.…”

Logistic Regression Modeling for Evaluation of Factors Affecting Trauma Outcome in a Level I Trauma Center in Shiraz

“…Many studies have concluded injury mechanisms (specifically pedestrian injuries) to be independently associated with increased mortality and functional impairment at hospital discharge in various age groups even after adjusting for gender, race, injury severity, and physiologic determinants (30)(31)(32). The kinetic energy for a moving object or a projectile is a function of its squared velocity, which may be the highest for pedestrians being hit by fast-moving vehicles.…”

Disparities in trauma care and outcomes in the United States: A systematic review and meta-analysis

“…There were insufficient non-overlapping studies to allow for meta-analysis comparing insured and uninsured patients. Of the ten eligible studies, two 20,22 did not compare privately insured patients to uninsured patients, four studies [24][25][26]28 overlapped with larger studies, 27,29 . Our meta-analysis demonstrates that uninsured patients were more likely than privately insured patients to die after trauma (OR 2.17 95% CI 1.51-3.11) (Figure 2).…”

“…13 Similar to our qualitative review, our meta-analysis demonstrates that black patients have worse trauma mortality rates than white patients. Of the 24 studies in the qualitative analysis, 14 were eligible for meta-analysis, 20,[22][23][24][25][27][28][29][30][31][32][34][35][36] one study was eliminated from the analysis because it did not provide data for specific races. 31 Another study was eliminated because it did not provide ORs comparing minority races to the reference group.…”