@article{ref1,
title="Racial disparities in outcomes of persons with moderate to severe traumatic brain injury",
journal="Medical care",
year="2007",
author="Bowman, Stephen M. and Martin, Diane P. and Sharar, Sam R. and Zimmerman, Frederick J.",
volume="45",
number="7",
pages="686-690",
abstract="BACKGROUND: Although racial differences in hospital outcomes are well known for medical conditions (eg, cardiovascular disease), it is unknown whether differences exist for patients with traumatic brain injury (TBI). RESEARCH DESIGN: Using the National Trauma Data Bank, we examined racial and ethnic differences in hospital outcomes of 56,482 patients with moderate to severe TBI who were hospitalized in level I or II trauma-designated hospitals between 2000 and 2003. We examined racial and ethnic disparities in in-hospital mortality and the likelihood of survivors receiving postacute care at a rehabilitation center. <br><br>RESULTS: After multivariable adjustment, compared with whites, we observed increased in-hospital mortality for blacks (odds ratio [OR] = 1.19, P = 0.026) and Asians (OR = 1.41, P = 0.005). We observed a trend toward significance for Hispanics (OR = 1.41, P = 0.077), but not for other races. For survivors, compared with whites, blacks and Hispanics were less likely to be discharged to a rehabilitation center (OR = 0.68, P < 0.001, and OR = 0.67, P = 0.002, respectively). <br><br>CONCLUSIONS: Racial and ethnic disparities exist both in mortality and in discharge to postacute rehabilitation centers among persons with TBI.<p /><p>Language: en</p>",
language="en",
issn="0025-7079",
doi="10.1097/MLR.0b013e31803dcdf3",
url="http://dx.doi.org/10.1097/MLR.0b013e31803dcdf3"
}