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Racial Disparities in Healthcare Resource Utilization After Pediatric Cervical and/or Thoracic Spinal Injuries.

Abstract

A total of 4,125 pediatric patients were identified. NHB cohort had a greater prevalence of cervical-only injuries (NHW:37.39% vs NHB:49.93% vs NHA:34.29% vs H:38.71%, p<0.001). While transport accident was most common injury etiology for both cohorts, NHB cohort had a greater prevalence of assault (NHW:1.53% vs NHB:17.40% vs NHA:2.86% vs H:6.58%,p<0.001) than the other cohorts. Overall complication rates were significantly higher among NHB patients (NHW: 9.39% vs NHB:15.12% vs NHA: 14.29% vs H: 13.60%,p<0.001). Compared to the NHW cohort, NHB, NHA and Hispanics had significantly longer hospital LOS (NHW: 6.15±9.03 days vs NHB: 9.24±20.78 days vs NHA: 9.09±13.28 days vs H: 8.05±11.45 days, p<0.001). NHB race was identified as a significant predictor of increased LOS on multivariate regression analysis [RR:1.14, CI (0.46,1.82),p=0.001] but not hospital complications (p=0.345).

A retrospective cohort was performed using the 2017 admission year from 753 facilities utilizing the National Trauma Data Bank (NTDB). All pediatric patients with cervical/thoracic spine injuries were identified using the ICD-10-CM diagnosis coding system. These patients were segregated by their race, non-Hispanic White(NHW), non-Hispanic Black(NHB), non-Hispanic Asian(NHA), and Hispanic(H). Demographic, hospital variable, hospital complications and LOS were collected. A linear and logistic multivariate regression analyses was performed to determine the risk-ratio for hospital LOS as well as complication rate, respectively.

This study aimed to investigate the impact of race on hospital length of stay (LOS) and hospital complications among pediatric patients with cervical/thoracic injury.

Race may significantly impact healthcare resource utilization following pediatric cervical/thoracic spinal trauma.

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