Spinal Cord Injury (SCI) is an acute trauma to the neural elements resulting in temporary or permanent sensory and motor deficit. Studies have indicated that although 66% of SCI occur in Caucasians, there are a growing number of other racial groups affected by SCI. Furthermore, there has been a lack of research concerning racial disparities in outcomes following SCI. As such, a retrospective analysis using the National Trauma Data Bank (NTDB) from 2000 to 2009 was performed. African Americans, Caucasians, Hispanics, Asians, and Native Americans were included in the study. We calculated adjusted odds ratios (OR) to examine the relationship between racial backgrounds and mortality, length of intensive care unit (ICU) stay, length of hospital stay, in-hospital complications, and patient disposition. Our results showed that significant differences were found in length of hospital stay, with African American and Hispanic populations having longer hospital stays than Caucasian and Asians. For all type complications, African Americans (OR 1.228, confidence interval [CI] 1.11-1.356) and Native Americans (OR 1.618, CI 1.083-2.419) were more likely than Caucasian and Hispanic patients to have in-hospital complications. For disposition status, African Americans (OR 0.844, CI 0.730-0.976) and Asians (OR 0.475, CI 0.297-0.760) were much less likely than Caucasians or Hispanic populations to be discharged to an acute rehabilitation program. The results from this large-scale study (n=18,671) demonstrate a number of racial disparities following SCI at the national level, including rate of complications, length of stay, and disposition to acute rehabilitation centers. This should raise awareness to cultural differences but also serve as an opportunity to reduce gaps in care across ethnicities for this universally life-altering condition.

译文

:脊髓损伤(SCI)是神经元的急性损伤,导致暂时或永久的感觉和运动障碍。研究表明,尽管66%的SCI发生在高加索人中,但仍有越来越多的其他种族受到SCI的影响。此外,缺乏关于SCI后结局中种族差异的研究。因此,使用国家创伤数据库(NTDB)对2000年至2009年进行了回顾性分析。这项研究包括非裔美国人,高加索人,西班牙裔,亚裔和美洲原住民。我们计算了校正后的优势比(OR),以检查种族背景与死亡率,重症监护病房(ICU)住院时间,住院时间,医院内并发症以及患者处置之间的关系。我们的结果表明,住院时间的长短存在显着差异,非洲裔美国人和西班牙裔人的住院时间比白种人和亚洲人长。对于所有类型的并发症,非洲裔美国人(OR 1.228,置信区间[CI] 1.11-1.356)和美洲印第安人(OR 1.618,CI 1.083-2.419)比白种人和西班牙裔患者更有可能发生院内并发症。就处置状态而言,非裔美国人(OR 0.844,CI 0.730-0.976)和亚洲人(OR 0.475,CI 0.297-0.760)被排除在白人或拉美裔人群的急性康复计划之外的可能性要小得多。这项大规模研究的结果(n = 18,671)表明,在国家一级实施SCI后,存在许多种族差异,包括并发症发生率,住院时间和对急性康复中心的处置。这应该提高人们对文化差异的认识,同时也为减少这种普遍改变生活状况的族裔之间在照料方面的差距提供机会。

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