Association of Insurance Status with Health Outcomes Following Traumatic Injury: Statewide Multicenter Analysis
| Autor: | Khaleel S. Hussaini, Maureen Brophy, Rogelio Martinez, Anne Vossbrink, Jeffrey J. Skubic, Vatsal Chikani, Christopher Salvino |
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| Jazyk: | angličtina |
| Rok vydání: | 2015 |
| Předmět: |
Adult
Male Population lcsh:Medicine Poison control Medicare Insurance Coverage Injury Severity Score Trauma Centers Outcome Assessment Health Care Injury prevention medicine Risk of mortality Humans Trauma Insurance Risk Factors Insurance Registries Healthcare Disparities education Original Research Medically Uninsured education.field_of_study business.industry Mortality rate lcsh:R Arizona lcsh:Medical emergencies. Critical care. Intensive care. First aid lcsh:RC86-88.9 General Medicine Middle Aged medicine.disease Health Outcomes United States Logistic Models Emergency Medicine Wounds and Injuries Female Medical emergency business Medicaid Penetrating trauma Demography |
| Zdroj: | Chikani, Vatsal; Brophy, Maureen; Vossbrink, Anne; Hussaini, Khaleel; Salvino, Christopher; Skubic, Jeffrey; et al.(2015). Association of Insurance Status with Health Outcomes Following Traumatic Injury: Statewide Multicenter Analysis. Western Journal of Emergency Medicine, 16(3). doi: 10.5811/westjem.2015.1.23560. Retrieved from: http://www.escholarship.org/uc/item/1012j57x Western Journal of Emergency Medicine, Vol 16, Iss 3, Pp 408-413 (2015) Western Journal of Emergency Medicine |
| DOI: | 10.5811/westjem.2015.1.23560. |
| Popis: | Introduction: Recognizing disparities in definitive care for traumatic injuries created by insurance status may help reduce the higher risk of trauma-related mortality in this population. Our objective was to understand the relationship between patients’ insurance status and trauma outcomes. Methods: We collected data on all patients involved in traumatic injury from eight Level I and 15 Level IV trauma centers, and four non-designated hospitals through Arizona State Trauma Registry between January 1, 2008 and December 31, 2011. Of 109,497 records queried, we excluded 29,062 (26.5%) due to missing data on primary payer, sex, race, zip code of residence, injury severity score (ISS), and alcohol or drug use. Of the 80,435 cases analyzed, 13.3% were self-pay, 38.8% were Medicaid, 13% were Medicare, and 35% were private insurance. We evaluated the association between survival and insurance status (private insurance, Medicare, Medicaid, and self-pay) using multiple logistic regression analyses after adjusting for race/ethnicity (White, Black/African American, Hispanic, and American Indian/Alaska Native), age, gender, income, ISS and injury type (penetrating or blunt). Results: The self-pay group was more likely to suffer from penetrating trauma (18.2%) than the privately insured group (6.0%), p |
| Databáze: | OpenAIRE |
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