Racial and gender disparities in violent trauma: results from the NEMSIS database.
Fecha
2018Autor
Bode, Alexander D.
Singh, Mallika
Andrews, James R.
Báez, Amado Alejandro
Metadatos
Mostrar el registro completo del ítemResumen
Barriers to EMS care can result in suboptimal outcomes and preventable morbidity and mortality. Large EMS
databases such as the National Emergency Medical Services Information System (NEMSIS) dataset provide valuable data on
the relative incidence of such barriers to care. Methods: A retrospective cross-sectional analysis was performed using the
NEMSIS database. Cases of violent trauma were collected based on gender and racial group. Each group was analyzed for the
ratio of cases that involved an EMS barrier to care. Chi-square testing was used to assess associations, and the relative risk
was used as the measure of strength of association. For all tests, statistical significance was set at the 0.05 level. Results:
719,812 cases of violent trauma were analyzed using the NEMSIS dataset. EMS encountered barriers to care for white and
non-white patients was found to be 4.9% and 4.0% respectively. The difference between groups was found to be 0.9% (95% CI
[0.7%, 1.1%] p < 0.0001). RR was 1.23 for white patients (95% CI [1.19, 1.26]), and 0.82 (95% CI [0.79, 0.84]) for non-white.
EMS barriers to care for male and female patients was found to be 6.03% and 3.34%, respectively. The difference between
groups was found to be 2.7% (95% CI [2.6%, 2.8%] p < 0.0001). RR for male patients was 1.80 (95% Cl [1.76, 1.84]) while RR
for female patients was 0.55 (95% CI [0.54, 0.57]). Conclusions: Racially white patients and male patients have a statistically
significant higher risk of encountering an EMS barrier to care in cases of violent trauma.
Colecciones
El ítem tiene asociados los siguientes ficheros de licencia: