The Hispanic paradox: does it exist in the injured?

Abstract Background Hispanics have similar or lower all-cause mortality rates in the general population than non-Hispanic whites (NHWs), despite higher risks associated with lower socioeconomic status, hence termed the “Hispanic Paradox.” It is unknown if this paradox exists in the injured. We hypot...

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Bibliographic Details
Published in:The American journal of surgery 2015-11, Vol.210 (5), p.827-832
Main Authors: Overton, Tiffany L., M.A., M.P.H., C.P.H, Phillips, J. Laureano, M.S., M.P.H., C.P.H, Moore, Billy J., Ph.D, Campbell-Furtick, Mackenzie B., M.S, Gandhi, Rajesh R., M.D., Ph.D, Shafi, Shahid, M.D
Format: Article
Language:English
Subjects:
Adult
Age
Black or African American
Black People - statistics & numerical data
Blood pressure
Coma
Confidence intervals
Databases, Factual
Ethnicity
Female
Firearms
Heart rate
Hispanic or Latino - statistics & numerical data
Hispanic paradox
Hispanic people
Hospital Mortality
Humans
Injuries
Logistic Models
Logistics
Male
Middle Aged
Mortality
Race
Racial differences
Racial/ethnic disparities
Ratios
Retrospective Studies
Studies
Surgery
Trauma
Uninsured people
United States - epidemiology
White People - statistics & numerical data
Wounds and Injuries - mortality
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Summary:Abstract Background Hispanics have similar or lower all-cause mortality rates in the general population than non-Hispanic whites (NHWs), despite higher risks associated with lower socioeconomic status, hence termed the “Hispanic Paradox.” It is unknown if this paradox exists in the injured. We hypothesized that Hispanic trauma patients have equivalent or lower risk-adjusted mortality and observed-to-expected mortality ratios than other racial/ethnic groups. Methods Retrospective analysis of adult patients from the 2010 National Trauma Data Bank was performed. Hispanic patients were compared with NHWs and African Americans (AAs) to assess in-hospital mortality risk in each group. Results Compared with NHWs, Hispanic patients had lower unadjusted risk of mortality. After adjusting for potential confounders, the difference was no longer statistically significant. Mortality risk was significantly lower for Hispanic patients compared with AAs in both crude and adjusted models. Hispanic patients had significantly lower observed-to-expected mortality ratios than NHWs and AAs. Conclusion Despite reports of racial/ethnic disparities in trauma outcomes, Hispanic patients are not at greater risk of death than NHW patients in a nationwide representative sample of trauma patients.
ISSN:0002-9610
1879-1883
1879-1883
DOI:10.1016/j.amjsurg.2015.05.019