Racial difference in receiving computed tomography for head injury patients in emergency departments

Prior studies have suggested potential racial differences in receiving imaging tests in emergency departments (EDs), but the results remain inconclusive. In addition, most prior studies may only have limited racial groups for minority patients. This study aimed to investigate racial differences in h...

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Bibliographic Details
Published in:The American journal of emergency medicine 2024-09, Vol.83, p.54-58
Main Authors: Chen, Yuan-Hsin, Handly, Neal, Chang, David C., Chen, Ya-Wen
Format: Article
Language:English
Subjects:
Adolescent
Adult
Age
Aged
Asian
Asian Americans
Communication
Computed tomography
Craniocerebral Trauma - diagnostic imaging
Craniocerebral Trauma - ethnology
Diagnostic head computed tomography
Emergency medical care
Emergency Service, Hospital - statistics & numerical data
Ethnicity
Female
Head injuries
Health care
Healthcare Disparities - ethnology
Healthcare Disparities - statistics & numerical data
Hispanic Americans
Humans
Inequality
Injuries
Limited English proficiency
Logistic Models
Male
Medicaid
Medical diagnosis
Medical imaging
Middle Aged
Minority & ethnic groups
Patients
Physicians
Race
Racial difference
Racial differences
Radiation
Teaching hospitals
Tomography
Tomography, X-Ray Computed - statistics & numerical data
United States
White
Young Adult
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Summary:Prior studies have suggested potential racial differences in receiving imaging tests in emergency departments (EDs), but the results remain inconclusive. In addition, most prior studies may only have limited racial groups for minority patients. This study aimed to investigate racial differences in head computed tomography (CT) administration rates in EDs among patients with head injuries. Patients with head injuries who visited EDs were examined. The primary outcome was patients receiving head CT during ED visits, and the primary exposure was patient race/ethnicity, including Asian, Hispanic, Non-Hispanic Black (Black), and Non-Hispanic White (White). Multivariable logistic regression analyses were performed using the National Hospital Ambulatory Medical Care Survey database, adjusting for patients and hospital characteristics. Among 6130 patients, 51.9% received a head CT scan. Asian head injury patients were more likely to receive head CT than White patients (59.1% versus 54.0%, difference 5.1%, p 
ISSN:0735-6757
1532-8171
1532-8171
DOI:10.1016/j.ajem.2024.06.025