Racial Disparities Among Trauma Patients During the COVID-19 Pandemic

Given the disparate effects of the COVID-19 pandemic on people of color, we hypothesized that patients of color experienced a disproportionate increase in trauma during the COVID-19 pandemic. We compared trauma patients arriving in the 3 y before our statewide stay-at-home mandate on March 20, 2020...

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Published in:The Journal of surgical research 2023-01, Vol.281, p.89-96
Main Authors: Banks, Kian C., Mooney, Colin M., Borthwell, Rachel, Victorino, Kealia, Coutu, Sophia, Mazzolini, Kirea, Dzubnar, Jessica, Browder, Timothy D., Victorino, Gregory P.
Format: Article
Language:English
Subjects:
Black or African American
COVID-19
COVID-19 - epidemiology
Disparities
Ethnicity
Hispanic or Latino
Humans
Pandemic
Pandemics
Race
Trauma
United States
White People
Wounds, Penetrating
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cited_by cdi_FETCH-LOGICAL-c418t-19b7113500e2dbf6ae04b88f263ad976fb066c73b81df72f7743455cb11944003
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container_title The Journal of surgical research
container_volume 281
creator Banks, Kian C.
Mooney, Colin M.
Borthwell, Rachel
Victorino, Kealia
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Browder, Timothy D.
Victorino, Gregory P.
description Given the disparate effects of the COVID-19 pandemic on people of color, we hypothesized that patients of color experienced a disproportionate increase in trauma during the COVID-19 pandemic. We compared trauma patients arriving in the 3 y before our statewide stay-at-home mandate on March 20, 2020 (PRE) to those arriving in the year afterward (POST). In addition to race/ethnicity, we assessed patient demographics and other clinical variables. Chi-squared, Fisher's exact, and Mann–Whitney U tests were used for univariate analyses. A multivariable logistic regression was performed to assess for associations with mortality. During the study period, 8583 patients were included in the PRE group and 2883 were included in the POST group. There were increases in penetrating trauma (PRE 14.7%, POST 23.1%; P 
doi_str_mv 10.1016/j.jss.2022.08.015
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We compared trauma patients arriving in the 3 y before our statewide stay-at-home mandate on March 20, 2020 (PRE) to those arriving in the year afterward (POST). In addition to race/ethnicity, we assessed patient demographics and other clinical variables. Chi-squared, Fisher's exact, and Mann–Whitney U tests were used for univariate analyses. A multivariable logistic regression was performed to assess for associations with mortality. During the study period, 8583 patients were included in the PRE group and 2883 were included in the POST group. There were increases in penetrating trauma (PRE 14.7%, POST 23.1%; P &lt; 0.001) and mortality rates (PRE 3.20%, POST 4.60%; P &lt; 0.001). From PRE to POST, the percentage of Black patients increased from 35.0% to 38.3% (P = 0.01) and the percentage of Hispanic patients increased from 19.2% to 23.0% (P &lt; 0.001). After a multivariable analysis, Asian patients experienced an independent increase in mortality from PRE to POST (odds ratio 2.00, 95% confidence interval 1.13-3.54, P = 0.02). Penetrating trauma and mortality rates increased during the pandemic. There was a simultaneous increase in the percentage of Black and Hispanic trauma patients. Asian patient mortality increased significantly after the start of the pandemic independent of other variables. 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After a multivariable analysis, Asian patients experienced an independent increase in mortality from PRE to POST (odds ratio 2.00, 95% confidence interval 1.13-3.54, P = 0.02). Penetrating trauma and mortality rates increased during the pandemic. There was a simultaneous increase in the percentage of Black and Hispanic trauma patients. Asian patient mortality increased significantly after the start of the pandemic independent of other variables. 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subjects Black or African American
COVID-19
COVID-19 - epidemiology
Disparities
Ethnicity
Hispanic or Latino
Humans
Pandemic
Pandemics
Race
Trauma
United States
White People
Wounds, Penetrating
title Racial Disparities Among Trauma Patients During the COVID-19 Pandemic
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