Navigation Links
Insurance status of gunshot trauma patients affects mortality outcomes
Date:3/15/2010

CHICAGO (March 15, 2010) New research findings published in the March issue of the Journal of the American College of Surgeons indicates that despite similar injury severity, uninsured patients were significantly more likely to die after hospital admission for gunshot injury than were insured patients. This difference could not be attributed to demographics or hospital resource use, and held true even after adjusting for the effects of race, age, gender, and injury severity.

In 2007, U.S. Census figures reported that 45.7 million Americans, or about 15.3 percent of the population, lacked health insurance, an increase of 19 percent since 2000. Poor outcomes for a number of chronic medical conditions and acute illness and injury have been associated with race and lack of health insurance. However, the impact of race and insurance coverage on outcomes after gunshot trauma which predominantly affects young males had not been studied to date.

"This is an important study because it shows that lack of insurance is a strong and independent predictor of death after gunshot wounds," according to Kristopher Dozier, MD, resident, University of California, San Francisco, East Bay General Surgery Program. "We were surprised to see pronounced disparities in outcome in a relatively young patient population. These findings underscore the need for improvement in social determinants of health, like insurance coverage, among people affected by violent trauma."

The trauma records for gunshot injury victims and their insurance status were retrospectively reviewed at a university-based urban trauma care center in Alameda County, CA. All adult (age 18 to 64 years old) gunshot trauma patients from January 1998 to December 2007 with a length-of-stay less than 31 days were analyzed. In order to focus on in-hospital mortality, patients who were dead on arrival to the trauma bay were excluded from the study.

A total of 2,164 gunshot traumas were reviewed in this analysis. One-quarter of these patients had insurance (n=544), nearly three-quarters were uninsured (n=1,620), and less than one percent had Medicare or Medicaid (n=16). Almost three-quarters of these patients were African American (n=1,586), less than one-quarter were Hispanic (n=444), and six percent were Caucasian (n=134). The average age of the gunshot trauma patients was 28 9 years, and 92 percent were male. There was no difference in the percentage of patients who underwent radiographic examination (53 percent vs. 50 percent) or underwent an operation (37 percent vs. 35 percent) based upon insurance status.

The in-hospital mortality rate for uninsured patients was nine percent versus six percent for insured patients (p=0.02). Even after adjusting for age, gender, race and injury severity with logistic regression analysis, the odds of dying from a gunshot trauma were 2.2 times greater for uninsured patients in comparison with insured patients (95 percent CI 1.1 to 4.5).


'/>"/>

Contact: Sally Garneski
pressinquiry@facs.org
312-202-5409
Weber Shandwick Worldwide
Source:Eurekalert

Related medicine news :

1. Patients with Medicaid and those lacking insurance have higher risk of advanced laryngeal cancer
2. Insurance Impacts Laryngeal Cancer Detection
3. Record Number of Americans Lack Health Insurance
4. National Association of Subrogation Professionals (NASP), the Largest Insurance Subrogation Association in the World - Announced Today that Leslie Wiernik has Joined the Organization as Director of Education
5. CIGNA Group Insurance Shows Consumers Theres More to Life Through a New Consumer Education Toolkit
6. HealthInsuranceFinders.com Launches Video Contest for Young Directors
7. Dr. Allen Woolf Appointed Chief Medical Officer For CIGNA Group Insurance
8. International Gateway Insurance Brokers Partners With MEDILINQ
9. New AHIP Report Takes a Ten Year Look at the Unintended Consequences of State Efforts to Change the Insurance Market
10. ComPsych(R) Corp. Announces Health at Work(SM) Award Winners: Sprint, Erie Insurance, City of Naperville and Green Hills Public Library
11. Health Insurance Industry Contributions to Politicians Block Regulation, Affordability in Health Care Debate, Says FTCR
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:7/26/2017)... (PRWEB) , ... July 26, 2017 , ... Six greater Bay Area roller derby leagues ... “Make ‘em Bleed,” the most widely attended series of blood drives in California, beginning July ... blood over the past 4 years -- enough to have helped to save up to ...
(Date:7/26/2017)... (PRWEB) , ... July 26, ... ... for Pharmaceutical Engineering (ISPE) will host its 2017 Process Validation and ... concurrent events offer comprehensive solutions to process validation lifecycle challenges faced by ...
(Date:7/26/2017)... ... July 26, 2017 , ... ... has opened in Jupiter. The state of the art center will provide ... treatments with a goal of providing heart patients longer lives. , North American ...
(Date:7/26/2017)... ... July 26, 2017 , ... ... specialty pharmacies, has released an updated version of the HCV Treatment Path app ... treating chronic hepatitis C virus (HCV) infection. All of the latest HCV medications ...
(Date:7/25/2017)... ... July 25, 2017 , ... Creative Pharmacist and ... provide the Pharmacist eCare Plan to Computer-Rx pharmacies through the STRAND ... ability to develop the Pharmacist eCare Plan, a shared document detailing a patient’s ...
Breaking Medicine News(10 mins):
(Date:7/21/2017)... SPRING, Md. and RESEARCH TRIANGLE ... United Therapeutics Corporation (NASDAQ: UTHR ) announced ... financial results before the market opens on Thursday, July ... Therapeutics will host a teleconference on Thursday, July 27, ... accessible by dialing 1-877-351-5881, with international callers dialing 1-970-315-0533.  ...
(Date:7/19/2017)... 19, 2017  Mako Medical Laboratories partnered with Secretary ... Family Assistance Fund (MFA) to bring 140 soldiers back ... with their families one last time before being deployed. ... travel and logistics needed for these soldiers. "Mako Medical ... their families. We just wish we could bring them ...
(Date:7/14/2017)... July 13, 2017 It should come as no ... is in the midst of a crippling opioid epidemic. ... 1999, the number of overdose deaths from opiate-based medications has ... half a million dead from 2001 to 2015". During this ... hydrocodone has similarly quadrupled, drawing a compelling link between prescription ...
Breaking Medicine Technology: