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

ere 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).


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