Featured Research

from universities, journals, and other organizations

Insurance status of gunshot trauma patients affects mortality outcomes

Date:
March 15, 2010
Source:
Weber Shandwick Worldwide
Summary:
New research findings indicate 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.

New research findings published in the March issue of the Journal of the American College of Surgeons indicate 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).


Story Source:

The above story is based on materials provided by Weber Shandwick Worldwide. Note: Materials may be edited for content and length.


Journal Reference:

  1. Kristopher C. Dozier, Marvin A. Miranda, Rita O. Kwan, Elizabeth L. Cureton, Javid Sadjadi, Gregory P. Victorino. Insurance Coverage Is Associated with Mortality after Gunshot Trauma. Journal of the American College of Surgeons, 2010; 210 (3): 280 DOI: 10.1016/j.jamcollsurg.2009.12.002

Cite This Page:

Weber Shandwick Worldwide. "Insurance status of gunshot trauma patients affects mortality outcomes." ScienceDaily. ScienceDaily, 15 March 2010. <www.sciencedaily.com/releases/2010/03/100315125555.htm>.
Weber Shandwick Worldwide. (2010, March 15). Insurance status of gunshot trauma patients affects mortality outcomes. ScienceDaily. Retrieved August 20, 2014 from www.sciencedaily.com/releases/2010/03/100315125555.htm
Weber Shandwick Worldwide. "Insurance status of gunshot trauma patients affects mortality outcomes." ScienceDaily. www.sciencedaily.com/releases/2010/03/100315125555.htm (accessed August 20, 2014).

Share This




More Health & Medicine News

Wednesday, August 20, 2014

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

Ebola-Hit Sierra Leone's Freetown a City on Edge

Ebola-Hit Sierra Leone's Freetown a City on Edge

AFP (Aug. 19, 2014) Residents of Sierra Leone's capital voice their fears as the Ebola virus sweeps through west Africa. Duration: 00:56 Video provided by AFP
Powered by NewsLook.com
101-Year-Old Working Man Has All The Advice You Need

101-Year-Old Working Man Has All The Advice You Need

Newsy (Aug. 19, 2014) Herman Goldman has worked at the same lighting store for almost 75 years. Find out his secrets to a happy, productive life. Video provided by Newsy
Powered by NewsLook.com
Researcher Testing on-Field Concussion Scanners

Researcher Testing on-Field Concussion Scanners

AP (Aug. 19, 2014) Four Texas high school football programs are trying out an experimental system designed to diagnose concussions on the field. The technology is in response to growing concern over head trauma in America's most watched sport. (Aug. 19) Video provided by AP
Powered by NewsLook.com
American Ebola Patient Apparently Improving, Outbreak Is Not

American Ebola Patient Apparently Improving, Outbreak Is Not

Newsy (Aug. 19, 2014) Nancy Writebol, an American missionary who contracted Ebola, is apparently getting better, according to her husband. The outbreak, however, is not. Video provided by Newsy
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:

Breaking News:
from the past week

In Other News

... from NewsDaily.com

Science News

Health News

Environment News

Technology News



Save/Print:
Share:

Free Subscriptions


Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

Get Social & Mobile


Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

Have Feedback?


Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
Mobile: iPhone Android Web
Follow: Facebook Twitter Google+
Subscribe: RSS Feeds Email Newsletters
Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins