Details:

Alternative Title:
Inj Prev
Personal Author:
Hoopes, Megan J ; Dankovchik, Jenine ; Weiser, Thomas ; Cheng, Tabitha ; Bigback, Kristyn ; ... More +
Hoopes, Megan J ; Dankovchik, Jenine ; Weiser, Thomas ; Cheng, Tabitha ; Bigback, Kristyn ; Knaster, Elizabeth S ; Sugerman, David E Less -
Description:
Background

The objectives of this study were to evaluate racial misclassification in a statewide trauma registry and to describe the epidemiology of trauma among the Washington American Indian and Alaska Native (AI/AN) population.

Methods

We performed probabilistic record linkage between the Washington Trauma Registry (2005–2009) and Northwest Tribal Registry, a dataset of known AI/AN. AI/AN patients were compared with caucasians on demographic, injury and clinical outcome factors. A multivariable model estimated odds of mortality.

Results

Record linkage increased ascertainment of AI/AN cases in the trauma registry 71%, from 1777 to 3039 cases. Compared with caucasians, AI/AN trauma patients were younger (mean age=36 vs 47 years, p<0.001) and more commonly male (66.5% vs 61.2%, p<0.001). AI/AN experienced more intentional injuries (suicide or homicide: 20.1% vs 6.7%, p<0.001), a higher proportion of severe traumatic brain injury (20.7% vs 16.8%, p=0.004) and were less likely than caucasians to use safety equipment such as seat belts/airbags (53.9% vs 76.7%, p<0.001). ISSs were similar (ISS >15: 21.4% vs 20.5%, p=0.63), and no difference was observed in mortality after adjustment for covariates (p=0.58).

Conclusions

Linkage to a state trauma registry improved data quality by correcting racial misclassification, allowing for a comprehensive description of injury patterns for the AI/AN population. AI/AN sustained more severe injuries with similar postinjury outcomes to caucasians. Future efforts should focus on primary prevention for this population, including increased use of seat belts and child safety seats and reduction of interpersonal violence and suicide.


Subject:
[+]
Adult Alaska Natives Algorithms Female Health Services Research Health Status Disparities Humans Indians, North American Male Medical Record Linkage Minority Groups Quality Improvement Registries Wounds And Injuries
Source:
Inj Prev. 21(5):335-343.
Pubmed ID:
25924945
Pubmed Central ID:
PMC5603226
Document Type:
Journal Article
Funding:
CC999999/Intramural CDC HHS/United States ; R01 HS019972/HS/AHRQ HHS/United States ; R01HS019972/HS/AHRQ HHS/United States
CC999999/Intramural CDC HHS/United States ; R01 HS019972/HS/AHRQ HHS/United States ; R01HS019972/HS/AHRQ HHS/United States Less -
Place as Subject:
Washington
Collection(s):
CDC Public Access
Main Document Checksum:
[+]
urn:sha256:cc794dfeae7b328b572a4c9f41dda4cfe69b1faea978f60253efc2aba08e205f
Download URL:
https://stacks.cdc.gov/view/cdc/48232/cdc_48232_DS1.pdf
File Type:

Supporting Files

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