دورية أكاديمية
أعرض في EDS

Patient and Hospital Characteristics Associated with Admission Among Patients With Minor Isolated Extremity Firearm Injuries: A Propensity-Matched Analysis.

التفاصيل البيبلوغرافية
العنوان: Patient and Hospital Characteristics Associated with Admission Among Patients With Minor Isolated Extremity Firearm Injuries: A Propensity-Matched Analysis.
المؤلفون: Thomas AC; From the Department of Surgery, Medical College of Wisconsin, Milwaukee, WI.; American College of Surgeons, Chicago, IL., Royan R; Department of Emergency Medicine, Feinberg School of Medicine, Northwestern University, Chicago, IL., Nathens AB; American College of Surgeons, Chicago, IL.; Department of Surgery, Sunnybrook Health Sciences Center and the University of Toronto, Toronto, ON, Canada., Campbell BT; Department of Pediatric Surgery, Connecticut Children's Medical Center and University of Connecticut School of Medicine, Hartford, CT., Reddy S; Department of Medicine, Feinberg School of Medicine, Northwestern University, Chicago, IL., Spitzer S; Department of Surgery, Center for Surgery and Public Health, Brigham and Women's Hospital, Harvard Medical School, Boston, MA., Hamad D; Department of Surgery, Sunnybrook Health Sciences Center and the University of Toronto, Toronto, ON, Canada., Jang A; Department of Surgery, Feinberg School of Medicine, Northwestern University, Chicago, IL., Stey AM; Department of Surgery, Feinberg School of Medicine, Northwestern University, Chicago, IL.
المصدر: Annals of surgery open : perspectives of surgical history, education, and clinical approaches [Ann Surg Open] 2024 May 06; Vol. 5 (2), pp. e430. Date of Electronic Publication: 2024 May 06 (Print Publication: 2024).
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Wolters Kluwer Country of Publication: United States NLM ID: 101769928 Publication Model: eCollection Cited Medium: Internet ISSN: 2691-3593 (Electronic) Linking ISSN: 26913593 NLM ISO Abbreviation: Ann Surg Open Subsets: PubMed not MEDLINE
أسماء مطبوعة: Original Publication: Philadelphia, PA : Wolters Kluwer, [2020]-
مستخلص: Objective: To quantify the association between insurance and hospital admission following minor isolated extremity firearm injury.
Background: The association between insurance and injury admission has not been examined.
Methods: This was an observational retrospective cohort study of minor isolated extremity firearm injury captured in the Healthcare Cost and Utilization Project State Inpatient and Emergency Department Databases in 6 states (New York, Arkansas, Wisconsin, Massachusetts, Florida, and Maryland) from 2016 to 2017 among patients aged 16 years or older. The primary exposure was insurance. Admitted patients were propensity score matched to nonadmitted patients on age, extremity Abbreviated Injury Score, and Elixhauser Comorbidity Index with exact matching within hospital to adjust for selection bias. A general estimating equation logistic regression estimated the association between insurance and odds of admission in the matched cohort while controlling for sex, race, injury intent, injury type, hospital profit type, and trauma center designation with observations clustered by propensity score-matched pairs within hospital.
Results: A total of 8151 patients presented to hospital with a minor isolated extremity firearm injury between 2016 and 2017 in 6 states. Patients were 88.0% male, 56.6% Black, and 71.7% aged 16 to 36 years old, and 22.1% were admitted. A total of 2090 patients were matched on propensity for admission. Privately insured matched patients had 1.70 higher adjusted odds of admission and 95% confidence interval of 1.30 to 2.22, compared with uninsured after adjusting for patient and hospital characteristics.
Conclusions: Insurance was associated with hospital admission for minor isolated extremity firearm injury.
(Copyright © 2024 The Author(s). Published by Wolters Kluwer Health, Inc.)
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فهرسة مساهمة: Keywords: firearm injury; insurance; insurance and firearm injury; insurance and hospital admission; minor isolated extremity firearm injury; trauma
تواريخ الأحداث: Date Created: 20240624 Latest Revision: 20240625
رمز التحديث: 20240625
مُعرف محوري في PubMed: PMC11191909
DOI: 10.1097/AS9.0000000000000430
PMID: 38911659
قاعدة البيانات: MEDLINE
الوصف
تدمد:2691-3593
DOI:10.1097/AS9.0000000000000430