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deficit. Studies have indicated that although 66% of SCI occur in Caucasians, there are a growing number of other racialgroups affected by SCI. Furthermore, there has been a lack of research concerning racial disparities in outcomes followingSCI. As such, a retrospective analysis using the National Trauma Data Bank (NTDB) from 2000 to 2009 was performed.African Americans, Caucasians, Hispanics, Asians, and Native Americans were included in the study. We calculatedadjusted odds ratios (OR) to examine the relationship between racial backgrounds and mortality, length of intensive careunit (ICU) stay, length of hospital stay, in-hospital complications, and patient disposition. Our results showed thatsignificant differences were found in length of hospital stay, with African American and Hispanic populations havinglonger hospital stays than Caucasian and Asians. For all type complications, African Americans (OR 1.228, confidenceinterval [CI] 1.11–1.356) and Native Americans (OR 1.618, CI 1.083–2.419) were more likely than Caucasian andHispanic patients to have in-hospital complications. For disposition status, African Americans (OR 0.844, CI 0.730–0.976)and Asians (OR 0.475, CI 0.297–0.760) were much less likely than Caucasians or Hispanic populations to be discharged toan acute rehabilitation program. The results from this large-scale study (n = 18,671) demonstrate a number of racialdisparities following SCI at the national level, including rate of complications, length of stay, and disposition to acute
rehabilitation centers. This should raise awareness to cultural differences but also serve as an opportunity to reduce gaps in
care across ethnicities for this universally life-altering condition.
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