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East Florida


HCA Florida JFK Hospital


General Surgery

Document Type


Publication Date



trauma, patient outcomes, health care disparities


Medicine and Health Sciences | Surgery | Trauma


Introduction: African Americans (AA) are more likely to experience violence-related trauma compared to White subjects and experience poorer outcomes in many facets of traumatic injury. However, previous analysis of males with penetrating colon trauma has identified no difference in mortality and decreased morbidity in AAs compared to Whites. Outcomes in AAs following colon injury requiring surgery are assessed in the current study.

Methods: The Trauma Quality Improvement Program (TQIP) was queried for subjects requiring colon surgery within 24 hours of admission from 2017-2019. Mortality was the primary outcome and secondary outcomes included intensive care unit (ICU) days, total length of hospital stay (LOS) and ostomy creation. Multiple regression controlling for demographics and injury characteristics was utilized for outcome evaluation.

Results:10,899 patients selected (3,940 AA). AAs were more likely to experience penetrating trauma compared to other races (82% vs 43%; P =

Discussion: AAs experience longer ICU and hospital stays following traumatic colon injury requiring surgery. This finding is consistent with reports of disparate outcomes for AAs across a variety of trauma metrics and the driving factors warrant further exploration.

Outcome Disparity Among African Americans Following Colon Trauma



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