Abstract：
Burn injury contributes to significant morbidity and mortality in the United States. Despite an increased focus on racial and ethnic disparities in healthcare, there remains a critical knowledge gap in our understanding of the effect of these disparities on complications experienced by burn patients. The American Burn Association\'s National Burn Repository data were reviewed from 2010-2018. Information regarding demographics, burn mechanism and severity, complications, and clinical outcomes were recorded. Data analysis was performed using 1:1 propensity-score-matching and logistic regression modeling. A separate analysis of Hispanic and non-Hispanic patients was performed using Chi squared tests. Among 215,071 patients, racial distribution was 65.16% white, 19.13% black, 2.18% Asian, 0.74% American Indian/Alaskan Native, and 12.78% other. Flame injuries were the most common cause (35.2%), followed by scald burns (23.3%). All comparisons were made in reference to the white population. Black patients were more likely to die (OR: 1.28; 95%CI: 1.17-1.40), experience all (OR: 1.08; 95%CI: 1.03-1.14), cardiovascular (OR: 1.24; 95%CI: 1.08-1.43), or infectious (OR: 1.64; 95%CI: 1.40-1.91) complications, and less likely to experience airway complications (OR: 0.83; 95%CI: 0.74-0.94). American Indian/Alaskan Native patients were more likely to experience any complication (OR: 1.33; 95%CI: 1.05-1.70). All minority groups had increased length of hospital stay. Black, Asian, and other patients had longer length of ICU stay. Black patients had longer ventilator duration. Among 82,775 patients, 24,075 patients were identified as Hispanic and 58,700 as non-Hispanic. Statistically significant differences were noted between groups in age, TBSA, proportion of 2nd degree burn, and proportion of 3rd degree burn (p<0.01). These findings highlight the need for further work to determine the etiology of these disparities to improve burn care for all patients.
摘要：
在美国,烧伤导致显著的发病率和死亡率。尽管人们越来越关注医疗保健中的种族和族裔差异，我们在理解这些差异对烧伤患者并发症的影响方面仍存在严重的知识差距.美国烧伤协会的国家烧伤存储库数据从2010年至2018年进行了审查。有关人口统计的信息，烧伤机制和严重程度，并发症,并记录临床结局.使用1：1倾向评分匹配和逻辑回归模型进行数据分析。使用卡方检验对西班牙裔和非西班牙裔患者进行了单独分析。在215,071名患者中，种族分布为65.16%的白人，19.13%黑色，2.18%亚洲人，0.74％美洲印第安人/阿拉斯加原住民，其他12.78%。火焰伤害是最常见的原因（35.2％），其次是烫伤(23.3%)。所有的比较都是参照白人群体进行的。黑人患者更容易死亡（OR：1.28;95CI：1.17-1.40），经验全部(OR：1.08；95CI：1.03-1.14)，心血管（OR：1.24；95CI：1.08-1.43），或感染性（OR：1.64;95CI：1.40-1.91）并发症，并且不太可能经历气道并发症(OR:0.83;95CI:0.74-0.94)。美洲印第安人/阿拉斯加原住民患者更有可能出现任何并发症（OR：1.33;95CI：1.05-1.70）。所有少数民族都增加了住院时间。黑色,亚洲人,其他患者ICU住院时间较长。黑人患者的呼吸机持续时间更长。在82,775名患者中，24,075名患者被确定为西班牙裔，58,700名为非西班牙裔。在年龄方面，各组之间存在统计学上的显着差异，TBSA,2度烧伤的比例，3度烧伤的比例（p<0.01）。这些发现强调了需要进一步的工作来确定这些差异的病因，以改善所有患者的烧伤护理。
