PC20. Health Disparities in Pediatric Facial Trauma

• DOI: 10.1097/01.gox.0000934440.20108.a2
• Publication Date: 2023-04-21T14:08:45Z
• Authors: Yadira Villalvazo; Anne Glenney; Joseph Mocharnuk; Jesse Goldstein
• Keywords: Social vulnerability; Trauma Center; Pediatric trauma

PURPOSE: Pediatric facial fractures are a common cause of emergency department visits and hospital admissions. However, little has been published on the social determinants health for pediatric fractures. This study aims to investigate contribution socioeconomic status, race, education, household structure, English-language proficiency, insurance status management outcomes in fracture patients. METHODS: A retrospective review was performed patients under age 18 who were evaluated at level I trauma center between 2006-2021. Variables studied included demographic information, CDC's Social Vulnerability Index (SVI), injury characteristics, management, outcomes. RESULTS: Facial diagnosed 3334 patients; 2691 met inclusion criteria. total 18.3% non-white, whom 14.5% Black. Black 1.62 times more likely than white present with mandibular (p<0.001). Most subtypes associated an increased SVI, unemployment, single parent (p<0.0001). When controlling type, 2.4 receive imaging (p<0.0001) patients, but 0.52 as surgery Furthermore, 2.2 be uninsured (p=0.00021) 1.5 lost follow-up (p=0.00019). CONCLUSION: Our results show that race influence treatment Identifying systemic barriers impact vulnerable is necessary overcome healthcare gaps optimize clinical