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Am J Surg ; 222(3): 492-498, 2021 09.
Article in English | MEDLINE | ID: mdl-33840445

ABSTRACT

BACKGROUND: Our aim was to examine differences in clinical outcomes between Hispanic subgroups who underwent emergency general surgery (EGS). METHODS: Retrospective cohort study of the HCUP State Inpatient Database from New Jersey (2009-2014), including Hispanic and non-Hispanic White (NHW) adult patients who underwent EGS. Multivariable analyses were performed on outcomes including 7-day readmission and length of stay (LOS). RESULTS: 125,874 patients underwent EGS operations. 22,971 were Hispanic (15,488 with subgroup defined: 7,331 - Central/South American; 4,254 - Puerto Rican; 3,170 - Mexican; 733 - Cuban). On multivariable analysis, patients in the Central/South American subgroup were more likely to be readmitted compared to the Mexican subgroup (OR 2.02; p < 0.001, respectively). Puerto Rican and Central/South American subgroups had significantly shorter LOS than Mexican patients (Puerto Rico -0.58 days; p < 0.001; Central/South American -0.30 days; p = 0.016). CONCLUSIONS: There are significant differences in EGS outcomes between Hispanic subgroups. These differences could be missed when data are aggregated at Hispanic ethnicity.


Subject(s)
Emergency Treatment/statistics & numerical data , Hispanic or Latino/statistics & numerical data , Surgical Procedures, Operative/statistics & numerical data , Adult , Aged , Central America/ethnology , Cuba/ethnology , Databases, Factual , Emergency Treatment/mortality , Female , General Surgery/statistics & numerical data , Hispanic or Latino/classification , Humans , Length of Stay/statistics & numerical data , Male , Mexico/ethnology , Middle Aged , Multivariate Analysis , New Jersey , Patient Readmission/statistics & numerical data , Puerto Rico/ethnology , Retrospective Studies , South America/ethnology , Surgical Procedures, Operative/mortality
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