| Demographic Differences in Systemic Inflammatory Response Syndrome Score After Trauma. | |
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MedLine Citation:
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PMID: 22210698 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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Background Demographic differences in health outcomes have been reported for chronic diseases, but few data exist on these differences in trauma (defined as acute, life-threatening injuries). Objective To investigate the relationship between the systemic inflammatory response syndrome score after trauma and race/ethnicity and socioeconomic status. Methods A retrospective chart review of 600 patients from a level I trauma center (1997-2007) was conducted. Inclusion criteria were age 18 to 44 years, Injury Severity Score 15 or greater, and admission to an intensive care unit. Exclusion criteria were use of transfusions, spinal cord injuries, comorbid conditions affecting the inflammatory response, use of nonsteroidal anti-inflammatory medications, and missing data (final sample, 246 charts/patients). Systemic inflammatory response syndrome was measured by using the systemic inflammatory response syndrome score. Race was self-reported. Socioeconomic status was defined by insurance and employment. Descriptive statistics, Wilcoxon rank sum, Kruskal-Wallis, and χ(2) tests were used for analysis. Results Compared with whites, African Americans (n = 94) had fewer occurrences of the syndrome (P = .04) and a 14% lower white blood cell count on admission to the intensive care unit (mean, 15 200/μL; 95% CI, 14 400/μL to 16 000/μL vs mean 17 700/μL; 95% CI, 16 700/μL to 18 700/μL; P < .001). Conclusions Demographic differences exist in the systemic inflammatory response syndrome score after trauma. Additional studies in larger populations of patients are needed as well as basic science and translational research to determine potential mechanisms that may explain the differences. |
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Authors:
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Elizabeth G Nesmith; Sally P Weinrich; Jeannette O Andrews; Regina S Medeiros; Michael L Hawkins; Martin C Weinrich |
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Publication Detail:
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Type: JOURNAL ARTICLE |
Journal Detail:
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Title: American journal of critical care : an official publication, American Association of Critical-Care Nurses Volume: 21 ISSN: 1937-710X ISO Abbreviation: - Publication Date: 2012 Jan |
Date Detail:
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Created Date: 2012-1-2 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9211547 Medline TA: Am J Crit Care Country: - |
Other Details:
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Languages: ENG Pagination: 35-41 Citation Subset: - |
Affiliation:
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Elizabeth G. NeSmith is an assistant professor in the Department of Physiological and Technological Nursing, Sally P. Weinrich is a professor emeritus in the Department of Health Environments and Systems, and Martin C. Weinrich is a professor emeritus in the Department of Biobehavioral Nursing, College of Nursing, Georgia Health Sciences University, Augusta, Georgia. Jeannette O. Andrews is associate dean for research and a professor and director of the SCTR Community Engagement Core/Center for Community Health Partnerships, College of Nursing, Medical University of South Carolina, Charleston, South Carolina. Regina S. Medeiros is director of the trauma program and Michael L. Hawkins is a professor in the Department of Surgery, Medical College of Georgia, Augusta, Georgia. |
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