Racial Disparities in Prehospital Interventions Among Injured Patients
Authors' conclusion
These results demonstrate that disparities in prehospital interventions among injured patients exist and these disparities are not significantly explained by neighborhood social determinants of health.
Study context
- Population
- Injured adults ≥18 y with injury severity score >9 and race and ethnicity data, LITES Task Order 1 database 2017–2021, linked to the Distressed Communities Index (DCI)
- Participants
- 18,280 adults
- Exposure
- Black vs White vs other race and ethnicity
- Blackn = 4,327reference
- Whiten = 11,140
- Other racen = 2,813
- Outcome
- Receipt of prehospital interventions (blood products, needle decompression, airway, intubation, tourniquet placement) by race
Methodological detailsregistry database linkage, Data analyzed January 2025 to June 2025
- Registry database linkage
- Data analyzed January 2025 to June 2025
Main finding
As reported in the abstract
Prehospital interventions by race
- Prehospital blood products: Other race 492 [4.4%] vs Black 101 [2.3%] (other race more likely)
- Prehospital intubation: Other race 882 [7.9%] vs Black 171 [4.0%] (other race more likely)
- Prehospital airway: White 1018 [9.1%] vs Black 250 [5.8%] (White more likely)
- Prehospital intubation: White 882 [7.9%] vs Black 171 [4.0%] (White more likely)
- The same counts (882 [7.9%]) are printed for other race and White intubation
Observational data: associations, not effects.
Further findings
In-hospital mortality, prehospital airway
| aOR (95% CI) | P value | ||
|---|---|---|---|
| Prehospital airway30% reduction in odds | 0.70 (0.52–0.93) | P = 0.05 | |
| 0.512Adjusted odds ratio (log scale) |
In-hospital mortality, prehospital intubation
| aOR (95% CI) | P value | ||
|---|---|---|---|
| Prehospital intubation37% reduction in odds | 0.63 (0.46–0.86) | P = 0.004 | |
| 0.512Adjusted odds ratio (log scale) |
Neighborhood social disadvantage (DCI)
- Patients in socially disadvantaged neighborhoods less likely to receive prehospital airway and intubation vs more affluent communities
- No significant interactions or significant mediation by the DCI
Original publication
Racial Disparities in Prehospital Interventions Among Injured Patients. JAMA Surg. Published 30 September 2026. doi:10.
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