ArticleJournal of racial and ethnic health disparities2026
Outcomes After Traumatic Brain Injury Surgery: Investigating Racial Disparities.
Article in Journal of racial and ethnic health disparities, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
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Authors and funding
6 authors.
Funding
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Abstract
objectiveTraumatic brain injury (TBI) remains a leading cause of morbidity and mortality, especially among older adults. This study investigates racial disparities in surgical outcomes among patients undergoing craniectomy for TBI, highlighting differences in perioperative variables and postoperative complications.
methodsWe conducted a retrospective cohort analysis using the American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP) database from 2016 to 2021. Patients who underwent craniectomy for TBI were identified using ICD-10 and CPT codes (e.g., ICD-10: S06.xx, CPT: 61304, 61305, 61312, 61345, 61320, 61322, and 61321). Univariate and multivariate analysis was used to compare outcomes between racial groups, with a specific comparisons across White, Black/African American, and Asian patients.
resultsA total of 2,519 patients met inclusion criteria (65.2% White, 12.2% Black, 5.8% Asian, 16.9% other). Baseline characteristics differed significantly across groups, with minority patients demonstrating greater comorbidity burden and frailty. Unadjusted 30-day mortality was highest among White patients (21.7%) compared with Black (14.7%), Asian (15.2%), and other patients (10.6%) (p < 0.001). Overall morbidity rates were similar across groups (~ 40%). Asian patients had the highest rate of return to the operating room (23.4%). After multivariable adjustment, several crude differences attenuated, while select disparities persisted, indicating that both baseline health status and perioperative factors contribute to outcome variation.
conclusionOur analysis reveals nuanced racial disparities in surgical outcomes following craniectomy for TBI, with differing risk profiles across groups. Addressing these disparities is essential to improving perioperative care and long-term outcomes for all TBI patients, particularly among racially diverse populations.
Identifiers
41979787What Socratic holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.