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Racial and ethnic disparities and bias in the evaluation and reporting of abusive head trauma

The Journal of Pediatrics Apr 04, 2018

Hymel KP, et al. - Authors attempted to characterize the racial and ethnic disparities in the evaluation and reporting of suspected abusive head trauma (AHT) across the 18 participating sites of the Pediatric Brain Injury Research Network (PediBIRN) in subpopulations of white/non-Hispanic and minority race/ethnicity patients with lower vs higher risk for AHT. Data exhibited that acutely head-injured patients hospitalized for intensive care, minority race/ethnicity patients were more frequently evaluated and reported for suspected AHT than white/non-Hispanic patients. At only 2 of 18 sites, significant race/ethnicity-based disparities in AHT evaluation and reporting were found, almost exclusively in lower risk patients. Such disparities possibly depicted the impact of local physicians' implicit bias.
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