S. Swaminathan1, T. Soltani1, S. Warrior1, R.M. Russo1, G.H. Utter1, D.V. Shatz1, I.E. Brown1, R.A. Callcut1, K.M. Stadeli1 1University Of California – Davis, Acute Care Surgery, Sacramento, CA, USA
Introduction: Racial disparities are recognized factors in clinical outcomes of pregnant patients. Less is known about race disparities in prehospital care of pregnant patients who sustain traumatic injury. We hypothesized that there would be race disparities in prehospital response, scene, transport, and total prehospital times.
Methods: A single center retrospective study of trauma registry data was done at an academic level I trauma center for Dec 2018 through Dec 2023. Patients who were identified to be pregnant, were evaluated by the trauma team, and arrived by first responder after MVC were selected. Response, scene, and transport times were analyzed based on race. Linear regression analysis was done for scene time as an outcome based on categories of race.
Results: 268 patients met criteria. Of these, 163 had a first responder as their first transport. One was missing race, 12 missing prehospital times, and were excluded. There were 40 patients who were identified as Black, 34 as White, 40 as Hispanic, 36 as other. Response, scene, and transport times ranged from 0-33, 0-42, 0-43 minutes (mean of 8, 10, and 17 minutes) respectively. Total prehospital time as the sum of response, scene, and transport times was 7-93 minutes (mean of 35 minutes). There was no statistically significant difference between the race groups in response, scene, transport, and total prehospital times.
Conclusion: In this single center study, there were no statistically significant differences in response, scene, transport times, and total prehospital based on different race groups.