Biomaterial Database

Trauma patients with limited English proficiency: Outcomes from two level one trauma centers. 2023

Lydia R Maurer, and Chukwuma N Eruchalu, and Apostolos Gaitanidis, and Majed El Hechi, and Benjamin G Allar, and Amina Rahimi EdM, and Ali Salim, and George C Velmahos, and Numa P Perez, and Claire de Crescenzo, and April E Mendoza, and Tanujit Dey, and Haytham M Kaafarani, and Gezzer Ortega

Department of Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.

Outcomes for surgical patients with limited English proficiency (LEP) may be worse compared to patients with English proficiency. We sought to evaluate the association of LEP with outcomes for trauma patients. Admitted adult patients on trauma service at two Level One trauma centers from 2015 to 2019 were identified. 12,562 patients were included in total; 7.3% had LEP. On multivariable analyses, patients with LEP had lower odds of discharge to post-acute care versus home compared to patients with English proficiency (OR 0.69; 95% CI 0.58-0.83; p < 0.001) but had similar length of stay (Beta coefficient 1.16; 95% CI 0.00-2.32; p = 0.05), and 30-day readmission (OR 1.08; 95% CI 0.87-1.35; p = 0.46). Trauma patients with LEP had comparable short-term outcomes to English proficient patients but were less likely to be discharged to post-acute care facilities. The role of structural barriers, family preferences, and other factors merit future investigation.

UI	MeSH Term	Description	Entries
D007802	Language	A verbal or nonverbal means of communicating ideas or feelings.	Dialect,Dialects,Languages
D010359	Patient Readmission	Subsequent admissions of a patient to a hospital or other health care institution for treatment.	Hospital Readmission,Rehospitalization,Unplanned Hospital Readmissions,Unplanned Readmission,30 Day Readmission,Hospital Readmissions,Readmission, Hospital,Readmissions, Hospital,Thirty Day Readmission,30 Day Readmissions,Hospital Readmission, Unplanned,Hospital Readmissions, Unplanned,Readmission, Patient,Readmission, Thirty Day,Readmission, Unplanned,Rehospitalizations,Thirty Day Readmissions,Unplanned Hospital Readmission,Unplanned Readmissions
D003144	Communication Barriers	Those factors, such as language or sociocultural relationships, which interfere in the meaningful interpretation and transmission of ideas between individuals or groups.	Language Barriers,Barrier, Communication,Barrier, Language,Barriers, Communication,Barriers, Language,Communication Barrier,Language Barrier
D006801	Humans	Members of the species Homo sapiens.	Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000080031	Limited English Proficiency	Limited ability to communicate with or understand English.	Limited English Proficient,English Proficiency, Limited,English Proficient, Limited,English Proficients, Limited,Limited English Proficients,Proficiency, Limited English,Proficient, Limited English,Proficients, Limited English
D000328	Adult	A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available.	Adults
D014193	Trauma Centers	Specialized hospital facilities which provide diagnostic and therapeutic services for trauma patients.	Trauma Units,Center, Trauma,Centers, Trauma,Trauma Center,Trauma Unit,Unit, Trauma,Units, Trauma