Epidemiology of Injury, Morbidity, and Mortality in the Hispanic Population Using the National Trauma Data Bank, 2003 to 2010

Background People of Hispanic ethnicity are the largest minority in the U.S. and are expected to become a majority by 2040.  Specialized studies previously conducted on trauma and mortality among Hispanic subpopulations reveal unique risks and outcomes, but do not address national trends in the host of different injury factors over time.  The purpose of this study was to identify epidemiological trends in incidence of injuries and related morbidity and mortality in the Hispanic population.  Methods We retrospectively reviewed the National Trauma Data Bank’s National Sample Program for the years 2003 to 2010.  All adult Hispanic patients (≥18 years of age) were included, while patients > 89 years of age and those with missing race and ethnicity were excluded.  Results From 2003 to 2010, the proportion of Hispanics among the national trauma population remained relatively stable, accounting for 10-13% of trauma patients. Decreased rates of mortality and injury due to work-related incidents and motor vehicles were observed.  Hispanic patients’ age increased significantly, as did rates of injury due to falls. Conclusions The National Trauma Data Bank National Sample Program provides national estimates of injury characteristics and mortality to determine trends among Hispanic trauma patients.  Mortality rates among the Hispanic trauma population have decreased over time, despite an increase in the number of trauma patients.  Focused injury prevention strategies are the next step to improve morbidity in this population.