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Article Abstract
Introduction: The socioeconomic status has impact on trauma, but, how area deprivation index (ADI) or distressed communities index (DCI), relates to mechanisms of injury (MOI) is unknown.
Methods: All trauma cases in 2021 with 9 or 5-zip codes of living location were included. MOI patterns based on ADI or DCI score was examined. Binary logistic regression was performed to assess the relationship between MOI and neighborhoods with socioeconomic disadvantage.
Result: Overall, 3933 patients for ADI and 4497 patients for DCI metric were included. Greater disadvantage areas determined by ADI or DCI were strongly associated with increased penetrating injuries (both p < 0.001). Assault/abuse mechanisms and vehicular injurie were associated with DCI (both p < 0.001) but not ADI. Direct comparison of ADI versus DCI categorizations showed a weak correlation (R = 0.35, p < 0.001).
Conclusion: There was only a weak correlation between DCI and ADI, with DCI demonstrating greater ability to differentiate injury mechanism patterns and incidence.
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| http://dx.doi.org/10.1016/j.amjsurg.2025.116459 | DOI Listing |
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