Increased Traumatic Brain Injury Severity and Mortality in Undocumented Immigrants
Undocumented immigrants presented from farther distances with increased TBI severity, likely from both more severe trauma and delayed presentation, requiring more neurosurgical intervention. They also had greater length of stay, charges, and nearly double the mortality rate. Importantly, undocumented status was a strong predictor for mortality. Despite worse outcomes, they were discharged to a health care facility at a lower rate. Advocacy efforts should be directed at increasing health care coverage and migrant community engagement and education.
Authors
- Joseph D. Ciacci (ORCID: https://orcid.org/0000-0001-6078-532X)
- David R. Santiago-Dieppa (ORCID: https://orcid.org/0000-0003-4429-0030)
- Carson P. McCann (ORCID: https://orcid.org/0000-0002-9314-8877)
- Jay Doucet (ORCID: https://orcid.org/0000-0001-9617-001X)
- Alexander Tenorio
- Todd W. Costantini (ORCID: https://orcid.org/0000-0002-0215-5327)
- Michael G. Brandel (ORCID: https://orcid.org/0000-0001-7422-390X)
- Michael L. Levy (ORCID: https://orcid.org/0000-0001-7545-8620)
- Marcos Real
Institutions
- University of California San Diego (US)
Publication Details
- Journal
- Neurosurgery
- Published
- 2024-08-30
- DOI
- https://doi.org/10.1227/neu.0000000000003158
- Primary Topic
- Trauma and Emergency Care Studies
- Type
- article
- Field-Weighted Citation Impact
- 0.00