Characterizing Emergency Department Care for Patients With Histories of Incarceration.

ABSTRACT:

Objectives

Patients with a history of incarceration experience bias from health care team members, barriers to privacy, and a multitude of health care disparities. We aimed to assess care processes delivered in emergency departments (EDs) for people with histories of incarceration.

Methods

We utilized a fine-tuned large language model to identify patient incarceration status from 480,374 notes from the ED setting. We compared socio-demographic characteristics, comorbidities, and care processes, including disposition, restraint use, and sedation, between individuals with and without a history of incarceration. We then conducted multivariable logistic regression to assess the independent correlation of incarceration history and management in the ED while adjusting for demograp

SUBMITTER: Huang T 

PROVIDER: S-EPMC11852703 | biostudies-literature | 2025 Feb

REPOSITORIES: biostudies-literature