BEGIN:VCALENDAR
PRODID:-//github.com/ical-org/ical.net//NONSGML ical.net 4.0//EN
VERSION:2.0
BEGIN:VTIMEZONE
TZID:America/New_York
X-LIC-LOCATION:America/New_York
BEGIN:STANDARD
DTSTART:20241103T020000
RRULE:FREQ=YEARLY;BYDAY=1SU;BYMONTH=11
TZNAME:EST
TZOFFSETFROM:-0400
TZOFFSETTO:-0500
END:STANDARD
BEGIN:DAYLIGHT
DTSTART:20250309T020000
RRULE:FREQ=YEARLY;BYDAY=2SU;BYMONTH=3
TZNAME:EDT
TZOFFSETFROM:-0500
TZOFFSETTO:-0400
END:DAYLIGHT
END:VTIMEZONE
BEGIN:VEVENT
DESCRIPTION:Session: Late Breaker Poster Session I Program: Injury Control
  and Emergency Health Services Author: Dolma Tsering\, MPH Abstract Backg
 round & Purpose Massachusetts (MA) adopted legislation in 2010 that amend
 ed the Safe Driving Law\, enabling physicians to report patients to the s
 tate Registry of Motor Vehicles (RMV) if there is “reasonable cause to be
 lieve that an operator is not physically or medically capable of safely o
 perating a motor vehicle.” Trauma physicians at two large academic medica
 l centers initiated a reporting policy for patients who arrived after ser
 ious motor vehicle collisions (MVC)that may have been caused by intoxicat
 ed driving related to patients operating vehicles under the influence of 
 alcohol or other substances. Prior research shows no racial or ethnic dis
 parities in Emergency Department (ED) alcohol or toxicology screens after
  serious MVC. However\, we aim to understand if there are disparities in 
 hospital-associated license suspension\, and whether testing and reportin
 g protocols are standardized. Methods All serious MVC admissions between 
 2016 and 2020 were identified at two Level I trauma centers in Boston\, M
 A. Sociodemographic data\, alcohol and toxicology screening data\, hospit
 alization data\, and outpatient follow-up data were extracted. Drivers we
 re included if they had an MA license\, drove a standard vehicle (motorcy
 cles and passengers in vehicles were excluded)\, and had a trauma consult
  once in the ED. Any patients discharged from the hospital with a life-al
 tering injury where future driving would not be possible\, or if they wer
 e deceased\, were also excluded. State data on driving records for includ
 ed individuals were requested from RMV. Hospital-associated license suspe
 nsion data was manually abstracted from each driving record. A suspension
  was defined as hospital-associated if it occurred within six months of a
  patient’s discharge date. Logistic regression models were used to determ
 ine relationships between sociodemographic data and hospital-associated l
 icense suspension. Results The final dataset included 915 patients\, of w
 hich 65.1% were male. Male patients had increased odds of a hospital-asso
 ciated license suspension (OR: 1.52 (1.05 – 2.20)). Patients with public 
 insurance had higher odds of a hospital-associated license suspension tha
 n those with private insurance (OR: 1.86 (1.22 – 2.85)). Black and Hispan
 ic/Latinx patients were less likely to undergo hospital-associated licens
 e suspension than White patients (Black OR 0.53\; (0.35 – 0.81)\, Hispani
 c/Latinx OR: 0.38\; (0.21 – 0.69)). Toxicology screening protocols differ
 ed significantly across academic medical centers. Of the total study set\
 , 11.5% of the patients had neither urine or serum toxicology screening d
 one\, and 46.7% only had alcohol screening performed. Conclusions The fac
 t that more than half of patients did not receive a urine toxicology scre
 en\, and more than 10% received no serum or urine screening for alcohol o
 r toxicology\, highlights an intrinsic disparity in the trauma assessment
  protocol. The stark differences in hospital practices surrounding screen
 ing both with alcohol and toxicology screens created a challenge for anal
 ysis. Wherein the screening results would determine if someone is potenti
 ally reported for driving under the influence\, standardized protocols fo
 r drug and alcohol screening after a serious MVC should be prioritized.\n
 \nAdmission:\nRegistrationFees: APHA Event Registration is Required\n\nDe
 tails URL:\nhttps://medicine.yale.edu/event/assessment-of-bias-in-drivers
 -license-revocation-based-on-toxicology-screening/\n
DTEND;TZID=America/New_York:20241027T170000
DTSTAMP:20261103T072626Z
DTSTART;TZID=America/New_York:20241027T160000
GEO:44.970269;-93.273376
LOCATION:1301 2nd Avenue South\, Minneapolis\, MN\, United States
SEQUENCE:0
STATUS:Confirmed
SUMMARY:3:00pm - 4:00pm (CDT) | 2116.0 - An assessment of bias in driver’s
  license revocation based on toxicology screening of patients in serious 
 motor vehicle collisions.
UID:29012984-80a4-49fe-93b2-e8f8a68eb408
END:VEVENT
END:VCALENDAR