Navigation Links
Hospital Type Linked to Racial Disparities in Kids With Appendicitis Complication
Date:1/4/2013

FRIDAY, Jan. 4 (HealthDay News) -- The type of hospital in which minority children with appendicitis receive care may affect their chances of developing a perforated or ruptured appendix, according to a new study.

However, the study authors said that more research is needed to explain why this racial disparity exists and what steps can be taken to prevent it.

If not treated within one or two days, appendicitis can lead to a perforated appendix. As a result, this painful condition can serve as a marker for inadequate access to health care, the UCLA Medical Center researchers explained in a news release from the American College of Surgeons.

"Appendicitis is a time-dependent disease process that leads to a more complicated medical outcome, and that outcome, perforated appendicitis, has increased hospital costs and increased burden to both the patient and society," according to study author Dr. Stephen Shew, an associate professor of surgery at UCLA Medical Center, and a pediatric surgeon at Mattel Children's hospital in Los Angeles.

In conducting the study, Shew's team examined discharge data on nearly 108,000 children aged 2 to 18 who were treated for appendicitis at 386 California hospitals between 1999 and 2007. Of the children treated, 53 percent were Hispanic, 36 percent were white, 3 percent were black, 5 percent were Asian and 8 percent were of an unknown race.

The researchers divided the children into three groups based on where they were treated: a community hospital, a children's hospital or a county hospital.

After taking age, income level and other risk factors for a perforated appendix into account, the investigators found that among kids treated at community hospitals, Hispanic children were 23 percent more likely than white children to experience this condition. Meanwhile, Asian children were 34 percent more likely than whites to have a perforated appendix.

Among the children treated at children's hospitals, the Hispanic children were 18 percent more likely to experience this complication than white children.

The racial disparity was not found at county hospitals. The study authors noted, however, that black patients treated at children's and county hospitals had a higher risk for a perforated appendix than other black children treated at community hospitals.

"The goal is to figure out why these racial disparities exist and what interventions could be put in place to help eliminate them," Shew said in the news release. He added that more research is needed on this topic, including if language barriers prevent access to care or affect patients' understanding of their symptoms.

"We don't know what explains these findings; however we suspect that there are some other barriers in play," Shew said. "As investigators it behooves us to look further into prehospital factors that may contribute to this racial disparity and ultimately find what interventions can be implemented to provide much quicker access to care, so children can get treated more effectively."

An estimated 80,000 children in the United States develop appendicitis each year. The condition is the most common reason for emergency abdominal surgery in children, according to background information in the news release.

The study was published in the January issue of the Journal of American College of Surgeons.

More information

The U.S. National Library of Medicine has more about health disparities.

-- Mary Elizabeth Dallas

SOURCE: American College of Surgeons, news release, Dec. 28, 2012


'/>"/>
Copyright©2012 ScoutNews,LLC.
All rights reserved  

Related medicine news :

1. Higher-spending hospitals have fewer deaths for emergency patients
2. Predictors identified for rehospitalization among post-acute stroke patients
3. More Smog Might Mean More Hospitalizations
4. After Hospitalization, Men More Likely to Show Up in ER
5. Choosing the right hospital may save your babys life
6. Heart Attack Survival Varies Widely Among Hospitals, Study Finds
7. In Some Brain Bleeds, Patients Do Better at High-Volume Hospitals
8. Rate of Hospitalizations for Stroke Has Declined in U.S.
9. Hospital readmission rates linked to availability of care, socioeconomics
10. Availability of Beds, Poverty Drive Costly Hospital Readmissions
11. Inhaled Steroids Lead to Big Drop in Asthma Deaths at Texas Hospital: Study
Post Your Comments:
*Name:
*Comment:
*Email:
Related Image:
Hospital Type Linked to Racial Disparities in Kids With Appendicitis Complication
(Date:6/20/2017)... ... ... As a leading dental practice, Wall Centre Dental supports Stroke Awareness Month ... bleeding gums in Vancouver, BC, may be developing gingivitis, the first stage of ... and diabetes. Drs. Parviz Roshan, Siamak Tehrani and Milton Reskovich offer laser gum therapy ...
(Date:6/20/2017)... ... June 20, 2017 , ... This year, participants in the ... finding product improvements that could reduce the occurrence of unplanned extubations (UEs). ... breathing or to provide medication. Sometimes, patient movement can cause unplanned extubations which ...
(Date:6/20/2017)... ... June 20, 2017 , ... Uniform Advantage ... featuring seven new products designed to create tailored looks and athleisure-inspired outfits. UA Flex ... cotton easy care stretch twill. , With trendy looks hitting the medical community, UA ...
(Date:6/20/2017)... ... , ... John D'Eri, CEO of Rising Tide Car Wash , will ... during the Autism Society of America 's 49th annual conference to be held ... (DJFF) was founded in 2002 as the nation's first autism organization focused exclusively ...
(Date:6/20/2017)... ... June 20, 2017 , ... International water ... The Sharon Kleyne Hour Power of Water, Global Climate Change and Your Health ... world’s water crisis and how it affects the human eyes. , According ...
Breaking Medicine News(10 mins):
(Date:6/9/2017)... , June 9, 2017 AirXpanders, Inc. ... focused on the design, manufacture, sale and distribution of ... on the progress of its commercial roll-out in ... available in more than one hundred (100) medical institutions ... AeroForm offers a needle-free alternative for women who ...
(Date:6/7/2017)... -- Endo International plc (NASDAQ: ENDP ) ... Joseph R. Goodwin , U.S. District Court Judge for ... , entered a case management order in MDL 2325, ... Litigation (the "MDL") that includes a provision requiring plaintiffs ... on specific causation within one hundred twenty (120) days ...
(Date:6/3/2017)... June 3, 2017  Eli Lilly and Company ... results from the Phase 3 MONARCH 2 study ... 6 inhibitor, in combination with fulvestrant, significantly improved ... alone in women with hormone-receptor-positive (HR+), human epidermal ... who have relapsed or progressed after endocrine therapy ...
Breaking Medicine Technology: