Navigation Links
Racial and ethnic disparities exist in ER pain management for children with abdominal pain
Date:9/23/2013

Pediatric researchers have found race- and ethnicity-based disparities in pain management and length of stay among children who came to hospital emergency departments for treatment of abdominal pain. A study team reported on their analysis of a national database of hospital visits in the October issue of Pediatrics.

Overall, black, Hispanic and "other" race children were less likely to receive analgesics than white children. After adjusting for confounders, black patients were less likely to receive any analgesic or a narcotic analgesic than white children. Similarly, among children with severe pain (7 or higher on a 10-point scale), black and "other" race children were less likely to receive analgesics than white children. Black and Hispanic children were more likely to have a prolonged length of stay that white children. There were no significant race or ethnicity disparities identified in documentation of pain score, use of diagnostic procedures, 72-hour return visit or hospital admission.

"By documenting inequities in analgesia and length of stay for abdominal pain in a nationally representative sample of emergency department visits, this study contributes to the growing body of evidence showing disparities in pediatric health care," said Tiffani Johnson, M.D., primary investigator and emergency department physician at The Children's Hospital of Philadelphia. "Recognizing the existence of racial and ethnic disparities is a critical first step needed to eliminate inequities in care," added Dr. Johnson.

The researchers analyzed data from the 2006-2009 National Hospital Ambulatory Medical Care Survey of 2,298 visits by patients aged 21 and younger who presented to emergency departments across the nation with abdominal pain. Pain score, receipt of any analgesics, receipt of analgesics for severe pain and narcotic analgesics were the primary outcomes. Diagnostic tests, length of stay, 72-hour return visit and admission were secondary outcomes.

The patient population was 70.1 percent female; 52.6 percent of the patients were white, 23.5 percent were black, 20.6 percent were Hispanic and 3.3 percent were from other racial/ethnic groups. The mean patient age was 14.5 years old.

"Additional research is still needed to help understand the sources of these disparities, which may include factors at the level of the patient, parent, physician, or healthcare system. This research can inform the development of interventions that seek to eliminate race- and ethnicity-based differences in the management of abdominal pain and other common pediatric complains in the emergency setting," Dr. Johnson said.


'/>"/>

Contact: Joey McCool Ryan
McCool@email.chop.edu
267-258-6735
Children's Hospital of Philadelphia
Source:Eurekalert

Related medicine news :

1. LSUHSC study reports racial/ethnic differences in young people with cancer
2. Research finds racial/ethnic disparities in health care among older male cancer survivors
3. Study finds racial and ethnic disparities in usage of specialty services for children with autism
4. Racial Disparities Seen in U.S. Lung Cancer Treatment
5. Racial disparities in the surgical management of non-small cell lung cancer
6. Racial minorities live on the front lines of heat risk, study finds
7. Racial Gap Seen in Survival Among Kidney Dialysis Patients
8. Praeclarus Press Launches the One Every 21 Seconds Campaign to Increase Awareness on the Role of Breastfeeding in Reducing Racial/Ethnic Disparities in Infant Mortality
9. Racial Gap Persists in Womens Heart Health Knowledge: Survey
10. Girl Scouts and YWCA Greater Baltimore Unite For Equality with New Racial Justice Patch
11. Hospital Type Linked to Racial Disparities in Kids With Appendicitis Complication
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:5/25/2016)... ... ... The University of San Francisco (USF) has named Margaret Wooding Baker dean ... more than 100 full-time faculty and staff, and serve as a member of the ... Baker comes to USF from the University of Washington in Seattle, where she is ...
(Date:5/25/2016)... FLA (PRWEB) , ... May 25, 2016 , ... ... technology to help turn back the hands of time of female aging. The ... and childbirth. Women with symptoms such as leakage, laxity, itchiness and pain have ...
(Date:5/25/2016)... ... May 25, 2016 , ... Researchers from SUNY State ... Meeting for their work on visual evoked potential and human attention. The article, ... used the Diopsys® NOVA™ ERG and VEP Vision Testing System (Diopsys, Inc., ...
(Date:5/25/2016)... (PRWEB) , ... May 25, 2016 , ... ... builder, has announced that it will join America's leading engineers at the American ... held at the Georgia World Congress Center. , Engineers, speakers and exhibitors ...
(Date:5/24/2016)... ... May 24, 2016 , ... According to an article ... people randomly assigned to reduce the amount of calories they consumed by 25% experienced ... body weight enjoyed better sleep, improved quality of life, and enhanced sexual function compared ...
Breaking Medicine News(10 mins):
(Date:5/25/2016)... 2016 As illustrated by the ... month, the numbers and momentum of cannabis in the ... the billions, more research and development push the sector ... of Legal Marijuana Markets Report  from from ArcView Market ... of the increase in sector is attributed to adult ...
(Date:5/25/2016)... Texas , May 25, 2016 ... the issuance to it by the US Patent ... The company,s technology includes proprietary processes for electronic ... for health and wellness programs, HIPAA compliance and ... "Our technology ...
(Date:5/25/2016)... , May 25, 2016 ... the precision of circulating tumour DNA (ctDNA) analysis ... the appointment of Professor Clive Morris ... leadership across the clinical development programme, scientific collaborations, ... help deliver significant improvements in clinical outcomes for ...
Breaking Medicine Technology: