Navigation Links
Racial and ethnic disparities exist in ER pain management for children with abdominal pain

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
Children's Hospital of Philadelphia

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:
(Date:11/27/2015)... ... November 27, 2015 , ... ... progress through sharing, the 2016 Building Better Radiology Marketing Programs meeting ... begin on Sunday, March 6, 2016, at Caesars Palace in Las Vegas with ...
(Date:11/27/2015)... ... November 27, 2015 , ... A simply groundbreaking television series, ... interesting show that delves into an array of issues that are presently affecting Americans. ... from open dialogue, this show is changing the subjects consumers focus on, one episode ...
(Date:11/27/2015)... , ... November 27, 2015 , ... ... an innovative online platform for mental health and wellness consultation, has collaborated with ... partnership will bridge the knowledge gap experienced by parents and bring advice from ...
(Date:11/27/2015)... IL (PRWEB) , ... November 27, 2015 , ... ... of the largest, most successful and prominent nonprofit healthcare organizations in the country. ... governance involvement with various organizations, and helped advance the healthcare industry as a ...
(Date:11/27/2015)... Francisco, California (PRWEB) , ... November 27, 2015 , ... ... Janis Joplin Ann Arbor Michigan boxing style concert posters. This is one of Joplin's ... at the Canterbury House at the University of Michigan in Ann Arbor. The According ...
Breaking Medicine News(10 mins):
(Date:11/27/2015)... DUBLIN , Nov. 27, 2015 Research ... of the "Global Intrauterine Devices Market 2015-2019" ... --> In this report, the author ... intrauterine devices market for 2015-2019. To calculate the market ... of following type of products: Hormonal IUDs and copper ...
(Date:11/26/2015)... november 2015 AAIPharma Services Corp./Cambridge ... investering aan van ten minste $15,8 miljoen ... het mondiale hoofdkantoor in Wilmington, ... in extra kantoorruimte en extra capaciteit voor ... behoeften van de farmaceutische en biotechnologische markten. ...
(Date:11/26/2015)... Research and Markets ( ) has announced ... Outlook to 2019 - Rise in Cardiac Disorders and Growing ... to their offering. Boston ... scientific and others. --> The market ... Boston scientific and others. ...
Breaking Medicine Technology: