当前位置： SCI文献检索 > PEDIATRICS期刊下所有文献 > Racial and Ethnic Differences in Emergency Department Pain Management of Children With Fractures.

Racial and Ethnic Differences in Emergency Department Pain Management of Children With Fractures.

Abstract：

OBJECTIVES:To test the hypotheses that minority children with long-bone fractures are less likely to (1) receive analgesics, (2) receive opioid analgesics, and (3) achieve pain reduction. METHODS:We performed a 3-year retrospective cross-sectional study of children <18 years old with long-bone fractures using the Pediatric Emergency Care Applied Research Network Registry (7 emergency departments). We performed bivariable and multivariable logistic regression to measure the association between patient race and ethnicity and (1) any analgesic, (2) opioid analgesic, (3) ≥2-point pain score reduction, and (4) optimal pain reduction (ie, to mild or no pain). RESULTS:In 21 069 visits with moderate-to-severe pain, 86.1% received an analgesic and 45.4% received opioids. Of 8533 patients with reassessment of pain, 89.2% experienced ≥2-point reduction in pain score and 62.2% experienced optimal pain reduction. In multivariable analyses, minority children, compared with non-Hispanic (NH) white children, were more likely to receive any analgesics (NH African American: adjusted odds ratio [aOR] 1.72 [95% confidence interval 1.51-1.95]; Hispanic: 1.32 [1.16-1.51]) and achieve ≥2-point reduction in pain (NH African American: 1.42 [1.14-1.76]; Hispanic: 1.38 [1.04-1.83]) but were less likely to receive opioids (NH African American: aOR 0.86 [0.77-0.95]; Hispanic: aOR 0.86 [0.76-0.96]) or achieve optimal pain reduction (NH African American: aOR 0.78 [0.67-0.90]; Hispanic: aOR 0.80 [0.67-0.95]). CONCLUSIONS:There are differences in process and outcome measures by race and ethnicity in the emergency department management of pain among children with long-bone fractures. Although minority children are more likely to receive analgesics and achieve ≥2-point reduction in pain, they are less likely to receive opioids and achieve optimal pain reduction.

journal_name

Pediatrics

journal_title

Pediatrics

authors

Goyal MK,Johnson TJ,Chamberlain JM,Cook L,Webb M,Drendel AL,Alessandrini E,Bajaj L,Lorch S,Grundmeier RW,Alpern ER,PEDIATRIC EMERGENCY CARE APPLIED RESEARCH NETWORK (PECARN).

doi

10.1542/peds.2019-3370

subject

Has Abstract

pub_date

2020-05-01 00:00:00

issue

eissn

0031-4005

issn

1098-4275

pii

peds.2019-3370

journal_volume

145

pub_type

杂志文章

在线工具

Racial and Ethnic Differences in Emergency Department Pain Management of Children With Fractures.