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- Title
Association of Race and Ethnicity with Pediatric Postoperative Pain Outcomes.
- Authors
Rosenbloom, Julia M.; De Souza, Elizabeth; Perez, Felipe D.; Xie, James; Suarez-Nieto, Maria V.; Wang, Ellen; Anderson, T. Anthony
- Abstract
Introduction: Inequitable variability in healthcare practice negatively affects patient outcomes. Children of color may receive different analgesic medications in the perioperative period, resulting in different outcomes. Methods: Medical records of children 0 to ≤ 18 years old from May 2014 to August 2019 were reviewed. The exposure was racial or ethnic groups: Asian, Black, Hispanic, Pacific Islander, and White non-Hispanic (reference). Primary outcome: post-anesthesia care unit mean pain score. Secondary outcomes: inpatient mean pain score; opioid, antiemetic, and antipruritic administration in the post-anesthesia care unit and inpatient ward. The association of race or ethnicity with outcomes was modeled using multilevel logistic regression, adjusting for confounders and covariates. Results: Twenty-nine thousand six hundred fourteen cases are included. In the post-anesthesia care unit, Black, Hispanic, and Pacific Islander children had no significant difference in the odds of receiving opioids or having moderate-severe pain as compared to White non-Hispanic patients; Asian children had lower odds of receiving opioids and lower odds of having a moderate-severe mean pain score. In the inpatient setting, Black, Hispanic, and Pacific Islander children had no significant difference in the odds of receiving opioids or having moderate severe-pain as compared to White non-Hispanic children, but Asian children had lower odds of receiving opioids and of having a moderate-severe mean pain score. Conclusions: Asian children had lower odds of receiving opioids and having moderate-severe pain postoperatively compared to the White non-Hispanic children. These differences may be a function of variation in patient/caregivers culture or healthcare provider care and warrant further investigation.
- Subjects
UNITED States; STATISTICS; PAIN measurement; CONFIDENCE intervals; RECOVERY rooms; ANTIPRURITICS; MULTIPLE regression analysis; RACE; PEDIATRICS; RETROSPECTIVE studies; TREATMENT effectiveness; COMPARATIVE studies; RESEARCH funding; REPEATED measures design; DESCRIPTIVE statistics; OPIOID analgesics; DATA analysis; DATA analysis software; ODDS ratio; HEALTH equity; POSTOPERATIVE pain; ANTIEMETICS; LONGITUDINAL method; PAIN management; EVALUATION
- Publication
Journal of Racial & Ethnic Health Disparities, 2023, Vol 10, Issue 3, p1414
- ISSN
2197-3792
- Publication type
Article
- DOI
10.1007/s40615-022-01327-1