Racial differences in the pain management of children recovering from anesthesia

Paediatric Anaesthesia
Olubukola O NafiuPaul I Reynolds

Abstract

When pain management has been studied in settings such as pediatric emergency departments, racial disparities have been clearly identified. To our knowledge, this has not been studied in the pediatric perioperative setting. We sought to determine whether there are differences based on race in the administration of analgesia to children suffering from pain in the postanesthesia care unit. This is a prospective, observational, study of 771 children aged 4-17 years who underwent elective outpatient surgery. Racial differences in probability of receiving analgesia for pain in the recovery room were assessed using bivariable and multivariable logistic regression analyses. A total of 294 children (38.2%) received at least one class of analgesia (opioid or nonopioid); while 210 (27.2%) received intravenous (i.v.) opioid analgesia in the recovery room. Overall postanesthesia care unit analgesia utilization was similar between white and minority children (white children 36.8% vs minority children 43.4%, OR 1.3; 95% CI=0.92-1.89; P=.134). We found no significant difference by racial/ethnic group in the likelihood of a child receiving i.v. opioid for severe postoperative pain (white children 76.0% vs 85.7%, OR 1.89; 95% CI=0.37-9.67; P=.4...Continue Reading

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Citations

May 26, 2018·Pain·Cornelius B GroenewaldTonya M Palermo
Oct 12, 2018·The Clinical Journal of Pain·Dmitry TuminTarun Bhalla
May 20, 2020·Clinical Pediatrics·Sushmitha S BoppanaJoseph D Tobias
Jun 14, 2020·Journal of Racial and Ethnic Health Disparities·Julia M RosenbloomMargarita Alegria
Aug 11, 2020·Annals of the American Thoracic Society·JoAnne E NataleUNKNOWN RESTORE Study Investigators
Sep 27, 2020·Journal of Psychosomatic Research·Candice D DonaldsonZeev N Kain
Jun 12, 2021·Journal of the National Medical Association·Rafael Ortega, Rachel A Achu
Sep 18, 2021·Pediatrics·Christian MpodyOlubukola O Nafiu
Sep 18, 2020·Pediatric Emergency Care·Christine E StakeKatherine A Barsness

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