Perioperative Analgesic Treatment in Latino and non-Latino Pediatric Patients

Adult studies suggest pain treatment is influenced by patient's race/ ethnicity. The present study aims to evaluate the effect of the patient's race/ethnicity on pain treatment in children. Retrospective cohort study comparing perioperative analgesic administration for tonsillectomy and ad...

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Bibliographic Details
Published in:Journal of health care for the poor and underserved 2010-02, Vol.21 (1), p.229-236
Main Authors: Jimenez, Nathalia, Seidel, Kristy, Martin, Lynn D, Rivara, Frederick P, Lynn, Anne M
Format: Article
Language:English
Subjects:
Adenoidectomy
Analgesics
Analgesics - administration & dosage
Analgesics - classification
Anesthesia
Child
Cohort Studies
Drug Administration Schedule
Ethnicity
European Continental Ancestry Group - statistics & numerical data
Female
Healthcare Disparities
Hispanic Americans - statistics & numerical data
Hispanic people
Humans
Latin American people
Male
Measurement techniques
Opioids
Paediatrics
Pain
Pain - drug therapy
Pain - ethnology
Pain management
Patients
Perioperative Care
Postoperative period
Race
Retrospective Studies
Studies
Time Factors
Tonsillectomy
Variables
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Summary:Adult studies suggest pain treatment is influenced by patient's race/ ethnicity. The present study aims to evaluate the effect of the patient's race/ethnicity on pain treatment in children. Retrospective cohort study comparing perioperative analgesic administration for tonsillectomy and adenoidectomy (T&A) surgery in Latino and Caucasian patients younger than 18 years of age. Ninety-four (94) patients were included (47 Latino, 47 Caucasian), mean age 8.44 yrs (SD 3.45), 43% female. Administration of non-opioid analgesics and intraoperative opioids was similar in both groups. Early post-operative administration of opioid analgesics was significantly different between groups. Latino subjects received 30% less opioid analgesics than Caucasians; median amount in morphine equivalents was 0.05 (0-0.14) vs. 0.07 (0-0.90) mg/kg for Latino and Caucasian patients respectively (p5.02). This study suggests that perioperative pain treatment in children is correlated with the patient's ethnicity. The cause of this difference is unknown and prospective studies are necessary to elucidate the reasons.
ISSN:1049-2089
1548-6869
1548-6869
DOI:10.1353/hpu.0.0236