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Methods: We conducted a retrospective cohort study using Center for Disease Control-National Hospital Ambulatory Medical Care Survey data for patients years of age presenting to EDs with a primary diagnosis of appendicitis or gallbladder disease as defined by International Classification of Diseases, Ninth Revision codes.
The primary outcome was the receipt of opioid analgesic medications. Secondary outcomes included: receipt of nonopioids, receipt of antiemetic medications, wait time to see a provider, and length of visit in the ED. The association between sex and analgesic receipt within Caucasian non-Hispanic and non-Caucasian groups was evaluated adjusting for pain score on presentation, patient age, emergent status, of comorbidities, time of visit month, day of the week, standard versus nonstandard working hours, yearand US region.
: After exclusions, a weighted sample of ED visits was identified, representing 2, unique visits. The sample population was comprised of 1, Across both sexes, non-Caucasians did not differ from Caucasians on receipt of nonopioid analgesics or antiemetics.
The authors declare no conflicts of interest. Sensitivity analysis of age-related effects. In adjusted analysis, Caucasian and non-Caucasian patients did…. Please enable it to take advantage of the complete set of features!
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Figures Figure 1. Flow chart illustrating excluded and…. Figure 1. Flow chart illustrating excluded and included patients. Sum of weights: NHAMCS uses a 4-stage probability de to allow each visit to represent a larger of individual visits to attain a national estimate of representative patient visits.
Figure 2. No interaction was found between race and sex…. No interaction was found between race and sex for the administration of opioids, nonopioid analgesics, or antiemetic medications. There was no difference in the odds of receiving opioids or antiemetics between females and males or between Caucasians and non-Caucasians.
Males were less likely to receive nonopioid analgesics than females. Figure 3. In adjusted analysis, Caucasian and non-Caucasian patients did not differ on the odds of receiving opioids across the age range of the study sample. The curves were generated using a GAM smoother from ggplot2 in R.
See this image and copyright information in PMC. Tumin D, Tobias JD. Tumin D, et al. Anesth Analg.
PMID: No abstract available. In Response. Rosenbloom JM, et al. No abstract available. Goyal MK, et al. JAMA Pediatr. Singhal A, et al. PLoS One. Racial and ethnic disparities in opioid use for adolescents at US emergency departments.
Phan MT, et al. BMC Pediatr. Racial differences in opiate administration for pain relief at an academic emergency department. Dickason RM, et al. West J Emerg Med. Epub Apr The relationship between time to analgesic administration and emergency department length of stay: A retrospective review. Hughes JA, et al. J Adv Nurs. Epub Oct 9. PMID: Review. See all similar articles. Guedj R, et al. Front Pediatr. Variation in opioid analgesia administration and discharge prescribing for emergency department patients with suspected urolithiasis. Wentz AE, et al. Am J Emerg Med.
Epub Jul Placebo hypoalgesia: racial differences. Okusogu C, et al. Epub Mar Hospitalization outcomes of people who use drugs: One size does not fit all. Merchant E, et al. J Subst Abuse Treat. Epub Jan Yamamoto A, et al. Soc Sci Med. Epub Oct 3. MeSH terms Adolescent Actions. Adult Actions. Analgesics Actions. Child Actions.
Emergency Service, Hospital Actions. Female Actions. Health Care Surveys Actions. Health Status Disparities Actions. Healthcare Disparities Actions.Room of sex Eugene Oregon
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