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Race/Ethnicity and Duration of Anesthesia for Pediatric Patients in the US: a Retrospective Cohort Study

Julia M Rosenbloom1, Hao Deng2, Ariel L Mueller2

  • 1Department of Anesthesia, Critical Care, and Pain Medicine, Massachusetts General Hospital, 55 Fruit Street, Boston, MA, USA. jmrosenbloom@mgh.harvard.edu.

Journal of Racial and Ethnic Health Disparities
|May 3, 2022
PubMed

Insights

Black children experienced longer anesthesia durations compared to White children. These small differences in anesthesia time may have significant population health implications.

Area of Science:

  • Anesthesiology and Perioperative Medicine
  • Health Services Research
  • Health Equity

Background:

  • Existing literature highlights adverse patient outcomes linked to racial and ethnic disparities in healthcare.
  • Anesthesia duration is a critical factor for patients, parents, and healthcare providers, necessitating focused research.

Purpose of the Study:

  • To investigate the association between patient race/ethnicity and the duration of anesthesia.
  • To identify potential disparities in anesthesia care based on racial and ethnic categories.

Main Methods:

  • Retrospective cohort study utilizing data from the Multicenter Perioperative Outcomes Group.
  • Analysis included children aged 3 to 17 years, comparing White non-Latino children (reference) with Black non-Latino, Latino, Asian, Native American, and 'Other' race children.
  • Primary outcome: induction duration; Secondary outcomes: procedure-end duration and total anesthesia duration.

Main Results:

  • Analysis of 9,610 cases revealed Black non-Latino children had 5% longer induction durations (Exp(β) 1.05, p<0.01) and 8% longer procedure-end durations (Exp(β) 1.08, p<0.01) compared to White non-Latino children.
  • The mean induction time across all participants was 11.9 minutes (SD 5.6 minutes).
  • Significant differences were observed in induction and procedure-end times between racial groups.

Conclusions:

  • White non-Latino children experienced shorter induction and procedure-end durations than Black children.
  • While the observed time differences are small, they may hold significance at a population health level, indicating potential disparities in perioperative care.
  • Further research is warranted to explore the underlying causes of these observed racial/ethnic differences in anesthesia duration.
Abstract

Keywords:
Large dataMissing dataPediatric anesthesiaPopulation health

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