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Racial Inequity in Pediatric Anesthesia
Brittany L Willer1, Christian Mpody1, Olubukola O Nafiu1
1Department of Anesthesiology & Pain Medicine, Nationwide Children's Hospital, 700 Children's Drive, Columbus, OH 43205 USA.
Current Anesthesiology Reports
|May 11, 2023
Summary
Minority children face higher rates of medical complications and death during surgery compared to White children. Addressing these pediatric health disparities is crucial for equitable care.
Area of Science:
- Medical research
- Health equity
- Pediatric anesthesiology
Background:
- Racial injustices in 2020 highlighted existing health disparities in the USA.
- While adult disparities are recognized, pediatric inequities in healthcare are also significant.
- Systemic racism impacts children's health outcomes, particularly in surgical settings.
Purpose of the Study:
- To review racial disparities in pediatric perioperative care.
- To engage the anesthesia community in addressing systemic racism.
- To summarize literature on pediatric health inequities and propose solutions.
Main Methods:
- Literature review of recent pediatric health disparity studies.
- Analysis of racial inequities in perioperative outcomes for children.
- Discussion of contributing factors to health disparities.
Main Results:
- Minority children experience higher rates of anesthetic and surgical morbidity than White children.
- These disparities include increased respiratory events, longer hospital stays, higher costs, and mortality.
- Inequities are prevalent across various surgical specialties and healthcare settings.
Conclusions:
- Racial disparities in pediatric perioperative health are widespread.
- Understanding contributors to these inequities is essential.
- Anesthesiologists can play a vital role in achieving equitable healthcare outcomes for all children.
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