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了解在例行儿科桃体切除术后的术后疼痛管理中的种族和民族差异
Alisha R Pershad1,2, Rashel Moscoso-Morales2,3, Giuliana Di Bono1,2
1The George Washington School of Medicine and Health Sciences, Washington, DC, USA.
Paediatric anaesthesia
|December 2, 2024
概括
西班牙裔/拉丁裔儿童在桃体切除术后接受的阿片类药物疼痛管理较少,疼痛评估也较少. 这项研究强调了儿科疼痛管理中的差异,表明需要改进的协议,以确保所有族群的公平护理.
科学领域:
- 儿科手术 儿科手术
- 疼痛管理 疼痛管理
- 健康差异 在健康上的差异
背景情况:
- 在疼痛管理研究中,西班牙裔/拉丁裔 (H/L) 患者的代表性不足.
- 现有的数据表明,H/L患者的外科手术期间阿片类药物止痛药可能存在差异.
- 这项研究调查了经过桃体切除术的H/L儿童的疼痛评估和阿片类药物使用情况.
研究的目的:
- 为了比较H/L和非H/L儿科患者在桃体切除术后使用的外科期阿片类药物.
- 评估H/L和非H/L患者之间疼痛评分文档的差异.
- 为了确定儿童桃体切除术后的疼痛管理中的潜在种族差异.
主要方法:
- 对6,553名儿科桃体切除术患者记录的回顾性审查 (2017年10月 - 2022年3月).
- 进行了描述性,单变量和多变量统计分析.
- 调整的赔率比率 (aORs) 被计算出来以确定显著性.
主要成果:
- 西班牙裔/拉丁裔患者 (9%) 更有可能有更高的BMI,更低的收入和公共保险.
- 与假设相反,非H / L患者接受阿片类药物的可能性较低 (aOR 0.78),并且更有可能进行疼痛评估 (aOR 2.38).
- H/L患者接受的疼痛评估较少,这表明疼痛管理不足最佳的风险.
结论:
- 在小儿桃体切除术患者的术后疼痛管理中存在显著差异.
- 非H/L儿童接受的阿片类药物止痛剂较少,疼痛评估更频繁.
- 需要进一步的研究来了解影响这些差异的因素,并制定标准化协议,以公平地治疗疼痛.
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