通过EMS运输的受伤儿童中ED止痛的种族和民族差异
Sarahjean Kerolle1, Lorin R Browne2, Ruta Brazauskas3
1Department of Emergency Medicine, The University of Texas Medical Branch, Galveston, TX.
Pediatric emergency care
|May 22, 2025
概括
对于通过紧急医疗服务 (EMS) 抵达的受伤儿童的急诊部 (ED) 疼痛管理的时间,存在种族和种族差异. 虽然所有儿童最终都接受了止痛药,但西班牙裔儿童在接受任何止痛药时经历了延迟,与阿片类止痛药不同.
科学领域:
- 儿科急救医学 儿科急救医学
- 医疗保健服务研究 医疗服务研究
- 健康差异 在健康上的差异
背景情况:
- 在紧急情况下的疼痛管理通常是不理想的.
- 儿童疼痛管理中的种族和种族差异尚未得到充分理解.
- 紧急医疗服务 (EMS) 运输到儿科急诊室 (ED) 是止痛药的关键时刻.
研究的目的:
- 调查受伤儿童的疼痛管理时间的种族和种族差异,这些儿童由EMS运送到儿科EDS.
- 分析基于种族和种族的止痛药的管理差异.
主要方法:
- 一个多中心前性观察研究的二次分析.
- 包括480名受伤的儿童被EMS运送到10个儿科ED.
- 分析了按种族/种族 (非西班牙裔白人,非西班牙裔黑人,西班牙裔,其他/多种族) 和药物类型 (阿片类药物,非阿片类药物) 分层的止痛时间.
主要成果:
- 与其他种族/族群相比,西班牙裔儿童在任何ED止痛药的第一剂中位数时间较长 (55分钟).
- 在服用第一剂阿片类止痛药的时间内,没有发现种族或种族的显著差异.
- 诸如长骨折和之前的EMS阿片类药物管理等因素与接受ED止痛药有关.
结论:
- 在EMS运输后,在ED中受伤的儿童接受任何止痛药的时间上存在显著的种族和民族差异.
- 根据种族或种族,没有观察到ED阿片类止痛药的延迟.
- 需要进一步的研究来确定和解决这些观察到的疼痛管理时间差异的根本原因.
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