Racial and Gender Disparities in Nasal Foreign Bodies in Pediatric Patients: A Decade-Long Analysis of U.S. Emergency Department Presentations.

IF 1 4区 医学 Q3 PEDIATRICS
Abdurrahman Al-Awady, Avanish Yendluri, Krisna Maddy, Shazli Elshazali, Ryan Sicard, Alfred-Marc Iloreta, Satish Govindaraj, Aldo Londino
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引用次数: 0

Abstract

This study is a comprehensive epidemiological assessment of nasal foreign bodies (NFB) in pediatric patients, focusing on racial and gender disparities in incidence and outcomes. Pediatric NFB case data in children aged 0 to 12 was collected from The National Electronic Injury Surveillance System (NEISS) spanning 2012-2021. Emergency room disposition was classified into treatment and release, hospitalization, and leaving against medical advice. Chi-square analysis was used to assess variations. Incidence of NFBs was significantly higher in African American Children (P < .05) and in female patients, who were also less likely to be admitted and more likely to leave against medical advice (P < .05). Disposition data similarly unveiled African American and Asian American children were less likely to be admitted and more likely to leave against medical advice (P < .05). The observed disparities emphasize the imperative for community-specific interventions and spotlight potential systemic biases warranting further investigation in health care delivery.

儿科患者鼻异物的种族和性别差异:美国急诊科报告的十年分析
本研究是一项儿科患者鼻异物(NFB)的综合流行病学评估,重点关注发病率和结局的种族和性别差异。从2012-2021年的国家电子伤害监测系统(NEISS)收集0至12岁儿童NFB病例数据。急诊室的处置分为治疗出院、住院和不遵医嘱离开。采用卡方分析评估差异。负反馈的发生率明显高于非裔美国儿童(P < . 05),在女性患者中,也不太可能承认不听医生的劝告,更有可能离开(P < . 05)。处置数据同样显示,非裔美国人和亚裔美国人儿童入院的可能性较小,而不遵医嘱离开的可能性更大(P < 0.05)。观察到的差异强调了社区特定干预措施的必要性,并强调了在卫生保健提供方面需要进一步调查的潜在系统性偏见。
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来源期刊
Clinical Pediatrics
Clinical Pediatrics 医学-小儿科
CiteScore
2.10
自引率
6.20%
发文量
189
审稿时长
3-8 weeks
期刊介绍: Clinical Pediatrics (CLP) a peer-reviewed monthly journal, is a must read for the busy pediatrician. CLP contains state-of-the-art, accurate, concise and down-to earth information on practical, everyday child care topics whether they are clinical, scientific, behavioral, educational, or ethical.
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