门诊儿科泌尿外科手术后阿片类药物使用和恢复的社会人口差异。

IF 1.3 4区 医学 Q3 NURSING
Journal of Child Health Care Pub Date : 2024-06-01 Epub Date: 2022-09-03 DOI:10.1177/13674935221124738
Terry Zhu, Zoë G Baker, Melissa Trabold, Lorraine I Kelley-Quon, Michael F Basin, Ragini Vazirani, Jiayao Chen, Paul J Kokorowski
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引用次数: 0

摘要

我们的目的是研究接受门诊泌尿科手术的儿科患者的社会人口因素与术后阿片类药物使用和恢复之间的关系。我们对一家城市儿科医院 2013 年至 2017 年接受门诊泌尿科手术的 831 名患者进行了回顾性评估。我们对患者使用阿片类药物的天数以及恢复到基线行为的天数进行了评估。使用负二项回归模型分析了不同种族/民族、主要语言、社区家庭收入中位数和医疗保险类型的结果差异。总体而言,患者术后使用阿片类药物的中位数为 1.0 天(IQR:2.0),恢复时间为 3.0 天(IQR:6.0)。在控制了协变量后,与父母讲英语的患者相比,父母不讲英语的患者使用阿片类药物的时间延长了 26.5%(95% CI:11.4-41.7%),恢复时间延长了 27.8%(95% CI:8.1-51.0%)。西班牙裔患者服用阿片类药物的时间比白人患者长 27.5%(95% CI:0.1-54.9%)。公共保险患者使用阿片类药物的时间比私人保险患者长 47.6%(95% CI:5.0-107.4%)。非英语患者、西班牙裔患者和参加公共保险的患者术后使用阿片类药物的时间分别长于主要讲英语的患者、白人患者和参加私人保险的患者。发现这些差异对于设计公平的术后护理路径非常重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Sociodemographic differences in opioid use and recovery following ambulatory pediatric urologic procedures.

Our aim was to examine associations between sociodemographic factors and postoperative opioid use and recovery among pediatric patients undergoing outpatient urologic procedures. We retrospectively evaluated 831 patients undergoing ambulatory urologic procedures from 2013 to 2017 at an urban pediatric hospital. Patients were evaluated for days of opioid use and days until return to baseline behavior. Differences in outcomes by race/ethnicity, primary language, median neighborhood household income, and health insurance type were analyzed using negative binomial regression models. Overall, patients reported a median of 1.0 day (IQR: 2.0) of postoperative opioid use and 3.0 days (IQR: 6.0) of recovery time. After controlling for covariates, patients with non-English speaking parents took opioids for 26.5% (95% CI: 11.4-41.7%) longer and had 27.8% (95% CI: 8.1-51.0%) longer recovery time than patients with English-speaking parents. Hispanic patients took opioids for 27.5% (95% CI: 0.1-54.9%) longer than White patients. Patients with public insurance used opioids for 47.6% (95% CI: 5.0-107.4%) longer than privately insured patients. Non-English speaking, Hispanic, and publicly insured patients had a longer duration of postoperative opioid use than primarily English-speaking, White, and privately insured patients, respectively. Identifying these disparities is important for designing equitable postoperative care pathways.

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来源期刊
Journal of Child Health Care
Journal of Child Health Care NURSING-PEDIATRICS
CiteScore
4.10
自引率
15.80%
发文量
60
审稿时长
>12 weeks
期刊介绍: Journal of Child Health Care is a broad ranging, international, professionally-oriented, interdisciplinary and peer reviewed journal. It focuses on issues related to the health and health care of neonates, children, young people and their families, including areas such as illness, disability, complex needs, well-being, quality of life and mental health care in a diverse range of settings. The Journal of Child Health Care publishes original theoretical, empirical and review papers which have application to a wide variety of disciplines.
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