What question did this study set out to answer?

To determine whether Hispanic patients with isolated long-bone fractures are less likely to receive emergency department analgesics than comparable non-Hispanic white patients.

March 24, 1993JAMA

Ethnicity as a Risk Factor for Inadequate Emergency Department Analgesia

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Authors

KTKnox H. ToddThe University of Texas MD Anderson Cancer Center

Discussion

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Implication

Retrospective cohort study reveals increased risk of receiving no pain medication among Hispanic patients with fractures, highlighting acute healthcare disparities.

Key Points

To determine whether Hispanic patients with isolated long-bone fractures are less likely to receive emergency department analgesics than comparable non-Hispanic white patients.
Conducted a retrospective cohort study of 139 emergency department patients (31 Hispanic and 108 non-Hispanic white) aged 15 to 55 years presenting with isolated long-bone fractures at a level I trauma center.
Excluded patients presenting more than 6 hours post-injury, those with chip or questionable fractures, altered mentation, or ethanol intoxication.
Evaluated ED analgesic administration while adjusting for patient language, insurance status, injury type, and physician characteristics using stratified analysis and multiple logistic regression.
Hispanic patients were twice as likely as non-Hispanic white patients to receive no emergency department pain medication (crude RR, 2.12; 95% CI, 1.35 to 3.32; P = .003).
Ethnicity remained the strongest predictor of receiving no analgesics after controlling for measured covariates in multiple logistic regression (OR, 7.46; 95% CI, 2.22 to 25.04; P < .01).

Cite This Study

Knox H. Todd (1993) studied this question.

synapsesocial.com/papers/6a10594c2badbc352affd6bc https://doi.org/10.1001/jama.1993.03500120075029

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March 24, 1993JAMA

Ethnicity as a Risk Factor for Inadequate Emergency Department Analgesia

View Full Paper

Ask AI

Bookmark

Authors

KTKnox H. ToddThe University of Texas MD Anderson Cancer Center

Discussion

Member takes

Implication

Retrospective cohort study reveals increased risk of receiving no pain medication among Hispanic patients with fractures, highlighting acute healthcare disparities.

Key Points

To determine whether Hispanic patients with isolated long-bone fractures are less likely to receive emergency department analgesics than comparable non-Hispanic white patients.
Conducted a retrospective cohort study of 139 emergency department patients (31 Hispanic and 108 non-Hispanic white) aged 15 to 55 years presenting with isolated long-bone fractures at a level I trauma center.
Excluded patients presenting more than 6 hours post-injury, those with chip or questionable fractures, altered mentation, or ethanol intoxication.
Evaluated ED analgesic administration while adjusting for patient language, insurance status, injury type, and physician characteristics using stratified analysis and multiple logistic regression.
Hispanic patients were twice as likely as non-Hispanic white patients to receive no emergency department pain medication (crude RR, 2.12; 95% CI, 1.35 to 3.32; P = .003).
Ethnicity remained the strongest predictor of receiving no analgesics after controlling for measured covariates in multiple logistic regression (OR, 7.46; 95% CI, 2.22 to 25.04; P < .01).

Cite This Study

Knox H. Todd (1993) studied this question.

synapsesocial.com/papers/6a10594c2badbc352affd6bc https://doi.org/10.1001/jama.1993.03500120075029

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