Academic Journal
Equity in the Early Pain Management of Long Bone Fractures in Black vs White Patients: We Have Closed the Gap
| العنوان: | Equity in the Early Pain Management of Long Bone Fractures in Black vs White Patients: We Have Closed the Gap |
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| المؤلفون: | Dietrich Jehle, Krishna K. Paul, Stanley Troung, Jackson M. Rogers, Blake Mireles, John J. Straub, Georgiy Golovko, Matthew M. Talbott, Ronald W. Lindsey, Charles P. Mouton |
| المصدر: | Western Journal of Emergency Medicine, Vol 25, Iss 5, Pp 809-816 (2024) |
| بيانات النشر: | eScholarship Publishing, University of California, 2024. |
| سنة النشر: | 2024 |
| المجموعة: | LCC:Medicine LCC:Medical emergencies. Critical care. Intensive care. First aid |
| مصطلحات موضوعية: | Medicine, Medical emergencies. Critical care. Intensive care. First aid, RC86-88.9 |
| الوصف: | Introduction: Patients with long bone fractures often present to the emergency department (ED) with severe pain and are typically treated with opioid and non-opioid analgesics. Historical data reveals racial disparities in analgesic administration, with White patients more likely to receive analgesics. With the diversifying US population, health equity is increasingly crucial. In this study we aimed to evaluate the early administration of opioid and non-opioid analgesia among Black and White patients with long bone and femur fractures in EDs over different time frames using a substantial database. Methods: We retrospectively extracted Information from 57 US healthcare organizations within the TriNetX database, encompassing 95 million patients. The ED records from 2003–2023 were subjected to propensity score matching for age and gender. We focused on four cohorts: two comprising Black and White patients diagnosed with long bone fractures, and another two with Black and White patients diagnosed solely with femur fractures. We examined analgesic administration rates over 20 years (2003–2023) at five-year intervals (2003–2008; 2008–2013; 2013–2018; 2018–2023), and further analyzed the rates for the most recent two-year period (2021–2023). Results: Disparities in analgesic administration significantly diminished over the study period. For patients with long bone fractures (1,095,052), the opioid administration gap narrowed from 6.3% to 1.1%, while non-opioid administration disparities reduced from 4.4% to 0.3%. Similar trends were noted for femur fractures (265,181). By 2021–2023, no significant differences in analgesic administration were observed between racial groups. Conclusion: Over the past 20 years, the gap in early administration of opioid and non-opioid analgesics for Black and White patients presenting with long bone fractures or femur fractures has been disappearing. |
| نوع الوثيقة: | article |
| وصف الملف: | electronic resource |
| اللغة: | English |
| تدمد: | 1936-900X 1936-9018 |
| Relation: | https://escholarship.org/uc/item/6p69m38v; https://doaj.org/toc/1936-900X; https://doaj.org/toc/1936-9018 |
| DOI: | 10.5811/westjem.18531 |
| URL الوصول: | https://doaj.org/article/0e5b230760ba4fa29074710239896f53 |
| رقم الانضمام: | edsdoj.0e5b230760ba4fa29074710239896f53 |
| قاعدة البيانات: | Directory of Open Access Journals |
Full Text Finder | تدمد: | 1936900X 19369018 |
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| DOI: | 10.5811/westjem.18531 |