Ethnicity and Analgesic Practice in a Pediatric Emergency Department

Overview

Early and appropriate pain management in the emergency department (ED) is an important aspect of child care. Studies in the adult population revealed that ethnicity might be associated with disparities in analgesia and opioid treatment in ED patients suffering from limb fractures. The investigators aim to explore if ethnicity has an influence on analgesic practice in the pediatric ED. The objective of this study is to determine whether minority population Arab children with orthopedic injuries are less likely than Jewish children to receive oxycodone for limb fracture.

Study Type

  • Study Type: Observational
  • Study Design
    • Time Perspective: Retrospective
  • Study Primary Completion Date: October 2015

Detailed Description

Early and appropriate pain management in the emergency department (ED) is an important aspect of child care. Studies in the adult population revealed that ethnicity might be associated with disparities in analgesia and opioid treatment in ED patients suffering from limb fractures. The investigators aim to explore if ethnicity has an influence on analgesic practice in the pediatric ED. The objective of this study is to determine whether minority population Arab children with orthopedic injuries are less likely than Jewish children to receive oxycodone for limb fracture .

Interventions

  • Drug: Arab children
    • Treatment with Oxycodone

Arms, Groups and Cohorts

  • Arab children (case subjects)
    • Arab patients who were admitted to the pediatric ED due to a limb fracture between 01 January 2011 and 31 October 2014, who were treated with Oxycodone
  • Jewish children (controls)
    • Jewish patients who were admitted to the pediatric ED due to a limb fracture between 01 January 2011 and 31 October 2014, who were treated with Oxycodone

Clinical Trial Outcome Measures

Primary Measures

  • Rate of oxycodone treatment by the nursing staff
    • Time Frame: At triage up to 1 hour after admission at the recpetion desk

Participating in This Clinical Trial

Inclusion Criteria

-Any patient with a limb fracture Exclusion Criteria:

  • Multi trauma patients – Patients with unidentified ethnicity

Gender Eligibility: All

Minimum Age: N/A

Maximum Age: 18 Years

Are Healthy Volunteers Accepted: No

Investigator Details

  • Lead Sponsor
    • Rambam Health Care Campus
  • Provider of Information About this Clinical Study
    • Sponsor
  • Overall Official(s)
    • ITAI Shavit, MD, Principal Investigator, Rambam Health Care Campus
  • Overall Contact(s)
    • Itai Shavit, MD, +972502063239, itai@pem-database.org

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