Perioperative analgesic treatment in Latino and non-Latino pediatric patients.
OBJECTIVE
Adult studies suggest pain treatment is influenced by patient's race/ ethnicity. The present study aims to evaluate the effect of the patient's race/ethnicity on pain treatment in children.


METHODS
Retrospective cohort study comparing perioperative analgesic administration for tonsillectomy and adenoidectomy (T&A) surgery in Latino and Caucasian patients younger than 18 years of age.


RESULTS
Ninety-four (94) patients were included (47 Latino, 47 Caucasian), mean age 8.44 yrs (SD 3.45), 43% female. Administration of non-opioid analgesics and intraoperative opioids was similar in both groups. Early post-operative administration of opioid analgesics was significantly different between groups. Latino subjects received 30% less opioid analgesics than Caucasians; median amount in morphine equivalents was 0.05 (0-0.14) vs. 0.07 (0-0.90) mg/kg for Latino and Caucasian patients respectively (p5.02).


CONCLUSIONS
This study suggests that perioperative pain treatment in children is correlated with the patient's ethnicity. The cause of this difference is unknown and prospective studies are necessary to elucidate the reasons.
Jimenez
Nathalia
N
Department of Anesthesiology and Pain Medicine, Seattle Children's Hospital, 4800 Sand Point Way NE, Seattle, WA 98105, USA. Nathalia.jimenez@seattlechildrens.org
Seidel
Kristy
K
Martin
Lynn D
LD
Rivara
Frederick P
FP
Lynn
Anne M
AM
D000233:Adenoidectomy; D000700:Analgesics / Q000008:administration & dosage* / Q000145:classification; D002648:Child; D015331:Cohort Studies; D004334:Drug Administration Schedule; D005260:Female; D054625:Healthcare Disparities; D006630:Hispanic or Latino / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D010146:Pain / Q000188:drug therapy / Q000208:ethnology*; D019990:Perioperative Care; D012189:Retrospective Studies; D013997:Time Factors; D014068:Tonsillectomy; D044465:White People / Q000706:statistics & numerical data*
D000700:Analgesics