Files and links (1)
Accepted (AM)Open Access (License Unspecified), Open
Journal article
Age, Sex, Health Insurance, and Race Associated With Increased Rate of Emergent Pediatric Gastrointestinal Procedures
Journal of pediatric gastroenterology and nutrition, v 64(6), pp 907-910
01 Jun 2017
PMID: 27513695
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Objectives: Few studies have examined the role health disparities play in pediatric gastrointestinal (GI) procedures. We hypothesized that health disparity factors affect whether patients undergo an emergent versus nonemergent GI procedure. The aims were to characterize the existing pediatric population undergoing GI procedures at our institution and assess specific risk factors associated with emergent versus nonemergent care.
Methods: We retrospectively reviewed the medical records of 2110 patients undergoing GI procedures from January 2012 to December 2014. Emergent procedures were performed on an urgent inpatient basis. All other procedures were considered nonemergent. Health disparity factors analyzed included age, sex, insurance type, race, and language. Logistic regression analysis identified the odds of undergoing emergent procedures for each factor.
Results: Most study patients were boys (58.2%), primarily insured by Medicaid (63.8%), white (44.0%), and spoke English (91.7%). Ten percent of all patients had an emergent procedure. Logistic regression analysis showed significant odds ratios (P value) for ages 18 years older (2.16, 0.003), females (0.62, 0.001), commercial insurance users (0.49, < 0.0001), African Americans (1.94, < 0.0001), and other race (1.72, 0.039).
Conclusions: Health disparities in age, sex, insurance, and race appear to exist in this pediatric population undergoing GI procedures. Patients older than 18 years, African Americans, and other races were significantly more likely to have an emergent procedure. Girls and commercial insurance users were significantly less likely to have an emergent procedure. More research is necessary to understand why these relations exist and how to establish appropriate interventions.
Metrics
Details
- Title
- Age, Sex, Health Insurance, and Race Associated With Increased Rate of Emergent Pediatric Gastrointestinal Procedures
- Creators
- Ashley Andrews - St. Christopher's Hospital for ChildrenLinda Franklin - St Christophers Hosp Children, Sect Gastroenterol Hepatol & Nutr, Philadelphia, PA 19133 USANatasha Rush - St Christophers Hosp Children, Sect Gastroenterol Hepatol & Nutr, Philadelphia, PA 19133 USARobin Witts - St Christophers Hosp Children, Sect Gastroenterol Hepatol & Nutr, Philadelphia, PA 19133 USADavid Blanco - St Christophers Hosp Children, Sect Gastroenterol Hepatol & Nutr, Philadelphia, PA 19133 USAHarpreet Pall - St Christophers Hosp Children, Sect Gastroenterol Hepatol & Nutr, Philadelphia, PA 19133 USA
- Publication Details
- Journal of pediatric gastroenterology and nutrition, v 64(6), pp 907-910
- Publisher
- Lippincott Williams & Wilkins
- Number of pages
- 4
- Grant note
- R25MD006792 / National Institute on Minority Health and Health Disparities; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute on Minority Health & Health Disparities (NIMHD) 1R25MD006792-01 / Opening the Doors for Diverse Populations to Health Disparities Research, under the National Institute for Health (NIH)-National Institute on Minority Health and Health Disparities (NIMHD)
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Pediatrics
- Web of Science ID
- WOS:000402897700022
- Scopus ID
- 2-s2.0-84981484882
- Other Identifier
- 991019168563804721
UN Sustainable Development Goals (SDGs)
This publication has contributed to the advancement of the following goals:
InCites Highlights
Data related to this publication, from InCites Benchmarking & Analytics tool:
- Web of Science research areas
- Gastroenterology & Hepatology
- Nutrition & Dietetics
- Pediatrics