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Postoperative Pain Management in Children of Hispanic Origin: A Descriptive Cohort Study.

Publication ,  Journal Article
Brown, R; Fortier, MA; Zolghadr, S; Gulur, P; Jenkins, BN; Kain, ZN
Published in: Anesth Analg
February 2016

BACKGROUND: It has been established that pain is frequently undertreated in children following outpatient surgery. Very few studies, however, have investigated this phenomenon in ethnically diverse populations. METHODS: This study included 105 families of children aged 2 to 15 years of Hispanic origin and low income undergoing outpatient tonsillectomy and adenoidectomy surgery. Participating parents completed baseline and demographic packets. Recorded postoperative pain ratings and administration of analgesics at home for 1 week were collected during home visits. RESULTS: Despite the high (70%; 99% confidence interval [CI], 57%-82%) incidence of significant pain in the first 24 hours home, 32% (95% CI, 20%-45%) of the children received 0 to 1 dose of analgesia. Overall, 21% children (99% CI, 11%-35%) received 4 or less total doses of pain medication over the entire week after surgery. Of the total analgesic doses administered to children in the week after surgery, only 44% (99% CI, 40%-47%) were in accepted ranges. CONCLUSIONS: Despite experiencing significant postoperative pain, Hispanic children assessed in this study received suboptimal analgesic therapy at home.

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Published In

Anesth Analg

DOI

EISSN

1526-7598

Publication Date

February 2016

Volume

122

Issue

2

Start / End Page

497 / 502

Location

United States

Related Subject Headings

  • Tonsillectomy
  • Pain, Postoperative
  • Pain Measurement
  • Pain Management
  • Infant
  • Humans
  • Hispanic or Latino
  • Healthcare Disparities
  • Female
  • Facial Expression
 

Citation

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Brown, R., Fortier, M. A., Zolghadr, S., Gulur, P., Jenkins, B. N., & Kain, Z. N. (2016). Postoperative Pain Management in Children of Hispanic Origin: A Descriptive Cohort Study. Anesth Analg, 122(2), 497–502. https://doi.org/10.1213/ANE.0000000000001042
Brown, Rebecca, Michelle A. Fortier, Sheeva Zolghadr, Padma Gulur, Brooke N. Jenkins, and Zeev N. Kain. “Postoperative Pain Management in Children of Hispanic Origin: A Descriptive Cohort Study.Anesth Analg 122, no. 2 (February 2016): 497–502. https://doi.org/10.1213/ANE.0000000000001042.
Brown R, Fortier MA, Zolghadr S, Gulur P, Jenkins BN, Kain ZN. Postoperative Pain Management in Children of Hispanic Origin: A Descriptive Cohort Study. Anesth Analg. 2016 Feb;122(2):497–502.
Brown, Rebecca, et al. “Postoperative Pain Management in Children of Hispanic Origin: A Descriptive Cohort Study.Anesth Analg, vol. 122, no. 2, Feb. 2016, pp. 497–502. Pubmed, doi:10.1213/ANE.0000000000001042.
Brown R, Fortier MA, Zolghadr S, Gulur P, Jenkins BN, Kain ZN. Postoperative Pain Management in Children of Hispanic Origin: A Descriptive Cohort Study. Anesth Analg. 2016 Feb;122(2):497–502.

Published In

Anesth Analg

DOI

EISSN

1526-7598

Publication Date

February 2016

Volume

122

Issue

2

Start / End Page

497 / 502

Location

United States

Related Subject Headings

  • Tonsillectomy
  • Pain, Postoperative
  • Pain Measurement
  • Pain Management
  • Infant
  • Humans
  • Hispanic or Latino
  • Healthcare Disparities
  • Female
  • Facial Expression