کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
4157500 1273794 2010 5 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Perforated appendicitis in children: equal access to care eliminates racial and socioeconomic disparities
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی پریناتولوژی (پزشکی مادر و جنین)، طب اطفال و بهداشت کودک
پیش نمایش صفحه اول مقاله
Perforated appendicitis in children: equal access to care eliminates racial and socioeconomic disparities
چکیده انگلیسی

PurposeThe aim of the study was to determine whether equal access to health care eliminates racial and socioeconomic disparities in appendicitis outcomes.MethodsA review of patients younger than 18 years treated for appendicitis for a decade was performed. Outcomes were appendiceal perforation (AP) rate and length of hospitalization (LOH). Independent variables included racial status, annual median per capita income, and parental education level.ResultsSeven thousand two hundred forty-seven patients were identified (mean age, 11.6 years; 62% male). The adjusted odds ratio (OR) for AP was similar in blacks, Hispanics, and Asians compared to whites. The OR for AP was similar in high- and medium-income families compared to low-income families. The OR for AP was similar in high and medium parental education levels compared to low parental education levels. The adjusted LOH was longer in blacks and similar in Hispanics and Asians compared to whites. The LOH was shorter in high- and similar in medium-income families compared to low-income families. The LOH was similar in all parental education levels.ConclusionLower socioeconomic background and minority status did not correlate with higher appendiceal perforation rates or a clinically longer LOH in children with equal access to care. The previously reported disparities in pediatric appendicitis outcome are preventable with equal access to care.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Journal of Pediatric Surgery - Volume 45, Issue 6, June 2010, Pages 1203–1207
نویسندگان
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