Am J Surg. 2014 May;207(5):748-53; discussion 753. doi: 10.1016/j.amjsurg.2013.12.020. Epub 2014 Mar 12.
The effect of race on outcomes for appendicitis in children: a nationwide analysis.
Abstract
BACKGROUND:
We sought to examine the impact of race on the management and outcomes of appendicitis in children aged 20 years or younger.
METHODS:
We studied 96,865 inpatient admissions for children undergoing an appendectomy for acute appendicitis in 2009 using the Kids' Inpatient Database.
RESULTS:
Perforation at presentation was more common among African-Americans and Hispanics than Caucasians (27.5% and 32.5%, respectively, vs 23.9%, P < .001). African-Americans were less likely to have a laparoscopic procedure (odds ratio [OR]: .839, P < .001) and more likely to experience a complication (OR: 1.753, P < .001). Hispanics were also more likely to have a complication (OR: 1.123, P = .001). African-Americans and Hispanics remained in the hospital for .73 more days than Caucasians (3.07 vs 2.34 days, P < .001).
CONCLUSIONS:
African-American and Hispanic children present more often with perforation. Adjusting for perforation, they were more likely to have a complication and longer hospital stays. Access to care and delayed presentations may be potential explanations.
Published by Elsevier Inc.
KEYWORDS:
Appendicitis; Healthcare disparity; Laparoscopy; Outcomes; Perforation; Race
- PMID:
- 24791639
- [PubMed - indexed for MEDLINE]
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