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The effect of race on outcomes for appendicitis in children: a nationwide analysis

by Steele, Scott R. , Zwintscher, Nathan P. , Martin, Matthew J. , Newton, Christopher R.

in Acute Disease / Adolescent / African Americans / Age / Appendectomy / Appendectomy - methods / Appendicitis / Appendicitis - ethnology / Appendicitis - surgery / Asian / Asian Americans / Black or African American / Child / Child, Preschool / Children & youth / Confidence intervals / Databases, Factual / Ethnicity / European Continental Ancestry Group / Family income / Female / Health care access / Healthcare Disparities / Healthcare Disparities - ethnology / Healthcare disparity / Hernias / Hispanic Americans / Hispanic or Latino / Hospitalization / Humans / Indians, North American / Infant / Infant, Newborn / Laparoscopy / Length of Stay / Logistic Models / Logistics / Male / Mortality / Odds Ratio / Outcomes / Perforation / Postoperative Complications / Postoperative Complications - ethnology / Race / Regression analysis / Socioeconomic factors / Surgery / Treatment Outcome / United States / Variance analysis / White People / Young Adult

2014

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The effect of race on outcomes for appendicitis in children: a nationwide analysis

by Steele, Scott R. , Zwintscher, Nathan P. , Martin, Matthew J. , Newton, Christopher R.

2014

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The effect of race on outcomes for appendicitis in children: a nationwide analysis

by Steele, Scott R. , Zwintscher, Nathan P. , Martin, Matthew J. , Newton, Christopher R.

2014

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Journal Article

The effect of race on outcomes for appendicitis in children: a nationwide analysis

Steele, Scott R.,

Zwintscher, Nathan P.,

Martin, Matthew J.,

Newton, Christopher R.

2014

Overview

We sought to examine the impact of race on the management and outcomes of appendicitis in children aged 20 years or younger. We studied 96,865 inpatient admissions for children undergoing an appendectomy for acute appendicitis in 2009 using the Kids' Inpatient Database. 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). 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.

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Publisher

Elsevier Inc,Elsevier BV,Elsevier Limited

Subject

/ Age

/ Appendectomy - methods

/ Appendicitis