Bijur Polly, Bérard Anick, Nestor Jordan, Calderon Yvette, Davitt Michelle, Gallagher E John
Department of Emergency Medicine, Albert Einstein College of Medicine, Rose F. Kennedy Center, Bronx, NY 10461, USA.
Am J Emerg Med. 2008 Mar;26(3):270-4. doi: 10.1016/j.ajem.2007.05.010.
Studies of data from the 1990s are often cited as evidence of racial and ethnic disparities in pain management. Subsequent evidence supporting this association has not been consistent. The objective was to assess whether there are racial or ethnic disparities in receipt of analgesics for pain from long-bone fractures more recently and in a different region of the United States. We conducted a retrospective chart review of 449 patients. Twenty-three percent (53/235) of Hispanic patients, 31% (41/133) of African American patients, and 26% (21/81) of white patients did not receive analgesics. Compared with white patients, the relative risk of not receiving analgesics was 1.31 (95% confidence interval, 0.74-2.03) for African Americans and 0.90 (95% confidence interval, 0.05-1.47) for Hispanic patients after controlling for age, sex, mechanism, marital status, mode of arrival, fracture reduction, fracture type, disposition, and insurance status. We did not find evidence of racial or ethnic disparities in the management of pain from long-bone fractures.
20世纪90年代的数据研究常被引为疼痛管理中种族和民族差异的证据。随后支持这种关联的证据并不一致。目的是评估最近在美国不同地区，长骨骨折疼痛患者在接受镇痛药治疗方面是否存在种族或民族差异。我们对449例患者进行了回顾性病历审查。23%（53/235）的西班牙裔患者、31%（41/133）的非裔美国患者和26%（21/81）的白人患者未接受镇痛药治疗。在控制年龄、性别、受伤机制、婚姻状况、就诊方式、骨折复位、骨折类型、处置情况和保险状况后，与白人患者相比，非裔美国人未接受镇痛药治疗的相对风险为1.31（95%置信区间，0.74 - 2.03），西班牙裔患者为0.90（95%置信区间，0.05 - 1.47）。我们没有发现长骨骨折疼痛管理中存在种族或民族差异的证据。
