Nathan P Zwintscher1, Scott R Steele2, Matthew J Martin2, Christopher R Newton3. 1. Department of Surgery, Madigan Army Medical Center, Tacoma, WA 98431, USA. Electronic address: npzwintscher@gmail.com. 2. Department of Surgery, Madigan Army Medical Center, Tacoma, WA 98431, USA. 3. Department of Surgery, Children's Hospital & Research Center, Oakland, CA, USA.
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.
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.
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