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首页> 外文期刊>Pediatrics: Official Publication of the American Academy of Pediatrics >Racial/Ethnic Differences in ED Opioid Prescriptions for Long Bone Fractures: Trends Over Time
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Racial/Ethnic Differences in ED Opioid Prescriptions for Long Bone Fractures: Trends Over Time

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摘要

Pain caused by long bone fractures is a common reason for opioid prescribing in the emergency department (ED) setting.1 Approximately 40 of opioid overdose deaths involve a prescription,2 and in response, opioid prescribing has declined in the last decade.3 We previously demonstrated racial and/or ethnic disparities in the ED management of pain among children with long bone fractures.4 We now perform this study to investigate whether racial and/or ethnic differences in provision of outpatient opioid prescriptions for children discharged from the ED with long bone fractures have attenuated over time. METHODS We performed a retrospective crosssectional study of children aged 4 to <18 years with long bone fractures (clavicle, humerus, ulna, radius, femur, tibia, and fibula, as identified by International Classification of Diseases, Ninth Revision, Clinical Modification, and International Classification of Diseases, 10th Revision, Clinical Modification, diagnosis codes or natural-language processing of radiology reports5) using the Pediatric Emergency Care Applied Research Network Registry, an electronic health record registry of 4 geographically diverse (northeast, south, west, and midwest) pediatric EDs from January 1, 2012, to December 31, 2019.

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