A Multicenter Evaluation of the Impact of Sex on Abdominal and Fracture Pain Care

Ammar Siddiqui, Laura Belland, Laura Rivera-Reyes, Daniel Handel, Kabir Yadav, Kennon Heard, Amanda Eisenberg, Ula Hwang

Research output: Contribution to journalArticle

Abstract

BACKGROUND:: Previous studies examining sex-based disparities in emergency department (ED) pain care have been limited to a single pain condition, a single study site, and lack rigorous control for confounders. OBJECTIVE:: A multicenter evaluation of the effect of sex on abdominal pain (AP) and fracture pain (FP) care outcomes. RESEARCH DESIGN:: A retrospective cohort review of ED visits at 5 US hospitals in January, April, July, and October 2009. SUBJECTS:: A total of 6931 patients with a final ED diagnosis of FP (n=1682) or AP (n=5249) were included. MEASURES:: The primary predictor was sex. The primary outcome was time to analgesic administration. Secondary outcomes included time to medication order, and the likelihood of receiving an analgesic and change in pain scores 360 minutes after triage: Multivariable models, clustered by study site, were conducted to adjust for race, age, comorbidities, initial pain score, ED crowding, and triage acuity. RESULTS:: On adjusted analyses, compared with men, women with AP waited longer for analgesic administration [AP women: 112 (65–187) minutes, men: 96 (52–167) minutes, P

Original languageEnglish (US)
JournalMedical Care
DOIs
StateAccepted/In press - Oct 21 2015
Externally publishedYes

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Abdominal Pain
Pain
Hospital Emergency Service
Analgesics
Triage
Crowding
Comorbidity

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

Cite this

Siddiqui, A., Belland, L., Rivera-Reyes, L., Handel, D., Yadav, K., Heard, K., ... Hwang, U. (Accepted/In press). A Multicenter Evaluation of the Impact of Sex on Abdominal and Fracture Pain Care. Medical Care. https://doi.org/10.1097/MLR.0000000000000430

A Multicenter Evaluation of the Impact of Sex on Abdominal and Fracture Pain Care. / Siddiqui, Ammar; Belland, Laura; Rivera-Reyes, Laura; Handel, Daniel; Yadav, Kabir; Heard, Kennon; Eisenberg, Amanda; Hwang, Ula.

In: Medical Care, 21.10.2015.

Research output: Contribution to journalArticle

Siddiqui, A, Belland, L, Rivera-Reyes, L, Handel, D, Yadav, K, Heard, K, Eisenberg, A & Hwang, U 2015, 'A Multicenter Evaluation of the Impact of Sex on Abdominal and Fracture Pain Care', Medical Care. https://doi.org/10.1097/MLR.0000000000000430
Siddiqui, Ammar ; Belland, Laura ; Rivera-Reyes, Laura ; Handel, Daniel ; Yadav, Kabir ; Heard, Kennon ; Eisenberg, Amanda ; Hwang, Ula. / A Multicenter Evaluation of the Impact of Sex on Abdominal and Fracture Pain Care. In: Medical Care. 2015.
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