@article{ref1,
title="Socioeconomic status and analgesia provision at discharge among children with long-bone fractures requiring emergency care",
journal="Pediatric emergency care",
year="2018",
author="Ortega, Henry W. and Velden, Heidi Vander and Truong, Walter and Arms, Joseph L.",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="BACKGROUND: Inadequate treatment of painful conditions in children is a significant and complex problem. The objective of this study was to examine the effect of socioeconomic status on the provision of analgesic medicines at discharge in children treated emergently for a long-bone fracture. <br><br>METHODS: A retrospective review of all patients during a 1-year period with a long-bone fracture treated in 2 urban pediatric emergency departments (EDs) was performed. <br><br>RESULTS: Eight hundred seventy-three patients were identified who met our inclusion criteria. Sixty percent of patients received a prescription for an opioid-containing medicine, and 22% received a prescription for an over-the-counter analgesic medicine at ED discharge. Socioeconomic status had no effect on opioid analgesic prescriptions at discharge. Patients in the lowest-income group were younger, presented to the ED longer after an injury, were likely nonwhite, and had higher rates of over-the-counter analgesic medicine prescriptions provided at discharge. Higher-income patients were likely white and non-Hispanic, presented to the ED sooner, and were less likely to receive a prescription for a nonopioid analgesic medicine. <br><br>CONCLUSIONS: Socioeconomic status is associated with different nonopioid analgesic prescription patterns in children treated in the ED for a long-bone fracture, but had no effect on opioid analgesic prescriptions.<p /> <p>Language: en</p>",
language="en",
issn="0749-5161",
doi="10.1097/PEC.0000000000001667",
url="http://dx.doi.org/10.1097/PEC.0000000000001667"
}