小儿麻醉中的种族不平等。

IF 1.6 Q2 ANESTHESIOLOGY Current Anesthesiology Reports Pub Date : 2023-01-01 DOI:10.1007/s40140-023-00560-6

Brittany L Willer, Christian Mpody, Olubukola O Nafiu

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引用次数: 1

摘要

审查目的:在2020年几次高度公开的种族不公正之后，少数民族的健康差距在美国重新受到关注。尽管关注的焦点主要是成年人，但儿童也不能幸免于这些不平等。通过回顾儿科围手术期护理中的种族差异，我们旨在让麻醉界参与到反对系统性种族主义的斗争中来。最近的研究发现:与白人儿童相比，少数民族儿童的麻醉和手术发病率更高，包括呼吸事件、住院时间、住院费用，甚至死亡。这些不公平现象发生在外科专业和环境中。摘要:儿童围手术期健康和管理的种族差异是普遍存在的。在此，我们将总结最近的儿科健康差异文献，讨论持续不平等的一些重要因素，并提出麻醉师影响追求公平医疗结果的途径。

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Racial Inequity in Pediatric Anesthesia.

Purpose of review: Minority health disparities have received renewed attention in the USA following several highly publicized racial injustices in 2020. Though the focus has been largely on adults, children are not immune to these inequities. By reviewing racial disparities in pediatric perioperative care, we aim to engage the anesthesia community in the fight against systemic racism.

Recent findings: Minority children have higher rates of anesthetic and surgical morbidity compared to White children, including respiratory events, length of stay, hospital costs, and even death. These inequities occur across surgical specialties and environments.

Summary: Racial disparities in the perioperative health and management of children are ubiquitous. Herein, we will summarize recent pediatric health disparity literature, discuss some important contributors to persistent inequities, and propose avenues for anesthesiologists to impact the pursuit of equitable healthcare outcomes.

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来源期刊

Current Anesthesiology Reports Medicine-Anesthesiology and Pain Medicine

CiteScore

2.80

自引率

0.00%

发文量

期刊介绍： This journal aims to offer expert review articles on the most significant recent developments in the field of anesthesiology. By providing clear, insightful, balanced contributions, the journal intends to serve those involved in the delivery of anesthesia for surgical and medical procedures, treatment of acute and chronic pain conditions, perioperative management for operative and intensive care unit patients, and associated basic science and clinical research efforts in their areas. We accomplish this aim by appointing international authorities to serve as Section Editors in key subject areas across the field. Section Editors select topics for which leading experts contribute comprehensive review articles that emphasize new developments and recently published papers of major importance, highlighted by annotated reference lists. An Editorial Board of more than 20 internationally diverse members reviews the annual table of contents, ensures that topics include emerging research, and suggests topics of special importance to their country/region. Topics covered may include ambulatory anesthesia; anesthesia and inflammation; anesthetic mechanisms; anesthetic pharmacology; cardiovascular anesthesia; critical care anesthesia; local anesthetic pharmacology; monitoring technology; neuroanesthesia; neuromuscular blockade; obstetrical anesthesia; pain mechanisms; pain therapy; patient safety; pediatric anesthesia; quality assessment; regional anesthesia; and transplantation anesthesia.