دورية أكاديمية
Demographic disparities in children with retropharyngeal and parapharyngeal abscesses.
| العنوان: | Demographic disparities in children with retropharyngeal and parapharyngeal abscesses. |
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| المؤلفون: | Garvey EA; Boston University School of Medicine, 72 East Concord St, Boston, MA 02118, USA., Jamil TL; Boston University School of Medicine, 72 East Concord St, Boston, MA 02118, USA; Department of Otolaryngology - Head and Neck Surgery, University of Colorado, 12631 E 17th Ave, Aurora, CO 80045, USA., Levi JR; Department of Otolaryngology-Head and Neck Surgery, Boston Medical Center, 830 Harrison Ave, Boston, MA 02118, USA., Cohen MB; Department of Otolaryngology-Head and Neck Surgery, Boston Medical Center, 830 Harrison Ave, Boston, MA 02118, USA. Electronic address: Michael.Cohen@bmc.org. |
| المصدر: | American journal of otolaryngology [Am J Otolaryngol] 2024 Mar-Apr; Vol. 45 (2), pp. 104140. Date of Electronic Publication: 2023 Dec 06. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Saunders Country of Publication: United States NLM ID: 8000029 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1532-818X (Electronic) Linking ISSN: 01960709 NLM ISO Abbreviation: Am J Otolaryngol Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: Cherry Hill, N. J., Saunders. |
| مواضيع طبية MeSH: | Pharyngeal Diseases* , Retropharyngeal Abscess*/epidemiology , Retropharyngeal Abscess*/diagnosis, Child, Preschool ; Female ; Humans ; Male ; Demography ; Hispanic or Latino ; Medicaid ; Retrospective Studies ; United States/epidemiology ; Asian American Native Hawaiian and Pacific Islander |
| مستخلص: | Purpose: To explore the impact that demographic and socioeconomic factors such as age, gender, race, and insurance status have on the diagnosis of retropharyngeal (RPA) and parapharyngeal abscesses (PPA) in the pediatric population. Methods: The 2016 HCUP KID was searched for all RPA/PPA discharges using the joint ICD-10 code J39.0. Descriptive statistics, univariate, and multivariate analyses were performed to assess the relationship between demographic factors and their impact on RPA/PPA diagnosis. Results were reported with their corresponding odds ratio with a 95 % confidence interval and p-value. Results: 56.4 per 100,000 weighted discharges were discharged with a diagnosis of a RPA/PPA, the average age was 5.7 years old, with a male predominance. Pediatric discharges diagnosed with a RPA/PPA were less likely to identify as Hispanic or Asian/Island Pacific. They were also less likely to be insured by Medicaid and reside in zip codes with a lower median income. Conclusion: The analysis of this national pediatric database demonstrated significant demographic differences in children diagnosed with RPA/PPAs. Following the multivariate analysis, children from a higher socioeconomic background and those with private insurance were more likely to be diagnosed with a RPA/PPAs. However, disparities in children's overall hospital course and complications is a potential area for future research. Competing Interests: Declaration of competing interest The authors of this manuscript have no conflicts of interest to declare. (Published by Elsevier Inc.) |
| فهرسة مساهمة: | Keywords: Deep space neck infections; Health disparities; Parapharyngeal abscesses; Pediatric; Retropharyngeal abscesses; Social determinants of Health |
| تواريخ الأحداث: | Date Created: 20231209 Date Completed: 20240315 Latest Revision: 20240510 |
| رمز التحديث: | 20240511 |
| DOI: | 10.1016/j.amjoto.2023.104140 |
| PMID: | 38070379 |
| قاعدة البيانات: | MEDLINE |
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Full Text Finder | تدمد: | 1532-818X |
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| DOI: | 10.1016/j.amjoto.2023.104140 |