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International Journal of Colorectal Disease

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Open Access 01-12-2024 | Appendicitis | Research

Ethnic disparities in pediatric appendicitis: the impact of hispanic ethnicity on presentation, complications, and postoperative outcomes

Authors: Charbel Chidiac, Olivia Liu, Rahul Gorijavolu, Daniel S. Rhee, Alejandro V. Garcia

Published in: International Journal of Colorectal Disease | Issue 1/2024

Abstract

Purpose

Our study investigates ethnic disparities in pediatric appendicitis, focusing on the impact of Hispanic ethnicity on presentation, complications, and postoperative outcomes.

Methods

We conducted a retrospective analysis of pediatric patients undergoing appendectomy for acute appendicitis from 2015 to 2020 using the National Surgical Quality Improvement Program-Pediatric database. We compared 30-day postoperative complications, postoperative length of stay, and postoperative interventions between Hispanic and non-Hispanic White patients.

Results

65,976 patients were included, of which 23,462 (35.56%) were Hispanic and 42,514 (64.44%) non-Hispanic White. Hispanic children were more likely to present to the hospital with complicated appendicitis (31.75% vs. 25.15%, P < 0.0001) and sepsis (25.22% vs. 19.02%, P < 0.0001) compared to non-Hispanic White. Hispanics had higher rates of serious complications (4.06% vs. 3.55%, P = 0.001) but not overall complications (5.37% vs. 5.09%, P = 0.12). However, after multivariate analysis, Hispanic ethnicity was not associated with an increased rate of serious postoperative complications (OR 0.93, CI 0.85–1.01, P = 0.088); it was associated with less overall complications (OR 0.88, CI 0.81–0.96, P = 0.003) but a longer postoperative length of stay (OR 1.09, CI 1.04–1.14, P < 0.0001).

Conclusion

Hispanic children are more likely to present with complicated appendicitis, contributing to increased postoperative complications. Notably, upon adjustment for the impact of complicated appendicitis, our findings suggest potentially favorable outcomes for Hispanic ethnicity. This emphasizes the need to understand delays in presentation to improve outcomes in the Hispanic population.

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Title: Ethnic disparities in pediatric appendicitis: the impact of hispanic ethnicity on presentation, complications, and postoperative outcomes
Authors: Charbel Chidiac
Olivia Liu
Rahul Gorijavolu
Daniel S. Rhee
Alejandro V. Garcia
Publication date: 01-12-2024
Publisher: Springer Berlin Heidelberg
Keywords: Appendicitis
Appendicitis
Appendectomy
Septicemia
Septicemia
Published in: International Journal of Colorectal Disease / Issue 1/2024
Print ISSN: 0179-1958
Electronic ISSN: 1432-1262
DOI: https://doi.org/10.1007/s00384-024-04598-8

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Ethnic disparities in pediatric appendicitis: the impact of hispanic ethnicity on presentation, complications, and postoperative outcomes

Abstract

Purpose

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

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