Racial, Ethnic Differences in Pain Management for Acute Injuries

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Racial, Ethnic Differences in Pain Management for Acute Injuries
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A large US study shows racial and ethnic disparities in how paramedics record and treat pain from acute traumatic injury during prehospital transport.

Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit.Patients from racial and ethnic minority groups with acute traumatic injuries do not have their pain treated equitably in the prehospital setting, a large US cohort study finds.Researchers analyzed data on more than 4.

The median age of the cohort was 59 years, 52% were women, 58% White, 16% Black, 9% Hispanic or Latino, 1% or less Asian, American Indian or Alaskan Native, Native Hawaiian, or other Pacific Islander or multiple races.Pain scores were recorded in 68.5% of EMS transports, but after adjusting for all other factors, all race/ethnicity groups had lower odds of having a pain score recorded compared with White patients.

American Indian or Alaskan Native patients had the lowest odds of receiving a pain score recorded were less likely to receive opioid or ketamine analgesia than were White patients. Black patients and American Indian and Alaskan Native patients were only about half as likely as White patients were to receive pain medication ; administration of pain medications was between 7% and 20% less likely for patients from other racial and ethnic groups compared with White patients."The causes for these racial and ethnic disparities require further research.

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