Virginia Londahl Ramsey, Tito D Tubog, Tammy Sadighi, Traci Mays
Assessing the Nurse Anesthesiologists' Self-Perceived Preparedness to the Care for Individuals With Intellectual and Development Disability: A Cross Sectional Survey
AANA journal
dayofsurgery cancellations impede healthcare access contribute inequities pediatric healthcare socially disadvantaged families many risk factors surgical cancellation including low health literacy transportation barriers childcare constraints social determinants health captured childhood opportunity index coi 20 national quantification neighborhoodlevel characteristics contribute childs vulnerability adversity studied association neighborhood opportunity pediatric dayofsurgery cancellations conducted retrospective cohort study children younger 18 years age scheduled ambulatory surgery tertiary pediatric hospital 2017 2022 geocoded primary address determine coi 20 neighborhood opportunity used logbinomial regression estimate relative risk dayofsurgery cancellation comparing different levels neighborhood opportunity also estimated relative risk cancellations associated race ethnicity neighborhood opportunity overall incidence dayofsurgery cancellation 38 incidence cancellation lowest children residing high opportunity neighborhoods highest children residing low opportunity neighborhoods 24 vs 57 p0001 adjusted relative risk dayofsurgery cancellation low opportunity neighborhoods compared high opportunity neighborhoods 224 95ci 205244 p0001 found statistical evidence interaction coi race ethnicity low opportunity neighborhoods black children 148 times greater risk dayofsurgery cancellation white children 95ci 135163 p0001 likewise high opportunity neighborhoods black children 217 times greater risk cancellation 95ci 175269 p0001 found strong relationship pediatric dayofsurgery cancellation neighborhood opportunity black children every level opportunity highest risk cancellation suggesting additional factors render vulnerable neighborhood disadvantage