Yiing Mei Liou, Ya-Lan Yang, Ting-Yao Wang, Chiu-Mieh Huang
School lunch, policy, and environment are determinants for preventing childhood obesity: Evidence from a two-year nationwide prospective study
Obesity research & clinical practice
tonsillectomy one common surgical procedures performed united states however little known intersectionality race ethnicity language factors influence posttonsillectomy outcomes ed utilization hospital readmission rates examine disparities emergency department ed utilization hospital readmissions posttonsillectomy complications based insurance status patient race ethnicity language spoken retrospective cohort four years tertiary care childrens hospital children n 10215 underwent tonsillectomy adenotonsillectomy tertiary childrens hospital january 2015 december 2018 identified included exclusion criteria exposure interest tonsillectomy outcomes variables interest defined prior data collection primary outcome study emergency department ed utilization defined ed urgent care visit within 21 days tonsillectomy surgeryrelated concerns secondary outcome study readmissions following tonsillectomy total 10215 pediatric patients median age 6 years 5096 50 male underwent tonsillectomy included analysis 13 patients presented ed surgeryrelated complaints among english proficient patients multiracial patients group elevated odds ed utilization or15 95 ci 12 19 nonenglish language preference nelp patients black hispanic asian american indianalaskan native raceethnicity also elevated odds ed use posttonsillectomy compared nonhispanic white english proficient patients six percent patients unplanned hospital readmission asian patients nonenglish language preference 21 times odds readmission 95 ci 12 36 disproportionately admitted posttonsillectomy hemorrhage relevance language disparities ed use readmission persist adjusting risk factors nonenglish language preference populations higher rate ed utilization especially minor complications disparities may result differential health literacy predispositions complications future directions include additional research mechanisms targeted interventions increase education access languageappropriate resources