Black race, male sex tied to use of pharmacological restraint in pediatric emergency visits

Black race, male sex tied to use of pharmacological restraint in pediatric emergency visits

In mental and behavioral health (MBH) emergency department visits for children, higher rates of pharmacologic restraint are associated with male sex, Black race, timing of visits, and revisits, according to a study published online Dec. 19 in Pediatrics.

Ashley A. Foster, M.D., from the University of California in San Francisco, and colleagues used emergency department visit data identified from the Pediatric Health Information System (2010 to 2020) to identify 545,800 visits by children (aged 3 to 21 years) with a primary MBH diagnosis. The association between patient- and hospital-level factors and pharmacologic restraint use was examined.

The researchers found that 4.1 percent of visits involved pharmacologic restraint use. Restraint was associated with visits by children aged 18 to 21 years (odds ratio, 1.88), male sex (odds ratio, 1.25), Black race (odds ratio, 1.22), visits starting overnight (odds ratio, 1.68), visits starting on a weekend (odds ratio, 1.26), and repeat emergency department visits (odds ratio, 1.31). While every 100-visit increase in average annual MBH volume was associated with a 0.09 percent decrease in restraint use, there was no significant association between average annual emergency department volume and restraint use.

"In mental and emergency visits for , male sex, Black race, timing of visits, and revisits were associated with pharmacologic restraint," the authors write. "These findings have implications for equitably managing agitation in youth in the pediatric emergency department."

More information: Ashley A. Foster et al, Disparities in Pharmacologic Restraint Use in Pediatric Emergency Departments, Pediatrics (2022). DOI: 10.1542/peds.2022-056667

Journal information: Pediatrics

Copyright © 2022 HealthDay. All rights reserved.

Citation: Black race, male sex tied to use of pharmacological restraint in pediatric emergency visits (2022, December 22) retrieved 20 June 2024 from https://medicalxpress.com/news/2022-12-black-male-sex-pharmacological-restraint.html
This document is subject to copyright. Apart from any fair dealing for the purpose of private study or research, no part may be reproduced without the written permission. The content is provided for information purposes only.

Explore further

ED visits for pediatric mental health issues up during COVID-19

2 shares

Feedback to editors