Undertriage in Pediatric ED More Likely for Non-English Speakers

TUESDAY, May 16, 2023 (HealthDay News) -- For patients presenting to the pediatric emergency department, those accompanied by caregivers preferring languages other than English are more likely to be undertriaged, according to a study published online May 16 in Pediatrics.
Christina R. Rojas, M.D., from the Children's National Hospital in Washington, D.C., and colleagues conducted a retrospective cross-sectional study of patients aged younger than 21 years triaged as Emergency Severity Index level 4 or 5 (nonurgent) to the pediatric emergency department from Jan. 1, 2019, through Jan. 31, 2021. Differences in undertriage, defined by indicators of hospital admission, significant emergency department resource use, or return visits with admission, were examined based on caregiver language preference.
The researchers found that 19.8 percent of the 114,266 emergency department visits included in the study represented patients with caregivers preferring languages other than English. Compared with those with caregivers preferring English, these children were more likely to experience undertriage (3.7 percent [English] versus 4.6 percent [Spanish] versus 5.9 percent [other languages]; odds ratios, 1.3 and 1.6 for Spanish versus English and other languages versus English, respectively). After adjustment for sex, insurance, mode of arrival, and clustering by triage nurse, the differences persisted (adjusted odds ratios, 1.3 and 1.6 for Spanish versus English and other languages versus English, respectively).
"Pediatric patients with caregivers who prefer languages other than English are more likely to be undertriaged in the pediatric emergency department," the authors write. "These novel results provide important insights into the systemic inequities that exist for this population in health care."
Abstract/Full Text (subscription or payment may be required)
Related Posts
Feds Urge Vaccination as ‘Tripledemic’ Hits More Americans
MONDAY, Dec. 5, 2022 (HealthDay News) -- Flu, RSV and COVID-19 are creating a...
Fewer HIV Tests, Cases ID’d in Children at Start of Pandemic
MONDAY, July 18, 2022 (HealthDay News) -- The number of HIV tests and cases...
Link Between Diabetes, COVID-19 Outcomes Mediated by Hyperinflammation
WEDNESDAY, April 13, 2022 (HealthDay News) -- The correlation between diabetes...
Provider Awareness and Knowledge of Alpha-Gal Syndrome Limited
THURSDAY, July 27, 2023 (HealthDay News) -- Awareness and knowledge of alpha-gal...