Pediatric anesthesia & critical care

Racial and Ethnic Disparity in Approach for Pediatric Intensive Care Unit Research Participation

JAMA Netw OpenPublished Retrospective cohort study

Authors' conclusion

In this cohort study of consent rates for PICU research, multiple sociodemographic factors were associated with lower rates of consent, partly attributable to disparate rates of approach.

Study context

Population
Children eligible for pediatric intensive care unit (PICU) studies requiring prospective consent, Children's Hospital of Philadelphia, July 2011–December 2021
Participants
3,154 children
Exposure
Race and ethnicity, language, religion and Social Deprivation Index (SDI) vs approach and consent rates for PICU research
Outcome
Rates of approach among eligible patients, consent among eligible patients, and consent among those approached
Methodological detailssingle-centre
  • Single-centre

Main finding

As reported in the abstract

Consent among children approached (Black vs White)
Black vs WhiteEstimate (95% CI)
Unadjusted
OR 0.73(0.55–0.97)
Adjusted
aOR 0.68(0.49–0.93)

Observational data: associations, not effects.

Further findings

Proportion of reduced consent odds in Black individuals mediated by lower probability of approach (mediation analysis)

Mediated proportion
51.0% (95% CI 11.8%-90.2%)

Original publication

Racial and Ethnic Disparity in Approach for Pediatric Intensive Care Unit Research Participation. JAMA Netw Open. Published 1 May 2024. doi:10.1001/jamanetworkopen.2024.11375

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