Pediatric anesthesia & critical care

Racial/Ethnic Variability in Use of General Anesthesia for Pediatric Magnetic Resonance Imaging

Anesth AnalgPublished Retrospective cohort study

Authors' conclusion

Asian, Black, and Hispanic children of some ages were more likely to receive GA during MRI scans than White children in the same age group.

Study context

Population
Pediatric patients aged 0 to 21 years undergoing magnetic resonance imaging (MRI), January 1, 2004 to May 31, 2019; stratified into 5 age groups (0 to 1, 2 to 5, 6 to 11, 12 to 18, 19 to 21)
Participants
457,314 MRI patients
Exposure
Asian, Black and Hispanic vs White children: General Anesthesia (GA) use for MRI
Outcome
Use of GA for MRI
Methodological detailsage-stratified analysis, adjusted regression models
  • Age-stratified analysis
  • Adjusted regression models

Main finding

As reported in the abstract

GA for MRI by race/ethnicity and age group
Each group vs whiteAdjusted relative risk (95% CI)P value
Asianaged 0 to 1
1.11(1.05–1.17)
P < 0.001
Asianaged 2 to 5
1.04(1.00–1.09)
P = 0.03
Blackaged 2 to 5
1.04(1.01–1.08)
P = 0.02
Blackaged 6 to 11
1.13(1.06–1.20)
P < 0.001
Hispanicaged 0 to 1
1.07(1.03–1.12)
P < 0.001
Overall GA use among MRI patients
29,108 (6.4%)

Observational data: associations, not effects.

Original publication

Racial/Ethnic Variability in Use of General Anesthesia for Pediatric Magnetic Resonance Imaging. Anesth Analg. Published 1 March 2023. doi:10.1213/ane.0000000000006403

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