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Lurie Children's Hospital


STUDY: WHERE KIDS LIVE LINKED TO POSSIBLE DELAY IN SURGICAL CARE


RESEARCHERS AT LURIE CHILDREN’S HOSPITAL SAY RESULTS OF A NEW STUDY STUDY SHOW
WHERE A CHILD LIVES COULD LEAD TO A DELAY IN SURGICAL CARE.

BY LAUREN PETTY • PUBLISHED FEBRUARY 17, 2022 • UPDATED ON FEBRUARY 17, 2022 AT
5:54 PM


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Researchers at Ann & Robert H. Lurie Children’s Hospital in Chicago found that
children in under-resourced neighborhoods had increased odds of complicated
appendicitis, an indicator of delayed access to surgical care. NBC 5’s Lauren
Petty reports.

Researchers at Ann & Robert H. Lurie Children’s Hospital in Chicago found that
children in under-resourced neighborhoods had increased odds of complicated
appendicitis, an indicator of delayed access to surgical care.

The team at Lurie Children’s hospital analyzed more than 67,000 emergency
appendectomies nationwide. They chose appendectomies because they are the most
common emergency surgery performed on children.

Dr. Fizan Abdullah, Division Head of Pediatric Surgery at Lurie, said they
account for 20 to 25 percent of the operations performed at the hospital.

Dr. Abdullah and the team found factors such as safety and housing had an impact
on surgical care.

> Stay informed about local news and weather. Get the NBC 5 Chicago app for iOS
> or Android and pick your alerts.

They looked at the "Child Opportunity Index," which combines data from 29
neighborhood-level indicators into one compositors measures.

COI varies greatly across the Chicago area as you can see on this map, with some
area measuring "Very Low" and others measuring "Very High."

Lurie researchers found children living in locations with a low COI had up to 28
percent increased odds of complicated appendicitis.


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"So what that means is that children did not get access to care as quickly if
they had more challenging social determinants of health," Dr. Abdullah said.

Dr. Hassan Ghomrawi, a co-author of the study that appears in the the journal
JAMA Network Open, described what kind of social determinants were factors.

"I'm talking about your access to transportation. I'm talking about your access
to healthy foods. I'm talking about your access to education," Dr. Ghomrawi
said.

Dr. Ghomrawi said the study affirms what previous research has already shown:
where we live affects our health outcomes.

"That's mainly the purpose of the study, to add evidence to show that kids also
are affected,” Dr. Ghomrawi said. "And as insurance companies and healthcare
systems develop interventions that would they would take children into account
as well."

Dr. Abdullah believes one game changer is technology, from telehealth to
wearable devices that monitor complications post-surgery, something Lurie is
studying with appendicitis patients.

"Once we have these types of technologies applied to children, regardless of
socioeconomic status, I think that will help level the playing field," Dr.
Abdullah said.

THIS ARTICLE TAGGED UNDER:

Lurie Children's Hospitalappendicitissurgical care


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