Academic Journal
Association of Spoken Language With Rates of Neuroimaging and Intravenous Analgesia in Children With Headache in the Emergency Department.
| Τίτλος: | Association of Spoken Language With Rates of Neuroimaging and Intravenous Analgesia in Children With Headache in the Emergency Department. |
|---|---|
| Συγγραφείς: | Bañuelos AN; Division of Emergency Medicine, Ann & Robert H. Lurie Children's Hospital, Chicago, Illinois. Electronic address: anbanuelos45@gmail.com., Rojas CR; Division of Emergency Medicine, Ann & Robert H. Lurie Children's Hospital, Chicago, Illinois; Northwestern University Feinberg School of Medicine, Chicago, Illinois., Michelson KA; Division of Emergency Medicine, Ann & Robert H. Lurie Children's Hospital, Chicago, Illinois; Northwestern University Feinberg School of Medicine, Chicago, Illinois. |
| Πηγή: | The Journal of emergency medicine [J Emerg Med] 2026 Sep; Vol. 88, pp. 29-36. Date of Electronic Publication: 2026 Jun 06. |
| Τύπος έκδοσης: | Journal Article |
| Γλώσσα: | English |
| Στοιχεία περιοδικού: | Publisher: Elsevier Country of Publication: United States NLM ID: 8412174 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 0736-4679 (Print) Linking ISSN: 07364679 NLM ISO Abbreviation: J Emerg Med Subsets: MEDLINE |
| Imprint Name(s): | Publication: <2010>- : New York : Elsevier Original Publication: New York : Pergamon Press, c1983- |
| Ιατρικοί όροι (MeSH): | Neuroimaging*/statistics & numerical data , Neuroimaging*/methods , Headache*/drug therapy , Analgesia*/methods , Analgesia*/statistics & numerical data , Language*, Emergency Service, Hospital/organization & administration ; Emergency Service, Hospital/statistics & numerical data ; Analgesics/therapeutic use ; Analgesics/administration & dosage ; Humans ; Child ; Cross-Sectional Studies ; Female ; Child, Preschool ; Male ; Adolescent ; Logistic Models ; Administration, Intravenous |
| Περίληψη: | Background: Patients who speak languages other than English (LOE) may be at risk of adverse health outcomes. Objectives: The objective of this study was to evaluate the association of language with diagnostic testing rates and analgesia choice among children with headaches in the emergency department (ED). We hypothesized that spoken language would be associated with rates of neuroimaging and analgesia choice. Methods: We conducted a cross-sectional study of children 5-17 years old discharged from an emergency department in Iowa, Maryland, or New Jersey in 2019-2020 with a primary diagnosis of headache. Language was defined as English, Spanish, or other. The outcomes were neuroimaging (computed tomography [CT] or magnetic resonance imaging [MRI]) and intravenous analgesia administration, identified using procedure codes. We used logistic regression to evaluate the associations of language and each outcome, adjusting for age, sex, payor, neighborhood income, state, migraine versus non-migraine diagnosis, and complex chronic condition. Results: Neuroimaging was performed in 22.7% of English-, 17.3% of Spanish-, and 22.4% of other language-speakers. Compared with English, there was only an association between neuroimaging and Spanish (adjusted odds ratio [aOR] 0.83, 95% CI: 0.72-0.95). Intravenous medications were administered in 41.6% English-, 28.0% Spanish-, and 33.7% other language-speakers. Compared with primary English speakers, there was no association between Spanish language (aOR: 0.91, 95% CI: 0.80-1.04) or other language (aOR: 1.18, 95% CI: 0.95-1.45) and intravenous analgesia. Conclusions: There was an association between LOE and neuroimaging. This evaluation should be repeated across different conditions to understand under what conditions language is associated with clinical decision-making and care. (Copyright © 2026 Elsevier Inc. All rights reserved.) |
| Competing Interests: | Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper. |
| Contributed Indexing: | Keywords: analgesia; diagnostic testing; emergency medicine; headache; language other than English (LOE); neuroimaging; pediatric care |
| Substance Nomenclature: | 0 (Analgesics) |
| Entry Date(s): | Date Created: 20260725 Date Completed: 20260821 Latest Revision: 20260821 |
| Update Code: | 20260822 |
| DOI: | 10.1016/j.jemermed.2026.05.030 |
| PMID: | 42501676 |
| Βάση Δεδομένων: | MEDLINE |
| ISSN: | 0736-4679 |
|---|---|
| DOI: | 10.1016/j.jemermed.2026.05.030 |