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In 1993, Todd et al. reported that ethnicity appeared to be a risk factor for oligoanalgesia in the ED. (See JAMA 1993; 269:1537-9.) That study focused on Hispanic ethnicity; there has been speculation that other minority groups might suffer a similar fate. To address this, Todd's group conducted a similar retrospective study of black patients at a teaching hospital ED in Atlanta, Georgia.
The study included 217 patients (127 black, 90 white) with isolated long-bone fractures. The authors assessed the effect of ethnicity on analgesic administration using multiple logistic regression while controlling for potential confounders such as time of presentation, time from fracture to presentation, total time in the ED, whether reduction was perform…