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一项研究分析了初级语言减肥手术后的结果
Claire B Rosen1,2, Sanford E Roberts3,4, James Sharpe4
1Department of Surgery, Hospital of the University of Pennsylvania, 3400 Spruce Street 4 Maloney, Philadelphia, PA, 19104, USA. Claire.rosen@pennmedicine.upenn.edu.
在考虑了其他因素后,腹部外科手术的结果在英语和非英语主要语言使用者之间没有显著差异. 这表明与语言相关的差异可能源于获得护理,而不是手术本身.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 外科手术的结果
- 健康差异 在健康上的差异
背景情况:
- 有效的沟通对于成功的减肥手术至关重要.
- 了解手术结果的基于语言的差异对于公平的护理至关重要.
研究的目的:
- 调查英语和非英语主要语言的患者之间减肥手术结果的差异.
- 为了确定主要语言是否会影响并发症,停留时间或成本.
主要方法:
- 从2016年至2018年,对减肥手术患者 (≥18岁) 的回顾性队列研究.
- 利用了密歇根州,马里兰州和新泽西州的州住院和门诊手术数据库.
- 分析了并发症,停留时间和使用多变量回归的成本,控制了种族等共变量.
主要成果:
- 在69,749名患者中,4.2%的患者的母语不是英语.
- 经过调整后,非英语主要语言与增加的并发症,逗留时间或成本无关.
- 基于初级语言,没有观察到种族的显著条件影响.
结论:
- 非英语主要语言的患者有不同的人口特征,但手术结果相似.
- 与主要语言相关的减肥外科手术差异似乎与获得护理有关,而不是指数住院结果.
- 进一步的研究应该探索非英语人口的医院前和后护理的机会.
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