在退伍军人卫生管理局截肢前血管评估中的种族差异
Olamide Alabi1,2, Kelly J Hunt3,4, Rachel E Patzer5
1Surgical and Perioperative Care, Atlanta VA Health Care System, Decatur, Georgia, USA.
Health equity
|June 7, 2023
概括
在下肢截肢 (LEA) 之前,黑人退伍军人比白人退伍军人更频繁地接受了诊断性血管程序,但重新血管化的尝试是相似的. 需要进一步的研究来了解LEA的差异.
科学领域:
- 血管外科 血管外科
- 健康差异 在健康上的差异
- 医疗保健服务研究 医疗服务研究
背景情况:
- 在下肢截肢 (LEA) 之前的护理差异尚未完全理解.
- 目前尚不清楚是否存在差异在诊断工作或再血管化尝试.
研究的目的:
- 在LEA之前调查血管护理方面的差异.
- 为了比较黑人和白人退伍军人之间接受的诊断性血管评估和再血管化.
主要方法:
- 在2010年3月至2020年2月期间接受LEA的19396名退伍军人的全国队列研究.
- 在LEA之前的一年内,通过动脉成像和/或再血管化的血管评估分析.
主要成果:
- 黑人退伍军人 (26.6%) 接受的诊断程序比白人退伍军人 (47.5%对比44.5%) 更频繁.
- 在黑人和白人退伍军人 (25.8%与24.5%) 之间,重血管化率相似.
结论:
- 在LEA护理中的差异似乎并非源于试图进行再血管化的差异.
- 确定患者和设施层面的因素对于解决LEA差异至关重要.
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