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无家可归者中创伤模式和创伤后住院情况
Casey M Silver1, Arielle C Thomas2,3, Susheel Reddy1
1Department of Surgery, Northwestern University Feinberg School of Medicine, Chicago, Illinois.
JAMA network open
|June 29, 2023
概括
经历无家可归的人 (PEH) 与住房的人相比,在创伤后住院的几率更高. 针对性干预对于预防PEH的伤害和安全排放规划至关重要.
科学领域:
- 创伤外科 手术 创伤外科
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
背景情况:
- 创伤伤害对经历无家可归 (PEH) 的人群的发病率产生重大影响.
- 关于PEH受伤模式和住院率的国家级数据有限.
研究的目的:
- 为了比较北美PEH和住院创伤患者之间的受伤机制.
- 为了确定无家可归是否与增加入院几率有关.
主要方法:
- 使用2017-2018年美国外科医生学院创伤质量改善计划进行的回顾性观察队列研究.
- 包括18岁及以上的患者,在790家美国和加拿大医院接受治疗.
- 使用备用家庭居住变量来识别PEH.
主要成果:
- 总共有1,738,992名患者被分析,其中包括12,266名PEH (0.7%).
- PEH更年轻,更常见的是男性,并且具有更高的行为并发症率和特定伤害模式 (袭击,行人罢工,头部伤害).
- 与住院患者相比,PEH增加了住院的调整几率 (aOR,1.33;95% CI,1.24-1.43),在低收入患者的亚组分析中持久.
结论:
- 受伤的PEH患者在调整后的入院几率显著更高.
- 调查结果强调,需要有量身定制的计划来解决独特的伤害模式,并促进PEH的安全出院.
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