白人和黑人患者与肝移植后并发症/失败住院患者之间的比较
Southern medical journal
|July 3, 2023
概括
与白人患者相比,肝移植后并发症/失败 (PLTCF) 的黑人患者在医院死亡率和资源利用率更高. 需要进一步的研究来解决肝移植护理中的这些差异.
科学领域:
- 移植手术 移植手术
- 健康差异 在健康上的差异
- 在医院的结果.
背景情况:
- 种族对北美肝移植后并发症/失败 (PLTCF) 结果的影响仍未得到充分研究.
- 了解种族差异对于改善肝移植后的患者护理至关重要.
研究的目的:
- 为了比较患有PLTCF的黑人和白人患者之间的住院死亡率和资源利用率.
- 在肝移植后的结果中识别潜在的种族差异.
主要方法:
- 使用国家住院患者样本 (2016-2017年) 的数据进行了回顾性队列研究.
- 用回归分析来评估医院内死亡率和资源利用率.
- 分析了10805例PLTCF成年人肝移植住院病例的队列.
主要成果:
- 黑人患者 (18.2%) 比白人患者 (73.3%) 年轻,更有可能是女性.
- 黑人患者在住院死亡率显著增加 (aOR 2.9).
- 与白人患者相比,黑人患者的医院费用更高,住院时间更长.
结论:
- 与PLTCF住院的黑人患者在医院面临的结果比白人患者更糟糕.
- 死亡率和资源使用的显著差异凸显了进一步调查的必要性.
- 解决这些健康差异的根本原因对于公平的肝移植护理至关重要.
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