在外周血管疾病入院的种族和民族差异使用全国代表性样本
Laith Alhuneafat1, Yazan Abu Omar2, Abdallah Naser1
1Department of Medicine, Allegheny Health Network, Pittsburgh, Pennsylvania.
The American journal of cardiology
|July 8, 2023
概括
在外周血管疾病 (PVD) 护理中存在种族和民族差异. 黑人和西班牙裔患者面临着更糟糕的结果和更高的成本,与白人患者相比,肢体救援更少,截肢更多.
科学领域:
- 血管外科 血管外科
- 健康差距 研究 研究 研究 研究
- 医疗保健服务研究 医疗服务研究
背景情况:
- 周围血管疾病 (PVD) 影响着各种人群.
- 了解PVD结果的种族和民族差异对于公平的护理至关重要.
研究的目的:
- 根据种族和种族来确定PVD患者的临床结果和资源利用差异.
- 为了比较黑人,西班牙裔和白人PVD患者的住院治疗结果和成本.
主要方法:
- 分析国家住院患者样本数据库 (2015-2019).
- 包括622,820名被诊断为PVD的患者.
- 基线特征的比较,住院患者的结果,以及主要种族和民族群体的资源利用.
主要成果:
- 黑人和西班牙裔患者更年轻,收入中位数更低,医院费用更高.
- 黑人患者的急性损伤,输血和血管压缩剂使用率较高,但循环休克和死亡率较低.
- 与白人患者相比,黑人和西班牙裔患者接受肢体挽救手术的可能性较低,而且截肢的可能性更高.
结论:
- 黑人和西班牙裔患有PVD的患者在资源利用和住院治疗结果方面存在显著的健康差异.
- 这些发现强调了需要有针对性的干预措施来解决PVD护理中的不平等问题.
- 解决种族和民族差异对于改善美国PVD患者的治疗结果至关重要.
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