种族,种族和社会经济差异在烧伤护理获取:一个单一中心的回顾性研究
Julia Tomtschik1, Keith Sweitzer1, Caitlin Cook1
1Department of Surgery, Division of Plastic Surgery, University of Rochester, New York, USA.
概括
时间烧伤咨询不能解释在烧伤护理中的种族或种族差异. 然而,保险状况影响了手术率和住院时间,突出了烧伤治疗的社会经济因素.
科学领域:
- 烧伤手术 烧伤手术
- 健康差距 研究 研究 研究 研究
- 医疗保健中的社会经济因素
背景情况:
- 在烧伤护理中的种族,种族和社会经济差异已被记录下来.
- 这些差异的根本原因需要进一步调查.
- 及时的初始烧伤咨询在这些差异中的作用尚不清楚.
研究的目的:
- 调查初始烧伤咨询的时间是否有助于在烧伤护理结果中的种族,种族和社会经济差异.
- 分析消耗咨询时间与患者人口统计和保险状况之间的关系.
- 确定影响烧伤患者手术管理和停留时间的因素.
主要方法:
- 在区域烧伤中心对365名烧伤患者的回顾性评估 (2020年6月 - 2022年4月).
- 排除缺乏燃烧发作数据的患者.
- 燃烧咨询时间的定义是从受伤开始到第一次咨询的时间.
主要成果:
- 燃烧咨询的平均时间为17小时7分钟,在种族,种族或保险群体之间没有显著差异.
- 根据保险状况,手术管理率和停留时间显著不同 (分别为P=0.05和P<0.0001).
- 医疗保险患者的手术率更高,住院时间更长;没有保险的患者的病率更低,住院时间更短.
结论:
- 从烧伤开始到初次咨询的时间不太可能是种族/民族差异在烧伤护理中的重要因素.
- 保险状况反映了社会经济因素,影响了手术和住院时间.
- 需要进一步的研究来阐明其他导致烧伤护理差异的因素.
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