社会经济状况影响儿科患者手术治疗骨折的术后联合时间
David M Heath1, Abdullah N Ghali2, David A Momtaz1
1Department of Orthopaedics, UT Health San Antonio, San Antonio, Texas.
JB & JS open access
|July 24, 2023
概括
较低的社会经济地位与儿科骨折的愈合时间更长有关. 这项研究发现,家庭收入中位数和儿童机会指数的下降与儿童的骨折联合延迟相关,突出了潜在的健康差异.
科学领域:
- 整形外科手术 整形外科手术
- 儿科创伤儿童创伤
- 卫生公平研究 卫生公平研究
背景情况:
- 儿科骨折很常见,通常需要手术干预.
- 社会经济地位 (SES) 可能会影响术后愈合结果.
- 了解SES的影响对于公平的儿科护理至关重要.
研究的目的:
- 检查小儿病患者的社会经济地位和分裂结合的时间之间的关联.
- 使用家庭收入中位数 (MHI) 和儿童机会指数 (COI) 作为SES的衡量标准.
主要方法:
- 对395个经过手术治疗的儿科长骨骨折 (2010-2020年) 的回顾性审查.
- 根据骨折联盟状态和基于邮政编码的SES (MHI,COI) 分类的患者.
- 多重回归分析,以评估变量对联合时间的独立影响.
主要成果:
- 实现结合的患者的平均COI和MHI显著更高.
- 较低的MHI和COI与骨折结合的时间增加有关.
- 每一万美元的MHI减少,工会时间增加9.6天;每10个单位的COI减少6.8天.
结论:
- 这项研究表明,儿科患者的SES和骨折愈合时间之间存在显著的关系.
- 下SES独立地与手术骨折治疗后延迟结合有关.
- 需要进一步的研究来阐明与SES相关的治疗差异背后的机制.
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