气管切除术时间和结果的社会人口统计差异
Melissa Zheng1, Grace M Wandell1, Anthony J Maxin1,2
1Department of Otolaryngology-Head and Neck Surgery, University of Washington, Seattle, Washington, U.S.A.
The Laryngoscope
|August 16, 2023
概括
危急病患者的延迟气管切除术在非英语语言和女性患者中更为常见,可能会增加住院时间. 标准化协议可能会减少这种时间偏差.
科学领域:
- 临界护理医学 临界护理医学
- 外科手术的结果
- 健康差异 在健康上的差异
背景情况:
- 气管切除术对于重症患者的长期机械通风至关重要.
- 早期气管切除术与更好的患者结果有关,但由于复杂的因素,时间可能会延迟.
- 社会人口统计学变量可能会影响气管切除术时间和随后的患者结果.
研究的目的:
- 调查社会人口统计学因素对气管切除术时间的影响.
- 分析气管切除术时间和患者的结果之间的关联,包括住院时间和并发症.
主要方法:
- 对2021年至2022年间接受气管切除术的成年呼吸机依赖患者医疗记录的回顾性审查.
- 气管切除术时间分为常规 (<21天) 和晚期 (≥21天).
- 使用单变量和多变量模型的队列之间比较社会人口统计变量和结果 (LOS,解,并发症,死亡率).
主要成果:
- 在25.4%的患者 (n=36) 中进行了晚期气管切除术.
- 不说英语的患者 (OR 3.18) 和女性 (OR 3.15) 显著更有可能接受晚期气管切除术.
- 晚期气管切除术与更长的医院住院时间 (62天 vs. 52天) 相关.
结论:
- 非英语语言和女性患者面临更高的延迟气管切除术的可能性,尽管与增加住院时间的关联.
- 实施标准化的气管切除术协议可以减轻时间偏差,并可能减少医院资源利用率.
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