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手术中的种族差异:黑人和白人患者之间的跨专业匹配比较
Arash Azin1,2, Dhruvin H Hirpara1, Sachin Doshi1
1From the Department of Surgery, University of Toronto, Toronto, Ontario, Canada.
概括
黑人种族与更糟糕的短期手术结果有关,包括更高的发病率和死亡率. 这一发现凸显了手术护理方面的差异,需要进一步调查和干预.
科学领域:
- 手术成果研究的研究结果.
- 在健康方面存在差异.
- 在医疗保健方面存在种族和民族差异.
背景情况:
- 现有研究表明,黑人患者在手术后可能会出现较差的结果.
- 了解这些差异对于改善外科手术护理公平至关重要.
研究的目的:
- 调查黑人种族与短期术后发病率和死亡率之间的关联.
- 为了比较当代,跨专业匹配的黑人和白人患者队列中的结果.
主要方法:
- 对国家外科质量改善计划 (NSQIP) 数据集 (2012-2018) 的回顾性分析.
- 一对一粗略精确匹配被用来比较黑人和白人患者.
- 主要结局是30天的发病率和死亡率.
主要成果:
- 在对615,118名患者进行匹配后,黑人种族与全因发病率 (OR=1.10) 和死亡率 (OR=1.15) 的增加有关.
- 黑人患者面临的风险更高的再输管,肺栓塞,呼吸机断奶失败,功能不全,心脏骤停,出血,DVT,毒症.
- 在黑人患者中,重新入院和出院到非家庭设施也更为常见.
结论:
- 这种匹配分析揭示了黑人种族与术后发病率,死亡率和再入院率的增加之间存在显著的关联.
- 这些发现强调了在各种手术和专业之间,手术护理的持续差异.
- 解决这些差异对于实现公平的医疗保健结果至关重要.
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