对宫融合结果的社会经济影响
Gavin Touponse1, Marinos Theologitis2, Isidora Beach3
1Department of Neurosurgery, Stanford University School of Medicine, Stanford, CA.
Clinical spine surgery
|September 11, 2023
概括
种族和较低的净资产等社会经济因素与宫融合手术后的较差结果有关,包括更高的再入院和并发症率. 解决这些差异对于改善患者护理和减少健康不平等至关重要.
科学领域:
- 神经外科 神经外科
- 医疗保健服务研究 医疗服务研究
- 健康 公平 卫生 公平
背景情况:
- 以前的研究表明,种族和收入影响了宫融合的结果.
- 缺乏对多个社会经济地位 (SES) 变量进行全面分析.
- 这项研究研究了各种SES因素对手术结果的影响.
研究的目的:
- 基于社会经济地位 (SES) 的宫融合患者的术后结果进行比较.
- 为了检查种族,教育,净资产和房屋所有权对手术结果的影响.
- 确定与SES相关的宫融合结果中的差异.
主要方法:
- 从2003年到2021年使用Optum的Clinformatics Data Mart (CDM) 进行的回顾性观察研究.
- 分析了111,914例首次住院治疗的宫融合手术.
- 多变量分析控制年龄,性别和查尔森并发症指数.
主要成果:
- 黑人种族与更高的30天再入院率有关 (OR: 1.11).
- 较低的净资产和租金与增加的30天再接收和急救室访问有关.
- 较低的净资产也与更高的并发症率相关.
结论:
- 社会经济变量显著影响宫融合后的术后指标.
- 患者的种族,教育程度和净资产是影响手术结果的关键因素.
- 需要有针对性的干预措施来缓解宫融合护理中与SES相关的差异.
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