社会脆弱性指数与枪伤病后医院再入院之间的关联
Margaret Siu1, Aixa Perez Coulter1, Alexander Knee2
1Department of Surgery, University of Massachusetts Chan Medical School-Baystate, Springfield, Massachusetts.
The Journal of surgical research
|September 16, 2023
概括
高社会经济脆弱性 (SVI) 并没有增加枪伤患者的整体住院再接收风险. 然而,高SVI的年轻人显示在90天内再入院的风险更高.
科学领域:
- 创伤外科手术是什么
- 公共卫生 公共卫生
- 在健康方面存在差异.
背景情况:
- 社会脆弱性是创伤后果中研究不足的一个因素.
- 社会经济脆弱性指数 (SVI) 之前没有被评估与枪伤重招有关.
研究的目的:
- 为了确定高SVI是否与枪伤患者再入院风险增加有关.
- 探索特定的人口分组内的潜在关联.
主要方法:
- 对386名马萨诸塞州枪伤患者 (2012-2020) 的回顾性队列研究.
- 基于SVI (≥90百分位) 的30,60和90天所有原因再入院的分析.
- 用于风险估计和时间到事件分析的日志双项回归和卡普兰-梅尔图.
主要成果:
- 在高SVI和再接收风险之间没有发现有意义的整体关联 (RR=1.34在60天).
- 分层分析显示,年轻成年人 (18-35岁) 之间存在显著的关联,分别为30日,60日和90日再入院的RR为2.49,2.62和2.45.
- 大多数患者是男性 (89%),平均年龄为29岁.
结论:
- 高SVI不是重新入院的普遍预测因素,枪伤患者.
- 患有枪伤和高SVI的年轻人可能代表一个易受伤害的子群体,存在重新入院的风险.
- 需要进一步的研究来利用SVI来识别高风险创伤患者.
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