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与关节整形术输血率相关的差异
Shelby H Meckstroth1, Andrew G Chapple1, Vinod Dasa1
1Department of Orthopaedic Surgery, Louisiana State University Health Sciences Center School of Medicine, New Orleans, Louisiana.
The Journal of arthroplasty
|September 17, 2023
概括
关节置换手术后的输血率正在下降. 然而,黑人患者仍然比白人患者更频繁地接受输血,这表明在护理方面存在持续的差异.
科学领域:
- 整形外科手术 整形外科手术
- 健康 公平 卫生 公平
- 输血医学 输血医学
背景情况:
- 全关节整形术 (TJA) 后的输血与并发症增加有关.
- 某些人口群体,包括黑人患者,面临更高的输血风险.
- 最近的趋势显示了输血率的下降以及对医疗公平的关注.
研究的目的:
- 调查TJA患者中输血率的持续差异.
- 为了确定影响随时间推移输血率的因素.
主要方法:
- 对5,435名全膝关节整形手术 (TKA) 和2,105名全关节整形手术 (THA) 患者 (2013-2021) 的分析.
- 使用统计测试对种族群体之间的输血率进行比较.
- 多变量后勤回归用于识别输血的预测因素.
主要成果:
- 在研究期间,整体输血率下降.
- 在TKA组中,黑人患者的输血率明显高于白人患者 (5.1%对1.8%).
- 在调整后,黑人是TKA患者输血风险较高的最强预测因素 (aOR=2.2).
结论:
- 虽然TJA输血率正在下降,但差异仍然存在.
- 与白人患者相比,接受TKA的黑人患者继续经历更高的输血率.
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