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Kenny Ling¹, William Leatherwood², Richelle Fassler¹

¹Renaissance School of Medicine at Stony Brook University, Stony Brook, NY, USA.

JSES international

|September 18, 2023

概括

接受全肩关节整形手术 (TSA) 的黑人患者的30天再入院率更高. 这项研究确定了种族作为TSA手术后再入院的独立风险因素.

科学领域:

整形外科手术整形外科手术
健康差距研究研究研究研究
手术结果分析手术结果分析

背景情况:

尽管手术数量增加,但肩膀整形术 (TSA) 结果的种族差异仍然存在.
现有的数据表明,接受TSA的白人和黑人患者群体之间的结果有所不同.

研究的目的:

为了比较TSA后黑人和白人患者之间的30天术后并发症率.
研究TSA后种族和术后并发症之间的关联.

主要方法:

利用美国外科医生学院国家外科质量改进计划 (NSQIP) 数据库 (2015-2019).
使用双变异分析,比较白人和黑人TSA患者队列之间的人口统计和并发症.
采用多变量后勤回归,控制显著的人口统计和并发症因素,以评估种族与并发症的独立关联.

主要成果:

包括19733名患者:94.6%为白人,5.4%为黑人或非裔美国人.
确定了与黑人种族相关的显著的人口统计和并发症差异,包括年龄,BMI,性别,ASA分类,吸烟,糖尿病,高血压,癌症和手术持续时间.
多变量分析显示,黑人或非裔美国人种族独立地与更高的30天再入院率相关 (OR:1.42,95%CI:1.05-1.94,P=.025).

结论:

黑人或非裔美国人种族是肩膀关节整形术后30天再入院率增加的独立预测因素.
研究结果强调,需要解决术后护理和TSA患者治疗后果方面的种族差异.

关键词:

非洲裔美国人.黑色黑色黑色不平等的差异差异的差异种族种族种族种族反向肩膀关节整形手术肩部整体关节整形术肩部整体关节整形

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