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社会脆弱性对儿童周围手术桃体切除术结果的影响
Salina H Goff1, Kaci Pickett-Nairne2, Thanh Nguyen3
1University of Colorado School of Medicine, Aurora, Colorado, U.S.A.
具有较高社会脆弱性的儿童在腺切除术后面临长期氧气需求的风险增加. 这凸显了在术后护理计划中需要考虑社会脆弱性的必要性.
科学领域:
- 儿科手术 儿科手术
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
背景情况:
- 腺切除术在儿童中常见于阻塞性睡眠呼吸障碍.
- 长时间的氧气需求 (POR) 是一个潜在的术后并发症.
- 社会脆弱性可能会影响术后的结果.
研究的目的:
- 调查腺切除术后社会脆弱性和POR之间的关联.
- 为了告知外科手术期间的护理和出院计划.
主要方法:
- 对接受腺切除术的儿童进行前性研究的重新分析.
- 包括社会脆弱性指数 (SVI) 数据.
- 对共变量调整后的物流回归分析.
主要成果:
- 包括462名儿童; 76%的人没有经历POR.
- 较高的SVI四分位数与增加的POR显著相关.
- 处于最高SVI四分位数的儿童患POR的可能性是2.63倍.
结论:
- 更大的社区层面的社会脆弱性与POR后腺切除术有关.
- 在这些儿童的术后规划中,应该考虑SVI.
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