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社会脆弱性指标与儿科桃体切除术结果之间的关联

Chad A Nieri^1,2, Camron Davies¹, Jordan B Luttrell¹

¹Department of Otolaryngology-Head and Neck Surgery, University of Tennessee Health Science Center, Memphis, Tennessee, U.S.A.

The Laryngoscope

|December 5, 2023

概括

社区的社会脆弱性与儿科桃体切除术并发症和再入院的增加有关. 这些发现强调了需要基于社区的干预措施来改善儿童手术的结果.

科学领域:

儿科外科手术儿科外科手术
公共卫生公共卫生
在健康方面存在差异.

背景情况:

桃体切除术是一种常见的儿科手术手术.
社会脆弱性可能会影响外科手术的结果,但这种联系在儿科桃体切除术中尚未得到充分证实.
了解这些差异对于公平的医疗保健服务至关重要.

研究的目的:

调查社区层面的社会脆弱性与儿科桃体切除术结果之间的关联.
确定与外科手术不良事件相关的社会脆弱性的特定方面.
为面临风险的人群提供有针对性的干预信息.

主要方法:

从2019年8月到2020年8月,对儿科桃体切除术 (1-18岁) 的回顾性队列研究.
地理信息系统 (GIS) 用于将社会脆弱性指数 (SVI) 分数分配给患者地址.
双项后勤回归分析了SVI对术后并发症和再入院的影响,控制了多个患者因素.

主要成果:

术后并发症发生在13.1%的患者中,8.3%的患者需要再入院.
总体高的SVI,社会经济脆弱性和住房构成脆弱性与术后并发症增加有显著的关联.
整体高的SVI和住房/交通脆弱性与更高的再接收率有关.

结论:

邻居的社会脆弱性是儿童桃体切除术后较差结果的重要预测因素,即使在其他健康的儿童中也是如此.
这些发现表明,社区层面的因素在手术结果中起着作用,并且在手术前决策中需要考虑.
需要有针对性的,以社区为基础的干预措施来缓解这些差异,并改善脆弱儿科群体的外科护理.

关键词:

这就是SVI.社会脆弱性社会脆弱性社会脆弱性指数是指社会脆弱性指数.这是T&A.腺腺切除术是什么并发症可能导致并发症.不同的差异差异的差异.地理编码是指地理编码.地理信息系统 (GIS) 是一个地理信息系统.卫生公平性健康公平性健康结果的健康结果.获得医疗保健的机会.医疗保健中的差异.儿科儿科儿科儿科耳鼻喉科儿科耳鼻喉科在术后的结果.再接纳是指重新接纳的情况.健康的社会决定因素

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