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社会经济地位与儿科腺切除术的结果有关:一个单一机构的研究研究

David Fenton¹, Rose Dimitroyannis¹, Laura Petrauskas²

¹Pritzker School of Medicine, University of Chicago, Chicago, IL, USA.

International journal of pediatric otorhinolaryngology

|January 7, 2024

概括

社会经济地位显著影响儿科腺切除术的结果,影响睡眠呼吸暂停,住院和随访护理. 更高的收入与更少的再入院相关,突出了手术结果的差异.

科学领域:

儿科耳鼻喉科儿科耳鼻喉科
医疗保健服务研究医疗服务研究
健康公平卫生公平

背景情况:

具有较低社会经济地位 (SES) 的儿科耳鼻喉科患者面临更高的睡眠呼吸障碍,治疗延迟和桃体切除术后并发症的风险.
了解与SES相关的差异对于改善不同大都市人口的护理至关重要.

研究的目的:

调查社会经济地位 (SES) 对一个大都市医院的儿科患者群体中腺切除术结果的影响.
为了确定受SES影响的特定结果变量在儿科腺切除术患者.

主要方法:

在2015年1月至2020年12月期间接受了腺切除术的1560名儿科患者 (0-18岁) 的回顾性图表审查.
结果变量的分析,包括术后入院,电话,30天的随访和持续阻塞性睡眠呼吸暂停 (OSA).
使用威尔科克森签名排名测试和逻辑回归建模 (α=0.05) 的统计分析.

主要成果:

私人保险的儿童在手术前不太可能患有中度至重度的阻塞性睡眠呼吸暂停 (OSA),在手术后不太可能入院.
私人保险儿童的手术后随访电话和访问率更高.
收入增加与手术后三个月内重新入院的减少有关.

结论:

社会经济地位 (SES) 显著影响儿科患者腺切除术的结果.
在SES的基础上存在OSA,术后护理和再接收方面的差异.
需要进一步的研究来解决与SES相关的不平等问题,并改善对所有儿科患者的护理.

关键词:

亚丁瘤切除术 (Adenotonsillectomy) 是一种切除术.健康差异在健康方面的差异.儿科儿科儿科社会经济地位社会经济地位外科手术的结果

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