在一般胸部手术患者的表型脆弱性评估中的种族差异
Johnathan R Kent1, Emily M Silver2, Rachel Nordgren3
1Section of Thoracic Surgery, Department of Surgery, University of Chicago, Chicago, Ill.
胸部手术患者,特别是非西班牙裔黑人患者,表现出更高的脆弱率. 这种差异与步行速度和活动水平的差异有关,需要对脆弱性评估工具进行潜在偏差的审查.
科学领域:
- 老年医学 老年医学
- 胸部外科手术 胸部外科手术
- 健康差异 在健康上的差异
背景情况:
- 美国胸部外科协会推进行虚弱性评估,以确定患有术后并发症风险增加的患者.
- 了解与脆弱相关的患者因素对于优化胸部手术的外科结果至关重要.
研究的目的:
- 评估胸部手术患者群体中与脆弱相关的患者因素.
- 确定与脆弱状态相关的人口和临床特征.
主要方法:
- 一种经过修改的Fried's Frailty Phenotype被用于在接受胸部手术评估的50岁以上患者的常规脆弱性查.
- 奇方位和学生t测试被用来比较人口统计和共同疾病在脆弱的群体.
- 后勤回归模型评估了特征和脆弱状态 (非脆弱,脆弱前,脆弱) 之间的关联.
主要成果:
- 在317名患者中,62.5%被确定为虚弱或虚弱前.
- 脆弱的患者年龄较大,更有可能单身/从未结婚,收入较低,肺功能减弱 (扩散能力和FEV1).
- 非西班牙裔黑人患者比非西班牙裔白人患者更容易变弱或变弱,与慢步和较低的活动水平有关.
结论:
- 与非西班牙裔白人患者相比,接受胸部手术的非西班牙裔黑人患者表现出较高的脆弱性.
- 步行速度和身体活动的差异对这种观察到的差异有很大贡献.
- 脆弱性评估工具需要对可能会加剧健康差异的潜在偏见进行审查.
更多相关视频
05:53Measuring Frailty in HIV-infected Individuals. Identification of Frail Patients is the First Step to Amelioration and Reversal of Frailty
Published on: July 24, 2013
06:11Employing the Forced Oscillation Technique for the Assessment of Respiratory Mechanics in Adults
Published on: February 9, 2022
相关概念视频
Assessment of Airway, Skin Color, and Use of Accessory Muscles
Introduction
The initial evaluation of a patient's respiratory system...
Physical Assessment of the Respiratory Tract II: Palpation
Thoracic Palpation
Thoracic palpation detects tenderness, masses, lesions, respiratory excursions, and vocal fremitus. The nurse assesses...
Flail Chest-II
Assessment:
1. Clinical Evaluation:
History:
Physical Assessment of the Respiratory Tract II: Inspection
Chest Configuration
The chest configuration...
Flail Chest-I
Flail chest is a severe and potentially life-threatening condition characterized by the fracture of three or more adjacent ribs in multiple places. It is most commonly caused by direct impacts and trauma, such as motor vehicle accidents or injuries from a steering wheel impact. It can also occur due to falls in elderly individuals with osteoporosis, or assaults involving sharp objects.
Pathophysiology
The pathophysiology of flail chest is complex, involving fractures of...
Respiratory System Abnormal Finding I: Inspection and Percussion
Inspection Findings
During an inspection, several findings may suggest the presence of respiratory distress or disease. Pursed-lip breathing, where exhalation is slowed by...
