种族不会影响军事治疗设施手术并发症的发生率
Erin West1, Laurinda Jackson1, Howard Greene2
1Department of General Surgery, Naval Medical Center San Diego, San Diego, CA 92134, USA.
Military medicine
|January 19, 2024
概括
在军事医院,手术并发症的种族差异可能会减少. 经风险调整的分析发现,在这种普遍的医疗保健环境中,种族和30天的术后并发症之间没有独立的关联.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 外科手术的结果
- 健康 公平 卫生 公平
背景情况:
- 种族少数群体经常经历更糟糕的医疗保健结果,包括外科手术期间的不良事件.
- 现有研究表明,在手术护理方面存在显著的种族差异.
- 军事治疗设施提供了一个独特的,具有军事服务连接的普遍保险患者群体.
研究的目的:
- 调查在军事医疗保健系统内是否存在手术结果的种族差异.
- 根据种族来确定通用保险和共享患者连接是否能减轻术后并发症.
主要方法:
- 对美国外科医生学院国家外科质量改善计划数据 (2017-2020) 的回顾性审查.
- 分析了6941名接受各种手术的患者.
- 主要结局:风险调整后30天的术后并发症与使用多变量逻辑回归的种族相比.
主要成果:
- 整体手术并发症率为6.9%.
- 未调整的并发症率因种族而异 (白人:7.3%,黑人:6.5%,亚洲人:12.6%,其他:3.4%).
- 经过风险调整后,种族与手术并发症没有独立相关.
结论:
- 经风险调整的手术并发症率在研究的军事治疗设施中没有因种族而异.
- 这些发现表明,通用医疗保健系统可能有助于减轻术后种族差异.
- 需要进一步的研究来探索医疗保健系统设计对健康公平的影响.
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