麻醉师性别与患者术后结果之间的关联:基于人口的队列研究
Angela Jerath1,2,3,4, Raj Satkunasivam5,6,7, Kirusanthy Kaneshwaran1,2
1Department of Anesthesia and Pain Medicine, Sunnybrook Health Sciences Center, Toronto, ON, Canada.
Annals of surgery
|January 24, 2024
概括
由女性麻醉师治疗的患者在术后有略有改善的后果. 这项大型研究发现,麻醉师的性行为与手术后患者的康复之间存在微小但显著的关联.
科学领域:
- 麻醉学 麻醉学
- 医疗保健服务研究 医疗服务研究
- 患者的治疗结果.
背景情况:
- 现有研究表明,外科医生的性别影响患者的治疗结果,女性外科医生与更好的结果有关.
- 麻醉师性对术后患者结果的影响在很大程度上仍未被探索.
- 这项研究调查了麻醉师人口统计和手术恢复之间的潜在联系.
研究的目的:
- 为了确定麻醉师的性行为是否与术后患者的结果有关.
- 分析麻醉师性行为和手术后30天内不良事件之间的关系.
- 为了解影响外科康复的医生特定因素作出贡献.
主要方法:
- 基于人口的回顾性队列研究在加拿大安大略省 (2007-2019).
- 包括接受常见外科手术的成年患者.
- 使用概括估计方程,评估麻醉师性别与复合终点 (30天内死亡,再入院,并发症) 之间的关联.
主要成果:
- 分析了超过110万名患者,其中包括1477名麻醉师的数据.
- 26.7%的患者接受了女性麻醉师的护理.
- 与女性麻醉师 (10.4%;aOR 1.02,P=0.048) 相比,男性麻醉师 (10.6%) 治疗的患者的不良术后结果略高.
结论:
- 麻醉师的性行为和短期的术后结果之间存在显著的关联.
- 这些发现与文献一致,表明女性从业者改善了患者的治疗结果.
- 需要进一步的研究来阐明这些观察到的结果差异背后的机制.
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