种族与短期结果之间的关联在3988次连续的单级脊柱融合中
Austin J Borja1, Ritesh Karsalia1, Daksh Chauhan1
1Department of Neurosurgery, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Neurosurgery
|February 9, 2024
概括
接受脊髓融合治疗的黑人患者的短期结果较差,包括更高的再入院率和急诊室访问率. 在控制关键因素后,这些差异仍然存在,并且与手术内并发症无关.
科学领域:
- 神经外科 神经外科
- 医疗保健服务研究 医疗服务研究
- 健康差异 在健康上的差异
背景情况:
- 种族影响医疗保健的获取,但其对获取后结果的影响尚不清楚.
- 了解常见的神经外科手术后短期结果的种族相关差异至关重要.
研究的目的:
- 在接受单一,常见的神经外科手术的患者中,孤立种族和短期结果之间的关系.
- 为了调查后部只有开放的腰部融合后的结果的种族差异.
主要方法:
- 追溯的队列研究3988名患者接受单级,仅后部开放的腰部融合.
- 白人 (n=3406) 和黑人 (n=582) 患者之间的结果比较.
- 在1018名患者的人口和健康特征上使用粗制精确匹配 (1:1) 来控制混因素.
主要成果:
- 在匹配之前,黑人患者的非家庭出院率,再入院率,急诊室 (ED) 访问率和再手术率更高.
- 在匹配后,黑人患者不太可能被送回家 (OR 2.68) 并有更高的30天再入院 (OR 2.24),90天再入院 (OR 1.91) 和急救诊所 (OR 1.79-2.09) 的风险.
- 种族群体之间的手术内并发症率 (无意的硬骨切除术) 没有显著差异.
结论:
- 与白人患者相比,黑人患者在脊髓融合后的短期结果明显差,即使在关键特征上相匹配.
- 这些差异不能归因于手术内并发症的差异.
- 需要进一步的研究来识别和解决推动这些结果差异的制度和社会因素.
相关概念视频
Classification of Connective Tissues
The connective tissues have different properties and functions in the human body. They are broadly categorized into proper, supporting, or fluid connective tissues.
Connective Tissue Proper
Connective tissue proper is the most abundant class of connective tissues. As its name implies, it predominantly connects different tissues in the body. Depending on the cell types, ground substance, viscosity, and fiber types in the ECM, connective tissue proper is further categorized into loose and dense.
Connective Tissue Proper
Connective tissue proper is the most abundant class of connective tissues. As its name implies, it predominantly connects different tissues in the body. Depending on the cell types, ground substance, viscosity, and fiber types in the ECM, connective tissue proper is further categorized into loose and dense.
Classification of Bones
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Long and Short Bones
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Suture
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Suture
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There are two types of cartilaginous joints:
Synchondrosis
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There are two types of cartilaginous joints:
Synchondrosis
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