在COVID-19大流行之前,期间和之后,与延迟宫腔整形相关的因素
Ibrahim Khansa1, Sarah Hatch Pollard2, Alyssa Fogolin1
1Department of Plastic and Reconstructive Surgery, Nationwide Children's Hospital, Columbus, OH.
The Journal of craniofacial surgery
|February 27, 2024
概括
裂口口腔整形延迟不成比例地影响弱势儿童,包括西班牙裔和没有保险的患者. COVID-19 流行病加剧了这些延迟,突出了面部护理获得的差异.
科学领域:
- 儿科手术 儿科手术
- 面外科手术 面外科手术
- 公共卫生 公共卫生
背景情况:
- 裂口口腔整形的时间对语言发育至关重要,通常发生在10-12个月左右.
- 包括宫腔整形在内的选择性手术受到COVID-19大流行相关取消的影响.
- 了解延迟手术的风险因素对于公平护理至关重要.
研究的目的:
- 为了确定与延迟宫腔整形相关的人口和社会经济风险因素.
- 分析COVID-19大流行对宫腔整形手术时间的影响.
- 评估获得及时面外科手术护理的差异.
主要方法:
- 在2019年3月至2022年9月期间,对928名接受宫腔整形的参与者进行了前性多中心研究.
- 分析包括种族,种族,保险和地理位置在内的因素.
- 多变量线性回归和ANOVA用于识别延迟的预测因素.
主要成果:
- 宫腔整形术的平均校正年龄为374天.
- 西班牙裔种族,非白人/黑人/亚洲人种族,以及缺乏私人保险预测了以后的手术.
- COVID-19不成比例地推迟了女性,其他种族,非农村患者和医疗补助计划患者的手术.
结论:
- 弱势群体,包括少数民族和没有私人保险的人,后来经历了宫腔整形.
- 随着COVID-19的流行,手术治疗的现有差异进一步扩大了.
- 意识到这些差异对于确保公平的脸部护理至关重要.
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