在结肠直肠外科手术中,基于种族和民族的区域麻醉接收的差异
Joint Commission journal on quality and patient safety
|March 3, 2024
概括
种族和民族差异在区域麻醉用于结直肠手术方面仍然存在,黑人,亚洲人和西班牙裔患者接受的麻醉频率低于白人患者,尽管其应用总体增加了.
科学领域:
- 麻醉学 麻醉学
- 医疗保健服务研究 医疗服务研究
- 外科手术的结果
背景情况:
- 在术后疼痛管理中的健康公平仍然是一个关键的兴趣领域.
- 了解麻醉使用的差异对于改善患者护理至关重要.
- 区域麻醉在外科手术期间在疼痛管理方面具有好处.
研究的目的:
- 评估种族和种族之间的关联以及在接受结直肠手术的患者中使用区域麻醉.
- 随着时间的推移,在不同种族和族群中描述区域麻醉使用的趋势.
主要方法:
- 美国外科医生学院国家外科质量改进计划数据库 (2015-2020) 的分析.
- 包括接受了开放式或腹腔镜结直肠手术的患者.
- 后勤回归模型用于估计种族/种族与区域麻醉使用之间的关联.
主要成果:
- 总共有292,797名患者被分析,其中15.6%接受区域麻醉.
- 与白人和非西班牙裔患者相比,黑人,亚洲人和西班牙裔患者接受区域麻醉的几率明显较低.
- 从2015年到2020年,在所有种族和民族群体中观察到区域麻醉使用的年增长.
结论:
- 尽管区域麻醉的使用总体上有所增加,但在结直肠外科手术中的应用仍然存在显著的种族和民族差异.
- 与白人和非西班牙裔患者相比,黑人,亚洲人和西班牙裔患者接受区域麻醉的可能性较低.
- 这些发现凸显了针对性干预的必要性,以解决区域麻醉使用中的不平等问题.
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