种族差异和其他社会经济预测的死亡率急性肺栓塞治疗从全国住院患者样本
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Updated: Jun 30, 2025

A Porcine Model of Acute Autologous Pulmonary Embolism
Published on: September 6, 2024
Joseph A Breuer1, Khwaja Hamzah Ahmed1, Riley Scherr1
1School of Medicine, University of California Irvine, Irvine, California.
非西班牙裔黑人患者因急性肺栓塞 (PE) 的死亡率更高. 干预性放射学 (IR) 管理减少了PE死亡风险,社会经济因素如保险类型可能解释PE结果的种族差异.
科学领域:
- 心脏病学 心脏病学
- 医疗保健服务研究 医疗服务研究
- 健康 公平 卫生 公平
背景情况:
- 急性肺栓塞 (PE) 是死亡的一个重要原因.
- 种族和社会经济差异可能会影响PE的结果和治疗.
- 了解这些差异对于改善患者护理至关重要.
研究的目的:
- 调查社会经济因素,特别是种族和种族在预测肺栓塞 (PE) 患者死亡率方面的作用.
- 为了比较不同种族和族群之间的死亡率和治疗模式.
- 确定PE结果的潜在社会经济决定因素.
主要方法:
- 从国家住院患者样本中分析急性非菌性PE (2016-2019) 的住院病例.
- 治疗方法分为干预放射 (IR) 和非IR (组织等离子素激活剂) 的分类.
- 使用几率比率 (ORs) 和置信区间 (CI) 来评估死亡率和治疗差异的统计分析,倾向性得分与混因子对照相匹配.
主要成果:
- 与白人患者相比,非西班牙裔 (NH) 黑人,西班牙裔和亚洲/太平洋岛民患者接受IR手术的可能性较低.
- 在对保险类型进行倾向性得分匹配后,这些IR程序费率的差异被消除了.
- 与白人患者相比,黑人NH患者的死亡风险明显高 (41%增加),无论治疗类型如何.
结论:
- 与白人患者相比,黑人患者患急性PE的死亡率更高.
- IR管理与急性PE的死亡率降低有关,独立于种族.
- 由初级保险类型指出的社会经济地位似乎是解释PE结果种族差异的关键因素.
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