减少了带有内出血的新生儿之间的种族差异
Sumaiya Sayeed1, Benjamin C Reeves1, Brianna C Theriault1
1Department of Neurosurgery, Yale University School of Medicine, 333 Cedar Street, New Haven, CT, 06510, USA.
概括
种族不会影响患有腹腔内出血 (IVH) 的新生儿的医疗保健结果. 这项研究发现,不良事件,停留时间或基于种族的入院总成本没有显著差异.
科学领域:
- 新生儿医学 新生儿医学
- 儿科神经学 儿科神经学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 新生儿的腹腔内出血 (IVH) 可以导致严重的并发症,包括神经功能障碍,发病率和死亡率.
- 关于IVH差异的现有研究集中在性别和体重上,对种族的作用的调查有限.
- 了解种族影响对于解决新生儿护理中的医疗保健不平等至关重要.
研究的目的:
- 调查种族对不良事件 (AE) 率,停留时间 (LOS) 和新生儿和婴儿IVH患者入院总成本的影响.
- 确定种族是否是延长LOS或过高的医疗保健成本的独立预测因素.
- 确定IVH婴儿医疗保健结果中的潜在种族差异.
主要方法:
- 利用2016-2019年国家住院样本数据库,使用ICD-10-CM代码识别IVH的新生儿.
- 根据种族 (白人,非裔美国人,西班牙裔,其他) 分层患者,并分析患者特征和住院患者的结果.
- 采用多变量后勤回归分析来评估种族对扩展的LOS和过高成本的影响.
主要成果:
- 对1435名患者的分析显示,在AE率,死亡率,平均LOS或平均入院总成本方面,种族群体之间没有显著差异.
- 虽然非裔美国患者的死角 enterokolitis (NEC) 发病率较高,但这并没有转化为差异性的整体结果.
- 多变量分析证实,种族不是延长LOS或过高成本的重要独立预测因素.
结论:
- 在IVH新生儿中,没有发现种族与糟糕的医疗保健结果的代理人有关,例如长期的LOS或过高的成本.
- 这些发现表明,目前对新生儿IVH的医疗保健可能不会受到种族的显著影响.
- 建议进行进一步的研究以验证这些结果并探索其他可能影响IVH结果的因素.
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