手部创伤护理的地理空间分析:全州横截面研究
Matthew M Florczynski1, Yahui Zhang2, Meghan N Cichocki3
1From the Department of Orthopaedic Surgery, University of Cincinnati College of Medicine.
Plastic and reconstructive surgery
|March 28, 2024
概括
贫困地区的患者可能会因急性手部创伤而延迟获得及时的手术护理. 解决地理空间和社会经济因素对于公平的资源分配在手术中至关重要.
科学领域:
- 创伤外科手术是什么
- 公共卫生 公共卫生
- 地理空间分析是什么?
背景情况:
- 创伤性手伤需要立即接受医疗护理.
- 社会经济和地理因素对护理及时性的影响未得到充分研究.
研究的目的:
- 调查社区社会经济地位与急性手部创伤及时手术治疗之间的关联.
- 确定影响护理获取的患者和受伤特征.
主要方法:
- 使用密歇根创伤质量改善计划数据库 (2016-2021) 进行横截面研究.
- 将患者邮政编码与区域贫困指数 (ADI) 联系起来,以衡量社区的劣势.
- 多重回归分析评估了与手部创伤发生率和手术时间相关的因素.
主要成果:
- 区域贫困指数 (ADI) 显示了手部创伤概率的双模分布.
- 较高的ADI五分位数与延迟的手术治疗 (骨折固定,严重伤害) 有关.
- 女性性别,吸烟,肥胖和与工作有关的伤害等因素影响了创伤的几率;年轻的年龄和农村地区减少了它们.
结论:
- 邻居的劣势可能导致急性手部创伤的手术治疗延迟.
- 强调需要考虑服务不足的人群和地理空间因素在手部手术的资源配置.
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