在小儿尾切除术后的结果中基于收入的差异:国家分析
Konmal Ali1, Amulya Vadlakonda1, Sara Sakowitz1
1Department of Surgery, David Geffen School of Medicine at UCLA, Los Angeles, CA, USA.
The American surgeon
|April 20, 2024
概括
收入较低的儿童在尾切除术后出现并发症的风险更高. 解决这些社会经济差异对于改善儿科手术结果至关重要.
科学领域:
- 儿科手术 儿科手术
- 医疗保健服务研究 医疗服务研究
- 社会经济的不平等.
背景情况:
- 尾切除术是一种常见的儿科手术手术,每年约有8万次.
- 之前的研究强调了手术结果的种族差异.
- 这项研究调查了儿科尾切除术结果的基于收入的不平等.
研究的目的:
- 分析小儿尾切除术后患者收入水平和术后结果之间的关联.
- 确定小儿尾切除患者的全国队列中的潜在社会经济差异.
主要方法:
- 利用来自2016-2020年国家住院患者样本的非选择性儿科尾切除术的数据.
- 在最高收入 (HI) 和最低收入 (LI) 四分位数中比较患者.
- 采用多变量回归来评估收入与重大不良事件 (MAE) 之间的联系.
主要成果:
- 与HI队列相比,LI队列 (58.0%) 更年轻,更有可能获得医疗补助,并且是西班牙裔种族 (42.0%).
- 低收入患者的MAE几率显著增加 (AOR为1.30),包括传染病和呼吸道并发症.
- LI与降低成本和更长的住院时间有关.
结论:
- 最低收入四分位数的儿科患者在尾切除术后面临重大不良事件的风险增加.
- 社会经济地位是影响儿科尾切除结果的重要因素.
- 发展风险分层和标准化护理途径对于减少这些差异至关重要.
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