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地缘空间食品获取对急性胰腺炎结果的影响
Ankit Chhoda1, Marco Noriega1, Tamara Kahan2
1Division of Gastroenterology, Department of Medicine, Beth Israel Deaconess Medical Center, 330 Brookline Ave, Rabb 423, Boston, MA, 02215, USA.
生活在食物供应有限的地区的急性胰腺炎 (AP) 患者经历了严重程度和再入院的增加. 这突显了食物获取作为影响AP患者结果的关键社会决定因素.
科学领域:
- 公共卫生 公共卫生
- 医疗服务研究 医疗服务研究
- 地理空间健康
背景情况:
- 食物获取,健康的关键社会决定因素,通过食物的可用性影响健康结果.
- 对食物获取数据的地理空间分析可以识别急性胰腺炎 (AP) 等疾病的风险人群.
- 了解粮食获取和AP结果之间的联系对于有针对性的干预至关重要.
研究的目的:
- 调查急性胰腺炎 (AP) 患者的地理空间食物获取和临床结果之间的关联.
- 利用美国农业部食品获取数据和地理空间分析来识别AP患者护理中的差异.
- 评估食物获取的变化是否与AP的严重程度,死亡率,再录取和逗留时间相关.
主要方法:
- 从2008年至2018年,对931起与AP相关的住院病例进行了回顾性分析,这些病例发生在第三级护理中心.
- 使用ArcGIS Pro对患者地址进行地理编码,以确定食物来源的近距离.
- 回归分析,以评估低粮食获取率 (根据美国农业部标准定义) 与AP结果之间的关联,并对混因素进行调整.
主要成果:
- 发现低粮食获取和增加AP严重程度 (OR 1.88) 和30天的AP相关再入院 (OR 1.78) 之间存在显著的关联.
- 该研究中超过74%的AP患者居住在被归类为缺乏食物获取的地区.
- 没有观察到食物获取与与AP相关的死亡率或停留时间之间有显著的关联.
结论:
- 低粮食获取与AP患者的临床结果较差有显著的联系,特别是严重程度和再入院率的增加.
- 地理空间食物获取是管理AP患者时需要考虑的重要因素.
- 需要进一步的前性研究来探索营养,生活方式和AP结果的相互作用.
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