在大型综合卫生系统中,胸部手术后的种族/种族结果的差异
Kian C Banks1,2, Julia Wei3, Leyda Marrero Morales4
1Division of Thoracic Surgery, Kaiser Permanente Oakland Medical Center, 3600 Broadway, Oakland, CA 94611, USA.
Surgery open science
|April 24, 2024
概括
胸部手术中的种族和民族差异仍然存在,特别是在急诊室的返回率. 卫生系统必须监测这些具体结果,以确保公平的患者护理.
科学领域:
- 胸部外科手术 胸部外科手术
- 健康 公平 卫生 公平
- 手术结果研究研究.
背景情况:
- 手术护理往往表现出种族和种族差异.
- 这项研究调查了大型胸部手术患者队列中的差异.
研究的目的:
- 评估胸部手术患者群体中术后结果的种族/民族差异.
- 为了确定差异仍然存在的特定结果,尽管总体上是平等的.
主要方法:
- 从2016年到2020年,对2730名胸部手术患者进行了回顾性评估.
- 术后结果的比较 (LOS,30d-ED,再录取,任命,死亡率) 按种族/种族.
- 多变量后勤回归调整为临床和社会经济因素.
主要成果:
- 停留时间 (LOS) 根据种族/种族有显著差异 (p < 0.01).
- 西班牙裔患者的30天返回急诊室 (30d-ED) 率最高 (21.3%).
- 西班牙裔种族 (OR 1.43) 和医疗补助保险 (OR 2.37) 与更高的30d-ED率有关;其他结果显示没有差异.
结论:
- 虽然在许多手术结果中存在平等,但种族/种族差异仍然存在,特别是在急诊室的重新访问中.
- 卫生系统需要对超越标准临床结果的差异进行细分的跟踪,以实现公平的护理.
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