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在炎症性肠病患者的不同患者群体中,术后结果的差异
Ashley Shustak1, Luke Wolfe2, Matthew Ambrosio2
1Department of Colon and Rectal Surgery, Cleveland Clinic Florida, Weston, Florida (Ashley Shustak).
Annals of gastroenterology
|May 23, 2024
概括
由于炎症性肠病 (IBD) 而接受手术的黑人患者面临着更糟糕的术后结果. 这包括比白人或西班牙裔患者更高的感染率,发病率,死亡率和更长的住院时间.
科学领域:
- 手术成果研究的研究结果.
- 关于健康公平性的研究.
- 胃肠病学和肝病学 胃肠学和肝病学
背景情况:
- 炎症性肠病 (IBD) 在美国造成了严重的健康负担.
- 手术干预是管理IBD的常见方法.
- 了解不同患者群体的术后结果至关重要.
研究的目的:
- 评估因IBD而接受手术的不同患者手术后结果的差异.
- 识别特定的并发症及其在不同种族群体的流行率.
- 为改善IBD外科手术中的护理公平的策略提供信息.
主要方法:
- 使用了2016-2018年国家住院样本 (NIS) 数据库.
- 计算了IBD手术患者手术后并发症的国家估计.
- 使用SAS调查程序进行国家估计的统计分析.
主要成果:
- 对107,375名权重患者的分析揭示了人口统计学差异:81.7%的白人,10.1%的黑人,8.2%的西班牙裔.
- 与白人 (3.1%) 和西班牙裔 (2.7%) 患者相比,黑人患者的术后感染率 (4.2%) 较高 (P=0.0137).
- 黑人患者的患病率和死亡率 (20.1%) 显著上升,住院时间更长 (12.6天),尽管并发症较少 (P<0.001).
结论:
- 在IBD手术的术后结果中,种族差异是显而易见的.
- 黑人患者经历了不成比例的更糟糕的结果,包括感染,发病率,死亡率和延长住院时间.
- 建议进一步研究健康的社会决定因素,以解决IBD护理中的不平等问题.
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