相关实验视频
Updated: Aug 9, 2026

08:09
Vessel-sparing Excision and Primary Anastomosis
Published on: January 7, 2019
11.4K
社会经济脆弱性与紧急整体手术后的结果的关联
Sara Sakowitz1, Syed Shahyan Bakhtiyar2, Giselle Porter3
1Cardiovascular Outcomes Research Laboratories, University of California, Los Angeles, CA. Electronic address: https://twitter.com/sarasakowitz.
Surgery
|May 25, 2024
概括
社会经济脆弱性显著增加了死亡率,并发症,长期住院和紧急整体手术后再入院的风险. 解决这些差异需要有针对性的医院干预和改善护理途径.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 手术结果研究研究.
- 健康 公平 卫生 公平
背景情况:
- 健康的社会决定因素显著影响患者的结果.
- 社会经济脆弱性对紧急整体手术 (EGS) 结果的影响尚不清楚.
研究的目的:
- 调查社会经济脆弱性与EGS后的结果之间的关联.
- 为了确定EGS接受EGS的弱势患者群体的护理和结果的差异.
主要方法:
- 成人EGS住院病例的分析 (2016-2020年全国再接收数据库).
- 基于经济,教育,医疗,环境和社会需求的社会经济脆弱性的定义.
- 多变量模型用于评估脆弱性与关键结果之间的关联.
主要成果:
- 易受伤害的患者 (9.9%) 患上了更高的住院死亡率 (aOR 1.64) 和术后并发症 (aOR 2.02).
- 在弱势群体中观察到住院时间长 (4.64天),住院费用 (1360美元),非家庭出院 (aOR 2.44) 和30天再入院 (aOR 1.29).
- 易受伤害的患者年龄较大,更经常接受医疗补助保险,并具有较高的并发症得分.
结论:
- 社会经济脆弱性是不良结果的独立预测因素,增加了资源利用率和EGS后的再接收.
- 迫切需要新的干预措施,包括医院查和护理途径开发,以减轻这些健康差异.
相关概念视频
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Cardiomyopathy VII: Pre and Post Operative Nursing Management
Patients with hypertrophic cardiomyopathy (HCM) and left ventricular outflow tract (LVOT) obstruction who remain symptomatic despite optimal medical therapy may undergo a septal myectomy (Morrow procedure). This procedure involves excising a portion of the hypertrophied septum below the aortic valve using a heart-lung machine to improve blood flow through the LVOT. Effective preoperative and postoperative nursing management ensures successful patient outcomes, minimizes complications, and...
Peripheral Artery Disease V: Postoperative Nursing Management
During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
Aneurysm IV: Nursing Management
Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...
Healing II: Complications
Complications during healing arise when tissue repair is altered by local or systemic factors. These changes involve abnormal collagen deposition, altered biomechanics, and reduced vascular supply, impairing restoration of normal structure and function.Loss of FunctionScar tissue differs significantly from the original tissue it replaces. In the skin, fibrosis lacks adnexal structures such as hair follicles, sebaceous glands, and sweat glands. Their absence reduces tactile sensitivity, impairs...

