儿童尾炎的特征不平等 延迟诊断和穿孔
Stephen Trinidad1, Raphael Parrado1, Amelia Gavulic2
1Division of Pediatric General and Thoracic Surgery, Cincinnati Children's Hospital Medical Center, Cincinnati, OH.
Journal of pediatrics. Clinical practice
|June 3, 2024
概括
年龄,性别和社会经济地位等社会人口统计学因素显著影响了儿科尾炎中延迟诊断和穿孔的风险. 年龄较大的儿童的风险较低,而女性和来自弱势背景的儿童面临的风险更高.
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
- 流行病学 流行病学
背景情况:
- 儿科尾炎是一种常见的手术紧急情况.
- 延迟诊断和穿孔是严重的并发症.
- 社会人口统计学因素可能会影响尾炎的结果.
研究的目的:
- 研究儿童社会人口统计特征与儿科尾炎中延迟诊断和穿孔的可能性之间的关联.
- 确定导致儿童尾炎不良后果的特定人口和社会经济因素.
主要方法:
- 对3248名儿科尾炎患者 (2016-2021) 的回顾性队列研究.
- 多变量分析用于评估社会人口统计 (年龄,性别,种族/种族,保险,社会经济地位) 和结果之间的关联.
- 关键结果:诊断延迟和穿孔.
主要成果:
- 延迟诊断发生在6.4%的病例中,穿孔发生在25.1%的病例中.
- 延迟诊断与更高的穿孔率相关 (56%与21.5%相比).
- 延迟诊断的几率增加与女性性别和社会经济劣势有关;年龄较大减少了几率.
- 穿孔的几率增加与非西班牙裔黑人和西班牙裔种族/种族以及社会经济劣势有关;年龄较大降低了几率.
结论:
- 该研究发现,延迟诊断率高于之前报告的水平,强调需要考虑不同的医疗保健环境.
- 社会人口统计学因素,特别是社会经济地位,种族/种族和性别,显著影响儿童延迟诊断和尾炎穿孔的风险.
- 研究结果强调了解决健康的社会决定因素的重要性,以改善儿科尾炎的结果.
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