在接受米特拉和三巴手术的患者中种族和民族差异
Nolan M Winicki1, Isabella S Florissi1, Salman Zaheer1
1Division of Cardiac Surgery, Department of Surgery, Johns Hopkins University School of Medicine, Baltimore, Maryland.
The Journal of surgical research
|June 5, 2024
概括
种族/种族影响了对 mitra和三管手术的表现,非白人患者患上更多的并发症. 然而,调整后的结果和修复率并没有因种族而异.
科学领域:
- 心血管外科心血管外科
- 健康差异 在健康上的差异
- 流行病学 流行病学
背景情况:
- 关于种族/种族对中膜 (MV) 手术后结果的影响,存在相互矛盾的证据.
- 这项研究研究了种族/种族之间的关联,以及接受MV和三管 (TV) 手术的患者的表现和结果.
研究的目的:
- 检查种族/种族对术前特征的影响.
- 评估种族/种族对MV和电视维修率的影响.
- 确定种族/种族与术后结果之间的关联.
主要方法:
- 从2012年到2021年,对5984名接受MV,TV或两种手术的患者进行了回顾性分析.
- 评估种族/种族 (白人,黑人,西班牙裔,亚洲人,混血/其他) 与手术前因素,修复率和结果相关的情况.
- 多变量调整用于控制混变量.
主要成果:
- 与白人患者相比,黑人患者的预测手术风险更高,并出现更多的并发症.
- 黑人和西班牙裔患者接受选择性手术的可能性低于白人患者.
- 虽然MV疾病的病因因种族/种族而异 (白人更常见的退行性,非白人的风湿性),但调整后的修复率和不良结果,包括死亡率,在不同组中是相似的.
结论:
- 患者的种族/种族与并发症负担和心脏膜疾病病因在呈现时的差异有关.
- 专注于早期检测和对心脏膜疾病及时转诊的策略至关重要.
- 尽管呈现不同,但经过调整后,MV和TV手术的外科结果在种族/族群之间似乎是公平的.
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