在急诊室接受脑损伤患者计算机断层扫描的种族差异
Yuan-Hsin Chen1, Neal Handly2, David C Chang1
1Department of Surgery, Massachusetts General Hospital/Harvard Medical School, Boston, MA, United States of America.
The American journal of emergency medicine
|July 4, 2024
概括
与白人患者相比,头部受伤的亚洲患者在急诊室更有可能接受头部计算机断层扫描 (CT) 扫描. 这种差异可能与语言障碍有关,因此需要进一步调查诊断成像率.
科学领域:
- 紧急医疗 紧急医疗
- 放射学 放射学是一门学科.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 以前的研究表明,在急诊室 (ED) 影像中存在潜在的种族差异,但研究结果不一致.
- 在先前的研究中对不同少数群体的有限纳入,阻碍了对这些差异的全面理解.
研究的目的:
- 调查ED中头部受伤患者的头部计算机断层扫描 (CT) 给药率的种族和民族差异.
主要方法:
- 国家医院门诊医疗调查数据库的分析.
- 包括头部受伤患者访问EDs,检查头部CT给药作为主要结果.
- 使用多变量后勤回归,根据患者和医院的特征进行调整,比较亚洲,西班牙裔,黑人和白人患者.
主要成果:
- 总体而言,在6130名头部受伤患者中,51.9%接受了头部CT.
- 与白人患者相比,亚洲患者接受头部CT的可能性明显高 (59.1%对54.0%,p < 0.001).
- 亚洲患者的这种增加的可能性在调整后仍然存在 (OR,1.52;95% CI,1.06-2.16). 与白人患者相比,在黑人或西班牙裔患者中没有发现显著差异.
结论:
- 与白人患者相比,亚洲头部受伤患者在ED中接受头部CT扫描的可能性更高.
- 潜在的促成因素包括有限的英语水平和亚洲人口的语言多样性.
- 建议进行进一步的研究,以探索其他诊断成像方法的差异,并开发有针对性的干预措施.
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