非变节上胃肠道 (GI) 出血的种族差异:全国性研究
Raissa Nana Sede Mbakop1, Arnold N Forlemu2, Chidiebube Ugwu3
1Internal Medicine, Piedmont Athens Regional Medical Center, Athens, USA.
Cureus
|July 10, 2024
概括
在非水上部肠道出血 (NVUGIB) 护理中存在种族差异. 非洲裔美国人经历了食管胃管腺镜检查 (EGD) 的延迟和更长的住院时间,而拉丁裔患者面临更高的成本.
科学领域:
- 胃肠病学 胃肠病学
- 医疗保健服务研究 医疗服务研究
- 健康差异 在健康上的差异
背景情况:
- 我们对种族如何影响非水上部胃肠道出血 (NVUGIB) 的结果的理解有限.
- 调查NVUGIB病因和患者结果的种族差异对于公平的医疗保健至关重要.
- 现有的数据缺乏对NVUGIB管理和结果中的种族差异的全面分析.
研究的目的:
- 为了检查种族差异的原因和后果的非的上部胃肠道出血.
- 确定不同种族群体在诊断程序和治疗结果中的特定差异.
- 提供数据支持有针对性的干预措施,以减少NVUGIB护理中的种族不平等.
主要方法:
- 利用了2009-2014年全国住院患者样本 (NIS) 数据库,这是一个大型的美国住院患者数据集.
- 分析了国际疾病分类,第九次修订,临床修改 (ICD-9-CM) 对NVUGIB,食管胃管透镜 (EGD) 和人口统计的代码.
- 医院死亡率,住院时间 (HLOS),医院总费用和ICU入院的种族群体之间的比较,使用千平方测试和Tukey多重比较.
主要成果:
- 非洲裔美国人和美洲原住民的出血性胃炎/十二指肠炎和马洛里-韦斯出血的比率更高.
- 与白人和拉丁裔相比,非洲裔美国人在24小时内患EGD的可能性较小.
- 非洲裔美国人经历了更长的HLOS和更高的ICU入院率;拉丁人和亚洲/太平洋岛民的总医院费用较高.
结论:
- 非洲裔美国人面临及时EGD的障碍,并因NVUGIB而经历长时间住院治疗.
- 拉丁裔患者不成比例地受到更高的医疗保健成本的影响,这可能与保险状况有关.
- 解决NVUGIB护理中的种族差异对于改善患者结果和减少医疗保健不平等至关重要.
关键词:
全国范围的研究研究.没有的上部胃肠道出血.种族差异是种族的差异.上一篇: 上一篇: 上一篇: 上一篇: 上一篇: 上一篇: 上一篇: 上一篇: 上一篇: 上一篇: 上一篇: 上一篇: 上一篇: 上一篇: 上一篇: 上一篇: 上一篇:美国 美国 美国美国: 美国的美国.更多相关视频
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