种族,民族和儿科术后死亡率:当前趋势和未来预测
Olubukola O Nafiu1, Christian Mpody1, Titilopemi A Aina2
1Department of Anesthesiology and Pain Medicine, Nationwide Children's Hospital, Columbus, Ohio.
Pediatrics
|July 29, 2024
概括
儿科手术中的种族差异每年导致成千上万的过度死亡. 解决这些不平等问题可以在未来十年内防止超过1100名黑人儿童的死亡.
科学领域:
- 儿科手术结果的结果
- 卫生公平研究 卫生公平研究
- 公共卫生政策 公共卫生政策
背景情况:
- 在美国,儿科术后死亡率差异的总人成本仍然未得到量化.
- 对临床医生,政策制定者和公众来说,了解儿科手术结果中的种族不平等至关重要.
研究的目的:
- 在儿科术后死亡率中对种族差异的人类成本进行背景化.
- 为了估计与白人儿童相比,黑人和西班牙裔儿童的过度死亡.
- 评估政策干预措施,以减少儿科手术死亡率差异.
主要方法:
- 在673,677名接受中期至高风险手术的儿童 (2000-2019年) 中进行了基于人口的研究.
- 估计因种族差异而导致的过度死亡.
- 模拟减少死亡率目标和每年2.5%的减少政策的影响.
主要成果:
- 黑人 (aRR: 1.42) 和西班牙裔 (aRR: 1.22) 儿童与白人儿童的风险调整后术后死亡率始终较高.
- 在非教学医院,差异更为明显.
- 10,200个过度死亡发生在少数群体儿童中 (平均为536年);每年2.5%的减少可以在十年内防止约1100名黑人儿童的死亡.
结论:
- 该研究量化了由于种族差异而导致的多余的儿科术后死亡.
- 提出了一个框架,在十年内减少儿科术后死亡率差异.
- 专注于解决方案可以引导可操作的政策变化,以改善儿童手术结果.
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