在急性尾炎的治疗中,语言是障碍吗?
Veronica Layrisse Landaeta1, Gabriela R Dincheva1, Bharvi Marsha Patel1
1Department of Surgery, New York-Presbyterian Queens, New York, NY, United States.
概括
具有有限英语水平的成年人面临更长的等待时间,以进行尾炎的外科评估. 然而,这些延迟似乎没有显著影响治疗的开始或结果.
科学领域:
- 医学研究 医学研究
- 外科手术的结果
- 卫生公平性健康公平性
背景情况:
- 语言偏好会影响儿科尾切除时间,但在成年人中没有得到充分的研究.
- 调查成人急性尾炎评估和治疗的语言障碍和延迟.
研究的目的:
- 检查语言障碍与成人急性尾炎患者护理延迟之间的关联.
- 为了比较英语熟练和有限英语熟练的个人之间的评估和治疗等待时间.
主要方法:
- 在单一机构对成年尾切除患者 (2017-2022) 的回顾性研究.
- 负二项回归用于比较成像,药物和外科评估等待时间.
- 根据英语水平分层的分析.
主要成果:
- 限定的英语水平 (LEP) 患者 (48%) 是老年人,更常见的是亚洲人,没有保险.
- 在LEP患者中,外科评估等待时间较长 (IRR1.08,P=.002),在调整后持续 (aIRR1.07,P=.038).
- 在成像/药物治疗时间,败血症休克,穿孔率,停留时间或再入院方面没有显著差异.
结论:
- 英语水平有限的成年人可能会经历更长的尾炎外科评估等待时间.
- 这些延迟并没有导致临床上显著的治疗开始延迟或不良结果.
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