在手术前和手术后的心脏手术中的种族和民族差异
Shane S Scott1,2, Doug A Gouchoe2,3, Lovette Azap2
1Medical Scientist Training Program, Biomedical Sciences Graduate Program, The Ohio State University, Columbus, OH USA.
Current cardiovascular risk reports
|August 5, 2024
概括
种族显著影响心脏手术的结果,少数群体的患者面临更高的风险和不良事件. 解决这些差异需要采用多学科的方法来改善心脏手术的护理和减少心脏手术中的不平等.
科学领域:
- 心血管外科心血管外科
- 健康 公平 卫生 公平
- 医学伦理 医学伦理
背景情况:
- 种族是心脏手术后发病率和死亡率的重要风险因素.
- 种族和民族少数群体在心脏手术中代表性不足,但不成比例地经历了更高的不良结果.
- 现有的文献强调了冠状动脉绕道手术,膜手术,心脏移植和机械循环支持方面的差异.
研究的目的:
- 审查有关心脏手术结果种族差异的现有文献.
- 总结关于接受心脏手术的少数群体不良结果的证据.
- 确定心脏外科护理中存在差异的关键领域.
主要方法:
- 关于种族和心脏手术结果现有研究的文献综述.
- 分析数据,突出了特定心脏外科手术程序的差异.
- 综合与患者,社会经济和医院因素相关的发现.
主要成果:
- 在各种心脏手术过程中,种族和民族差异仍然存在.
- 患者,社会经济和医院因素的复杂相互作用导致了这些差异.
- 在大型研究中,难以确定差异的具体原因.
结论:
- 多学科团队对于解决心脏手术结果差异至关重要.
- 识别面临风险的人群和实施预防措施至关重要.
- 消除心脏手术中的种族/民族差异需要有针对性的干预措施,并专注于医疗保健公平.
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