应急室表治疗模式和结果的人口差异
Kevin Herrera1, Marcela Moran Mojica1, Karla Marlene Sintigo1
1Caruso Department of Otolaryngology-Head and Neck Surgery, Keck School of Medicine of University of Southern California, Los Angeles, California, USA.
概括
少数民族患者,包括说西班牙语,黑人,亚洲人和西班牙裔患者,因鼻血而接受的急诊室护理较少. 需要进一步的研究,以了解这些差异的表管理.
科学领域:
- 紧急医疗 紧急医疗
- 医疗保健服务研究 医疗服务研究
- 临床结果 临床结果
背景情况:
- 鼻出血 (epistaxis) 是一个常见的急诊室 (ED) 呈现.
- 了解ED表症管理中的人口差异对于公平的护理至关重要.
- 之前的研究还没有完全阐明基于患者人口统计学的治疗和结果的差异.
研究的目的:
- 调查患者人口统计学特征与急诊室内表症管理之间的关联.
- 为了比较不同种族和族裔群体间的治疗模式和表现的表现.
- 为了确定鼻血的紧急护理的潜在差异.
主要方法:
- 使用 TriNetX 美国协作数据库进行的回顾性队列研究.
- 带有表症到ED的成年患者在访问后被跟踪了7天.
- 倾向性得分匹配用于比较西班牙语和英语患者,并进一步按种族和种族分层.
主要成果:
- 与英语患者相比,西班牙语患者接受鼻塞/鼻或诊断性鼻腔内镜的可能性较低.
- 与白人患者相比,黑人患者接受了更多的鼻腔除凝剂喷雾,但接受的其他治疗较少.
- 亚洲患者的鼻塞/鼻率较低,但ED访问量较多;西班牙裔患者的入院率较低,ED访问量较少,分别是白人和非西班牙裔患者.
结论:
- 人口因素与急诊室表管理的细微差别有关.
- 西班牙语,黑人,亚洲人和西班牙裔患者似乎不太可能接受诊断程序和表控制干预措施.
- 需要进一步的研究来探索这些观察到的护理差异的根本原因.
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