肋骨骨折的年龄中性手术稳定:打破年龄主义障碍
Krista Haines1, Gi Jung Shin1, Tracy Truong1
1Division of Trauma, Acute, and Critical Care Surgery, Department of Surgery, Duke University Medical Center, Durham, North Carolina.
The Journal of surgical research
|August 17, 2024
概括
肋骨骨折的手术稳定 (SSRF) 显示,老年人之间的结果没有差异. 然而,黑人,西班牙裔和医疗补助患者不太可能接受这种有益的治疗.
科学领域:
- 创伤外科 手术 创伤外科
- 手术结果研究研究.
- 健康差异 在健康上的差异
背景情况:
- 肋骨骨折的手术稳定 (SSRF) 与死亡率降低和并发症减少有关.
- 现有研究表明,SSRF对患者有好处,但其在不同的人口统计数据中使用需要进一步调查.
研究的目的:
- 确定年龄,种族,民族或保险状况是否影响执行SSRF的决定.
- 评估这些人口因素对SSRF后临床结果的影响.
主要方法:
- 使用创伤质量改善计划数据库,对在2016-2020年期间接受SSRF的45岁及以上患者进行回顾性分析.
- 收集的数据包括患者人口统计 (年龄,种族,种族,保险状况) 和临床结果 (呼吸机相关的肺炎,再输管,ARDS,死亡率,救援失败).
- 对BMI,受伤严重程度得分和并发病等共变量进行控制的后勤回归模型.
主要成果:
- 在年龄组 (45-64岁和65岁以上) 之间没有观察到临床结果的显著差异.
- 黑人和西班牙裔患者,以及那些有医疗补助保险的人,接受SSRF的可能性明显较低.
- 年龄没有影响SSRF与肺炎,ARDS或死亡率等不良结果之间的关联.
结论:
- 老年人 (65岁以上) 在SSRF后经历与年轻人 (45-64岁) 类似的临床结果,不应该被排除在此程序之外.
- 黑人,西班牙裔和医疗补助病人的SSRF显著不足,突出了严重的健康差异.
- 需要进行进一步的研究和干预,以解决和纠正代表性不足的群体在SSRF访问方面的差异.
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