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在非法移民中增加了创伤性脑损伤严重程度和死亡率

Alexander Tenorio¹, Michael G Brandel¹, Carson P McCann²

¹Department of Neurosurgery, University of California, San Diego, La Jolla , California , USA.

|August 30, 2024

概括

无证移民在创伤性脑损伤 (TBI) 后面临更糟糕的结果,包括更高的死亡率. 解决这一群体的医疗保健差异对于改善TBI患者护理和结果至关重要.

科学领域:

神经科学是一个神经科学.
公共卫生公共卫生
健康差异在健康上的差异

背景情况:

创伤性脑损伤 (TBI) 的健康差异通常集中在社会经济地位,种族和种族上.
关于特种针对无证人口的TBI模式和结果的研究有限.

研究的目的:

描述无证移民中TBI模式和结果.
确定影响TBI严重程度和死亡率的因素.

主要方法:

在2019-2022年的一级创伤中心对TBI患者的回顾性评估.
基于未经证实的身份,使用经过验证的图表审查方法对患者进行分层.
单变量和多变量分析,以评估患者因素对结果的影响.

主要成果:

无证移民 (4.6%) 较年轻,伤害严重性得分较高,中线转移较大.
他们需要更多的神经外科干预,住院时间更长,费用更高.
在无证移民中,死亡率几乎是两倍,无证身份预测死亡率.

结论:

无证移民的体验增加了TBI严重程度,延迟呈现,以及更糟糕的结果,包括更高的死亡率.
倡导增加医疗保健覆盖率和社区参与至关重要.
解决医疗保健差异可以改善无证人口的TBI结果.

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