在患有外周动脉疾病的患者中探索种族和种族的预后影响
Nayla Léveillé1, Hubert Provost1, Cedric Keutcha Kamani2
1Faculty of Medicine, Université de Montréal, Montreal, Quebec, Canada.
The Journal of surgical research
|August 31, 2024
概括
与白人患者相比,黑人患者的肢体威胁性缺血截肢率更高. 这种差异在一次性截肢和再血管化尝试后都存在,突出显示了严重的健康不平等.
科学领域:
- 血管外科 血管外科
- 健康差异 在健康上的差异
- 研究成果 研究成果 研究成果
背景情况:
- 主要不良肢体事件不成比例地影响少数民族人口.
- 外周血管干预在这些群体中具有更高的不良事件风险.
研究的目的:
- 为了分析术后的结局,在血管干预后进行塞和慢性肢体威胁性缺血.
- 调查种族和民族地位对临床结果的影响.
主要方法:
- 17项研究的系统审查和元分析.
- 在七个数据库中进行搜索 (开始至2022年10月).
- 随机效应模型用于计算聚合赔率比率 (ORs) 和95%置信区间 (CI).
主要成果:
- 黑人患者的初级截肢发生率高于白人患者 (OR: 1.91).
- 与白人患者相比,黑人患者在重新血管化后的截肢率显著更高 (OR: 1.56).
- 趋势表明西班牙裔和原住民患者的差异相似.
结论:
- 黑人患者的首次大截肢率明显高于白人患者.
- 在西班牙裔和原住民患者中观察到类似的趋势.
- 黑人患者在重新血管化的尝试后更有可能被截肢.
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