肋骨骨折的手术稳定 - 种族是否重要?
Susan Kartiko1, Maximilian Peter Forssten2, Marcelo A F Ribeiro3
1Center for Trauma and Critical Care, Department of Surgery, George Washington University School of Medicine and Health Sciences, Washington, DC.
Surgery
|September 18, 2024
概括
在肋骨骨折的手术稳定中存在种族差异. 与白人患者相比,黑人和亚洲患者接受这种手术的可能性明显低,这表明需要进一步调查护理不平等.
科学领域:
- 创伤外科手术是什么
- 卫生公平性健康公平性
- 外科手术的结果
背景情况:
- 医疗技术的进步突出了治疗中的差异.
- 对肋骨骨折的手术稳定越来越多地使用,但说明仍然存在争议.
- 外科医生在选择患者进行手术时可能会表现出隐含的偏见.
研究的目的:
- 在肋骨骨折的手术稳定中调查潜在的种族不平等.
- 确定种族是否与接受肋骨骨折外科稳定治疗的可能性有关.
主要方法:
- 利用了美国外科医生学院2013-2021创伤质量改善计划数据库的数据.
- 通过Poisson回归分析了肋骨骨折的种族和手术稳定之间的关联.
- 调整以考虑混因素,包括人口统计,受伤严重程度和并发症.
主要成果:
- 与白人患者相比,黑人患者接受肋骨骨折手术稳定的可能性要低26% (aIRR:0.74 [0.64-0.85]).
- 与白人患者相比,亚洲患者接受肋骨骨折手术稳定的可能性降低了40% (aIRR:0.60 [0.43-0.81]).
- 黑人患者更经常在1级创伤中心接受治疗.
结论:
- 在使用手术稳定肋骨骨折时存在显著的种族差异.
- 黑人和亚洲患者在肋骨骨折的手术稳定率低于白人患者.
- 这种差异需要进一步研究,以了解和解决护理提供中的不平等问题.
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