在急性缺血性中风后住院死亡率的种族/种族差异
Philip Y Sun1,2, Kendra Lian2,3, Daniela Markovic4
1Department of Neurology, David Geffen School of Medicine at University of California - Los Angeles, Los Angeles, California, USA.
Cerebrovascular diseases (Basel, Switzerland)
|November 5, 2024
概括
在急性缺血性中风 (AIS) 后的住院死亡率从2006-2017年大幅下降. 虽然其他种族/民族群体的死亡率比白人更低,但这种差异在为白人患者服务的医院中不那么明显.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 提高质量 提高质量
- 患者为中心的结果.
背景情况:
- 脑卒中仍然是导致死亡的首要原因,特别是在黑人中.
- 关于急性缺血性中风 (AIS) 后住院死亡率的近期趋势,根据种族/种族和性别知之甚少.
- 调查导致潜在差异的系统层面因素至关重要.
研究的目的:
- 根据种族/种族和性别,评估AIS后住院死亡率的最新趋势.
- 检查医院患者人口统计和死亡率差异之间的关联.
- 为了确定影响不同人群中风结果的因素.
主要方法:
- 从2006年至2017年对患有AIS的成年人进行大型国家住院患者数据集 (n=643,912) 的分析.
- 医院的分层基于白人的比例为患者服务.
- 后勤回归分析根据社会人口统计,临床和医院特征进行调整.
主要成果:
- 总体而言,AIS的住院死亡率从5.0% (2006) 降至2.9% (2017).
- 在2006-2011年和2012-2017年期间,调整后的死亡率下降了68%,在黑人中观察到的减少最少 (57%).
- 与白人患者相比,黑人和西班牙裔患者的死亡率较低,特别是65岁以上的患者,这种差异在为白人患者服务的医院中最为明显.
结论:
- 在所有种族/种族小组中,AIS死亡率显著下降.
- 虽然非白人患者的死亡率通常较低,但这种效应在为白人人口服务的医院中减弱.
- 需要进一步的研究来阐明社会文化,生物学和系统层面因素在这些观察到的差异中的作用.
关键词:
急性缺血性中风是一次急性缺血性中风.不平等的差异 差异的差异种族差异 种族差异民族身份 民族身份住院死亡率 住院死亡率不公平的不平等情况.死亡率 死亡率 死亡率种族 种族 种族 种族一次性中风,中风.更多相关视频
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