对创伤结果的多因素分析:并发症,种族和社会经济地位
Andrew Tian-Yang Yu1, Anika Gnaedinger1, Braylee Grisel1
1Division of Trauma, Critical Care, and Acute Care Surgery, Department of Surgery, Duke University, Durham, North Carolina.
The Journal of surgical research
|November 8, 2024
概括
种族或民族背景和社会经济地位显著影响创伤患者的结果,影响死亡率和住院时间. 在护理计划中必须包括社会决定因素,而不仅仅是并发症指数.
科学领域:
- 创伤外科 手术 创伤外科
- 医疗保健服务研究 医疗服务研究
- 健康差异 在健康上的差异
背景情况:
- 创伤患者的并发症与较差的结果有关.
- 种族/种族和社会经济地位对这些结果的影响需要进一步研究.
研究的目的:
- 调查种族/种族和保险状况对特异性并发症创伤患者的结果的相互作用.
- 确定社会决定因素是否影响伤害严重程度和其他临床因素之外的结果.
主要方法:
- 从创伤质量改善计划 (2017-2019) 中分析了2,493,327个患者记录.
- 评估患有慢性病 (CKD),糖尿病,心脏并发症和慢性阻塞性肺病 (COPD) 的患者.
- 多变量逻辑和线性回归模型被用来分析结果,根据受伤严重程度和人口因素进行调整.
主要成果:
- 少数民族患者患病率增加,住院时间更长.
- 住宿时间因保险支付人和并发症相互作用而有所不同.
- 释放处置与种族/种族和保险公司相关.
结论:
- 种族或种族背景和社会经济地位独立地与创伤患者结果的差异有关.
- 单独的并发症指数不足以提供最佳的患者护理.
- 应将健康的社会决定因素纳入创伤患者的治疗和出院计划.
相关概念视频
Psychological and Sociocultural Causes of Schizophrenia
79
Schizophrenia, a complex psychiatric disorder, has been historically misunderstood. Early psychological theories attributed its origins to childhood trauma and unresponsive parenting. However, contemporary research largely rejects these notions, favoring the vulnerability-stress hypothesis. This model proposes that individuals with a genetic predisposition to schizophrenia may develop the disorder following exposure to significant environmental stressors. Notably, studies on high-risk...
79
Theoretical Approaches to Psychological Disorder
93
The development of psychological disorders, which are characterized by deviant, maladaptive, and personally distressing behaviors, has been explored through several theoretical approaches.
Biological approach
The biological approach posits that internal, organic factors are the primary causes of such disorders. This perspective emphasizes brain structure and function, genetic predispositions, and neurotransmitter imbalances. For example, schizophrenia has been associated with both genetic...
Biological approach
The biological approach posits that internal, organic factors are the primary causes of such disorders. This perspective emphasizes brain structure and function, genetic predispositions, and neurotransmitter imbalances. For example, schizophrenia has been associated with both genetic...
93
Factorial Design
13.0K
Factorial Analysis is an experimental design that applies Analysis of Variance (ANOVA) statistical procedures to examine a change in a dependent variable due to more than one independent variable, also known as factors. Changes in worker productivity can be reasoned, for example, to be influenced by salary and other conditions, such as skill level. One way to test this hypothesis is by categorizing salary into three levels (low, moderate, and high) and skills sets into two levels (entry level...
13.0K
Strategies for Assessing and Addressing Confounding
83
Confounding is a critical issue in epidemiological studies, often leading to misleading conclusions about associations between exposures and outcomes. It occurs when the relationship between the exposure and the outcome is mixed with the effects of other factors that influence the outcome. Given that, addressing confounding is of high importance for drawing accurate inferences in research.
Confounding can be addressed at both the design phase of a study and through analytical methods after data...
Confounding can be addressed at both the design phase of a study and through analytical methods after data...
83
Depressive Disorders: Etiology
51
Depressive disorders result from a complex interplay of biological, psychological, and sociocultural factors, each contributing uniquely to the development and persistence of the condition. Understanding these factors provides critical insight into the multifaceted nature of depression.
Biological Factors in Depression
Biological predispositions significantly influence the risk of developing depressive disorders. Genetic studies highlight the role of variations in the serotonin transporter...
Biological Factors in Depression
Biological predispositions significantly influence the risk of developing depressive disorders. Genetic studies highlight the role of variations in the serotonin transporter...
51
Post-traumatic Stress Disorder
29
Post-traumatic stress disorder (PTSD) is a psychiatric condition that arises following exposure to traumatic events such as natural disasters, forced displacement, or severe accidents. It significantly impairs individuals' ability to cope with daily activities and disrupts their emotional and psychological equilibrium.
Symptoms and Behavioral Manifestations
A spectrum of distressing symptoms characterizes PTSD. Recurrent flashbacks, where individuals involuntarily relive traumatic events,...
Symptoms and Behavioral Manifestations
A spectrum of distressing symptoms characterizes PTSD. Recurrent flashbacks, where individuals involuntarily relive traumatic events,...
29


