拉丁裔患者创伤护理中的差异:创伤中心验证水平的分析
Gabriel Scally1, Jesus Orozco2, Eva Tovar Hirashima3
1General Surgery, HCA Healthcare Riverside, Riverside, USA.
Cureus
|January 24, 2025
概括
在一级创伤中心的拉丁裔创伤患者有更好的生存和出院结果. 然而,与II/III级中心相比,他们住院时间较长,并发症较多.
科学领域:
- 医学研究 医学研究
- 创伤护理 创伤护理
- 健康差异 在健康上的差异
背景情况:
- 在美国,创伤是导致死亡的主要原因,特别是在45岁以下的人群中.
- 少数群体,包括拉丁裔,在创伤护理方面存在显著的结果差异.
- 最佳创伤护理的障碍可能需要拉丁裔患者的额外资源.
研究的目的:
- 为了比较拉丁裔患者在I级与II/III级创伤中心治疗的创伤结果.
- 根据创伤中心验证水平,识别创伤护理提供中的潜在差异.
主要方法:
- 从2019-2021年对国家创伤数据库 (NTDB) 的回顾性分析.
- 包括18岁及以上的拉丁裔患者在一级和二级/三级创伤中心接受治疗.
- 倾向性得分与基线特征对照相匹配,随后进行统计分析 (P < 0.05).
主要成果:
- 一级创伤中心显示,拉丁裔患者的住院死亡率较低 (1.26%对1.48%),离家出院率更高 (75.22%对73.15%).
- 一级中心的住院时间也更长 (LOS) 和重症监护室 (ICU) LOS.
- 在I级中心观察到更高的住院并发症率 (3.92%对3.67%).
结论:
- 在一级创伤中心治疗的拉丁裔患者经历了更好的生存和处置结果.
- 尽管结果有所改善,但在I级中心发现较长的LOS和并发症增加.
- 需要进一步的研究来了解创伤中心验证水平如何影响拉丁裔患者的护理,并导致差异.
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