在神经发育障碍患者中,复杂尾炎的发病率增加
Daniela Feingold1, Nupur Shridhar2, Jianyou Liu2
1Albert Einstein College of Medicine, 1300 Morris Park Ave, Bronx, NY, 10461, USA; Jacobi Medical Center, 1400 Pelham Parkway South, Bronx, NY, 10461, USA.
American journal of surgery
|April 8, 2025
概括
患有神经发育障碍 (NDD) 的患者更有可能经历复杂的尾炎. 这项研究强调了残疾人紧急整体外科手术中的潜在医疗保健差异.
科学领域:
- 外科手术 手术手术
- 公共卫生 公共卫生
- 健康差异 在健康上的差异
背景情况:
- 在手术中残疾患者的医疗保健差异未得到充分研究.
- 了解这些差异对于改善外科护理至关重要.
- 患有残疾的患者在获得及时有效的治疗方面可能面临独特的挑战.
研究的目的:
- 调查神经发育障碍 (NDD) 患者是否比没有神经发育障碍的患者出现更复杂的尾炎.
- 为了确定NDD患者在紧急整体外科手术结果中的潜在差异.
主要方法:
- 美国大型公共医院系统中急性尾炎病例 (2016-2021) 的回顾性审查.
- 包括50岁以下的患者.
- 使用ICD-10代码识别NDD患者,并根据年龄,性别和种族/种族对照 (1:2比) 与对照进行匹配.
主要成果:
- 患有NDD的患者患上尾炎并发症的发生率显著更高 (OR 2.15,p=0.003).
- NDD患者经历了更长的停留时间 (LOS).
- 在NDD组中观察到术后并发症的增加率.
结论:
- 患有神经发育障碍的患者面临复杂尾炎的更高风险.
- 研究结果表明,在残疾患者的紧急整体外科手术中,医疗保健可能存在差异.
- 需要进一步的研究来解决和减轻这些差异.
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