环境空气污染和胸部手术结果:评估颗粒物质的影响
Wendelyn M Oslock1, Bayley A Jones2, Nathan C English3
1University of Alabama at Birmingham, Department of Surgery, General Surgery, Birmingham, AL; Birmingham Veterans Affairs Medical Center, Department of Quality, Birmingham, AL.
暴露于空气污染,特别是高水平的颗粒物 (PM2.5),增加了胸部手术后感染并发症的风险. 黑人患者不成比例地受到这种环境暴露的影响,突出了潜在的健康差异.
科学领域:
- 环境健康 环境健康
- 外科手术的结果
- 健康差异 在健康方面存在差异.
背景情况:
- 空气污染与心脏和肺移植患者的不良结果有关.
- 它对其他胸部手术的影响尚不清楚.
- 这项研究调查了空气污染与胸部手术术术后结果之间的关联.
研究的目的:
- 为了确定居住在空气污染较高的地区的患者在胸部手术后经历了更糟糕的术后结果.
- 探索颗粒物 (PM2.5) 暴露与手术并发症之间的关系.
- 识别暴露和结果的潜在差异.
主要方法:
- 使用美国外科医生学院国家外科质量改进计划数据 (2009-2022) 的回顾性队列研究.
- 与环境正义指数 (EJI) 相关的数据用于评估社会脆弱性和PM2.5水平.
- 包括接受食道切除术,分叶切除术,分叶切除术或副食道修复的成年患者.
主要成果:
- 在高PM2.5地区的患者更有可能是黑人,并且具有较高的环境负担.
- 高度的PM2.5暴露与感染性术后并发症的几率增加有关 (aOR,2.53).
- 高PM2.5地区的患者不太可能生活在社会脆弱性较高的地区.
结论:
- 黑人患者面临着更高的环境PM2.5.5暴露.
- 暴露在高PM2.5的胸部手术患者有更大的感染并发症的可能性.
- 这表明空气污染可能导致手术结果持续存在的健康差异.
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