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社会经济劣势与术后逗留时间的关联

Marcus V Ortega¹, Emma Rudie², Michael Dezube²

¹Massachusetts General Physicians Organization, Boston, Massachusetts; Department of Obstetrics and Gynecology, Division of Urogynecology and Reconstructive Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts.

The Journal of surgical research

|May 20, 2025

概括

通过区域贫困指数 (ADI) 衡量的社区社会经济劣势与手术后更长的住院时间有关. 解决这些差异是公平增强手术后恢复 (ERAS) 协议的关键.

科学领域:

手术成果研究的研究结果.
关于健康公平性的研究.
公共卫生和社会经济决定因素

背景情况:

社会经济因素对术后康复和外科治疗公平性产生重大影响.
区域贫困指数 (ADI) 量化了社区层面的社会经济劣势.
ADI和术后停留时间 (LOS) 之间的联系需要进一步调查.

研究的目的:

调查邻里社会经济劣势,使用ADI和选择性手术患者的术后停留时间 (LOS) 之间的关联.
为了确定较高的ADI得分是否与手术后增强康复 (ERAS) 协议内的长时间住院相关.

主要方法:

对11,640名选择性手术患者的回顾性队列研究 (2016年10月 - 2022年5月).
地址被地理编码来分配ADI分数,将患者分为低,中,高的不利群体.
对保险状况和并发症进行调整后勤回归模型,以评估ADI和扩展LOS (75百分点以上) 之间的关系.

主要成果:

来自高ADI社区的患者表现出明显更高的延长术后LOS的可能性.
在调整了人口统计和临床因素后,这种关联仍然显著 (OR 1.22;95% CI 1.10-1.36;P < 0.001).

结论:

增加的社会经济劣势,以ADI表示,与术后长时间住院有关.
这些发现强调了有针对性的干预措施的必要性,以减少手术结果的差异.
在手术后增强恢复 (ERAS) 协议中提高公平性至关重要.

关键词:

不平等性不平等性在外科手术后的护理外科手术的结果.

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