巴西儿科尾炎的手术方法的决定因素
Ayla Gerk1,2,3, Paulo Henrique Moreira Melo4, Mohsen Amoei5,6
1Faculty of Medicine and Health Sciences, McGill University, Montreal, QC, Canada. ayla.gerkrangel@mail.mcgill.ca.
Pediatric surgery international
|May 20, 2025
概括
巴西的小儿尾切除受种族和医院资源等社会因素的影响,而不是疾病的严重程度. 这突显了儿童手术护理获取的差异.
科学领域:
- 儿科手术 儿科手术
- 医疗保健服务研究 医疗服务研究
- 健康的社会经济决定因素
背景情况:
- 尾炎是儿童最常见的手术紧急情况.
- 了解影响外科手术方法的因素对于公平护理至关重要.
研究的目的:
- 调查巴西儿科尾切除手术方法的社会和临床决定因素.
- 为了确定儿童尾炎的手术护理中的差异.
主要方法:
- 分析巴西儿童尾切除手术的国家医疗保健数据库 (2022年).
- 包括患者人口统计,医院资源和位置数据.
- 应用单变量和多变量逻辑回归模型.
主要成果:
- 总共分析了24,088例儿科尾切除术.
- 腹腔镜尾切除术与白人种族,更高的社会经济地位,先进的医院设施和南部地区的位置有关.
- 尾炎的严重程度并没有显著影响手术方法.
结论:
- 社会决定因素,而不是疾病严重程度,显著影响了巴西儿科尾切除手术的手术方法.
- 调查结果强调需要采取干预措施,以促进公平的医疗保健和外科手术.
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