减少脊柱外围的脊柱手术后手术结果的社会人口差异
Aladine A Elsamadicy1, Shaila D Ghanekar1, Paul Serrato1
1Department of Neurosurgery, Yale University School of Medicine, New Haven, CT, USA.
概括
这项研究发现,脊柱外围 (SEA) 患者的脊柱手术结果中种族差异很小. 然而",其他"种族类别经历了更长的住院时间,并共同疾病负担影响结果.
科学领域:
- 神经外科 神经外科
- 健康差距 研究 研究 研究 研究
- 流行病学 流行病学
背景情况:
- 种族和社会经济因素显著影响健康结果,推动对健康差异的研究.
- 脊柱外围 (SEA) 是一种需要手术干预的严重疾病,可能导致患者的结果不同.
研究的目的:
- 调查脊柱外围 (SEA) 患者手术结果中的种族差异.
- 确定种族是否与停留时间的差异,不良事件,出院处置,重新手术或SEA手术后的死亡率有关.
主要方法:
- 使用美国外科医生学院 (ACS) 国家外科质量改善计划 (NSQIP) 数据库 (2011-2022) 的回顾性队列研究.
- 接受SEA脊椎手术的成年患者按种族分层:非西班牙裔白人 (NHW),非西班牙裔黑人 (NHB),西班牙裔 (HIS) 和其他 (OTH).
- 采用多变量后勤回归分析来评估与延长停留时间 (LOS),不良事件 (AE),非例行出院 (NRD),30天无计划的重新手术和死亡率的关联.
主要成果:
- 这项研究包括1654名患者:72.4%NHW,11.1%NHB,11.4%HIS和5.1%OTH.
- 在NHB队列中,具有显著的并发症负担的个体比例更高 (mFI-5分数>2).
- 在30天的副作用,LOS,手术时间,NRD,30天的重新手术或死亡率方面没有观察到显著的种族差异. 然而,OTH队列与延长住院时间有显著的关联 (aOR: 2.48,p=0.002).
结论:
- 脊柱外围 (SEA) 患者的术后结果显示,种族差异有限.
- 伴随性疾病负担是与较差的外科手术结果相关的重要因素.
- 需要进一步的研究来验证这些发现,并探索潜在的机制.
关键词:
疾病发病率 疾病发病率死亡率 死亡率 死亡率结果的结果.种族差异是种族差异.脊柱外围 (spinal epidural abscess) 是一种脊柱外围 (spinal epidural abscess) 的病例,它发生在脊柱上的一些部位.更多相关视频
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