在急性护理环境中截肢患者的种族差异在手术后的直接时期
Antonio Mondríguez-González1,2, Rachel Xie3, Rachel Esparza1,2
1Shirley Ryan Ability Lab, Chicago, Illinois, USA.
概括
截肢护理的种族差异仍然存在,代表性不足的少数民族住院时间更长. 年龄和医生咨询显著影响到住院康复设施 (IRF) 的出院.
科学领域:
- 整形外科 整形外科 整形外科
- 康复医学 康复医学 康复医学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 美国医疗保健系统中的种族差异会对患者的治疗结果和生活质量产生负面影响.
- 来自代表不足的少数群体的截肢患者经历了更高的某些手术率和不平等的康复护理机会.
- 现有的差异凸显了研究截肢后护理途径的种族差异的必要性.
研究的目的:
- 调查获得康复咨询的种族差异.
- 检查放出目的地的种族差异,特别是截肢后的住院康复设施 (IRF),截肢后的住院康复设施.
- 分析种族,年龄和急性护理医疗咨询之间的关联,急性护理停留时间和出院倾向.
主要方法:
- 在2020年1月至2023年3月期间,对640名成年截肢患者的回顾性分析,这些患者在第三级护理医院接受治疗.
- 排除标准包括18岁以下的患者,孕妇,囚犯,夏威夷原住民和那些仅有肢截肢的人.
- 衡量的主要结果是出院目的地和急性护理停留时间,并对影响这些结果的因素进行二次分析.
主要成果:
- 研究人员发现,年龄增长与向IRF出院的可能性增加之间存在显著的关联.
- 种族和民族群体在急性护理停留时间上表现出统计学上显著的差异,亚洲患者的停留时间最长.
- 与没有医疗咨询的患者相比,接受医疗咨询的患者在IRF出院的可能性是20倍.
结论:
- 代表性不足的少数群体经历了截肢后更长的急性护理长度.
- 种族和种族没有显著影响截肢水平或出院倾向于住院康复.
- 患者的年龄和物理咨询的存在是决定截肢后出院的最有影响的因素.
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