经常出现的突发修复:谁有风险?
Erin E Isenberg1,2, Joshua Sinamo3, Michael A Rubyan4
1Department of Surgery, University of Texas at Southwestern, Dallas, TX, USA. isenbere@med.umich.edu.
Surgical endoscopy
|June 19, 2025
概括
女性,西班牙裔和社会脆弱的患者面临更高的风险,经常出现的突发修复. 干预措施应考虑修复方法和针对高风险人群的有针对性的后续行动.
科学领域:
- 一般外科 整体外科
- 医疗保健服务研究 医疗服务研究
- 流行病学 流行病学
背景情况:
- 经常出现的突发修复涉及弱势患者群体.
- 鉴定这些患者的特征对于确定干预机会至关重要.
研究的目的:
- 描述正在接受经常性突发修复的医疗保险受益人.
- 识别与风险增加相关的患者,提供者和社区因素.
主要方法:
- 对医疗保险受益人 (2011-2021) 的回顾性横截面研究.
- 多变量风险调整的生存分析,用于10年内累积的复发性突发性修复发病率.
- 利用CDC的社会脆弱性指数来衡量社会风险.
主要成果:
- 在120227名患者中,复发性突发修复的10年累计发病率为6.4%.
- 与女性性别,西班牙裔种族和最高社会脆弱性五分位数相关的风险增加.
- 开放式维修方法和营利性医院也显示风险增加.
结论:
- 女性,西班牙裔和社会脆弱的患者面临更高的风险,经常出现修复.
- 营利性医院的开放指数修复和护理与复发风险增加有关.
- 强调需要有针对性的干预,更密切的跟进,并考虑索引修复方法.
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