在老年烧伤患者的结果中种族和性别差异
Joshua E Lewis1, Shawn E Lim1, Manav M Patel1
1John Sealy School of Medicine, University of Texas Medical Branch, 301 University Blvd., Galveston, Texas, 77555-1220 USA.
概括
老年烧伤患者面临更高的死亡风险,特别是非裔美国人和女性. 尽管总体下降,种族和性别差异仍然存在,需要针对弱势群体进行有针对性的干预.
科学领域:
- 老年学是一门学科.
- 烧伤护理 烧伤护理
- 健康差异 在健康上的差异
背景情况:
- 烧伤不成比例地影响老年人,造成严重的死亡风险.
- 现有的研究表明,基于种族和性别,燃烧护理结果可能存在差异.
研究的目的:
- 评估老年成人烧伤患者 (≥65岁) 的死亡率和结果.
- 在十年内调查死亡风险的种族和性别差异.
- 为了比较两个五年间的结果 (2014-2019 vs. 2019-2024).
主要方法:
- 使用TriNetX美国协作网络 (2014年5月 - 2024年5月) 进行的回顾性队列研究.
- 对烧伤患者 (ICD-10代码T31.0 - T31.9) 的分析,按种族和性别分层.
- 倾向性得分匹配用于确保队列可比性;统计显著性设置为p<0.05.
主要成果:
- 总体死亡率为9.2%,在2019-2024年降至4.2%.
- 非洲裔美国患者在后期的死亡风险比白人患者高2.404倍 (20.2%对8.4%,p=0.0002).
- 女性患者的死亡风险比男性患者高1.312倍 (10.1%与7.7%,p<0.0001).
结论:
- 在老年成人烧伤患者中,死亡率仍然存在显著的种族和性别差异.
- 尽管总体情况有所改善,但非洲裔美国患者和女性面临着高死亡风险.
- 有针对性的干预措施对于解决这些差异和改善对脆弱的老年烧伤患者的护理至关重要.
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