艾滋病毒感染者紧急手术护理的差异
McKay J Meyer1,2, Savannah H Skidmore1,2, Heather L Evans3
1College of Medicine, Medical University of South Carolina, Charleston, South Carolina, USA.
Surgical infections
|July 25, 2025
概括
与艾滋病毒阴性个体相比,艾滋病毒感染者 (PLWHIV) 不太可能及时接受尾炎和胆囊炎的手术干预. 这种差异凸显了在获得医疗保健和治疗PLWHIV方面的潜在不平等.
科学领域:
- 手术成果研究的研究结果.
- 公共卫生差异 公共卫生差异
- 传染病流行病学 传染病流行病学
背景情况:
- 艾滋病毒感染者 (PLWHIV) 在历史上一直面临医疗保健接入障碍和歧视.
- 像胆囊炎和尾炎这样的外科紧急情况需要及时干预.
- 了解PLWHIV的手术干预率对于解决健康不平等至关重要.
研究的目的:
- 调查PLWHIV和HIV阴性患者之间胆囊炎和尾炎手术干预率的差异.
- 为了比较这些患者群体的胆囊切除和尾切除率.
- 为了确定在管理常见的外科紧急情况的潜在差异.
主要方法:
- 利用TrinetX®数据库进行回顾性队列研究.
- 包括被诊断患有胆囊炎 (K81) 或尾炎 (K35-37) 需要手术干预的患者.
- 倾向性与基于年龄,种族,白细胞计数,艾滋病毒病毒载量和药物滥用障碍的艾滋病毒阳性和艾滋病毒阴性队列相匹配.
主要成果:
- 患有胆囊炎的HIV阳性患者患胆囊切除术的风险较低 (16.7%对23.0%,RR 0.727).
- 患有尾炎的HIV阳性患者的尾切除风险降低 (14.1%与17.3%,RR 0.819).
- 这两种分析都显示了统计学上显著的差异 (胆囊切除术的p < 0.0001,尾切除术的p < 0.0031).
结论:
- 这项研究表明,PLWHIV手术干预的显著差异.
- 与他们的HIV阴性对应物相比,PLWHIV的胆囊切除和尾切除率较低.
- 需要进一步的研究来了解这些差异的原因和临床影响.
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