评估在获得常见的儿科/先天性透过导管干预的种族差异
Michael L O'Byrne1, Kevin F Kennedy2, Ryan Callahan3
1Division of Cardiology The Children's Hospital of Philadelphia and Department of Pediatrics Perelman School of Medicine at The University of Pennsylvania, Philadelphia, Pennsylvania, USA; Leonard Davis Institute The University of Pennsylvania, Philadelphia, Pennsylvania, USA; Cardiovascular Outcomes, Quality, and Evaluative Research Center, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania, USA.
JACC. Advances
|September 24, 2025
概括
具有先天性心脏病的种族和民族少数群体面临差异,包括延迟诊断和治疗在较低体积的中心. 解决这些不平等问题需要集中精力进行查,诊断和获得护理.
科学领域:
- 儿童心脏病学 儿童心脏病学
- 干预心脏病学 干预心脏病学
- 健康差距 研究 研究 研究 研究
背景情况:
- 出生性心脏手术的结果显示观察到的差异.
- 这种差异在儿科/先天性干预心脏病学中以前没有被研究过.
- 这项研究通过检查干预心脏病学中的种族-种族来解决这个差距.
研究的目的:
- 要确定黑人种族或西班牙裔种族是否与诊断的差异有关.
- 调查干预心脏病手术转诊模式的差异.
- 评估儿童患者获得心脏导管治疗的差异.
主要方法:
- 儿科患者 (≤18岁) 进行心房隔膜缺陷 (ASD) 装置关闭,专利性动脉通道,气球肺膜整形 (BPV) 或气球大动脉膜整形 (BAV) 的多中心队列研究.
- 2016年6月1日至2022年12月31日期间从IMPACT注册表收集的数据.
- 评估了种族-种族,手术年龄,疾病严重程度,不良事件风险和治疗中心数量之间的关联.
主要成果:
- 20,632名受试者在ASD,专利导管动脉,BPV和BAV程序中进行了分析.
- 种族-种族与ASD和BPV手术时的年龄较大有关 (P < 0.05).
- 少数民族的种族-种族与更严重的BPV和BAV疾病相关 (P<0.05) 和在低体积中心接受治疗的比例更高.
结论:
- 少数民族种族-种族与推迟转诊和更严重的先天性心脏病有关.
- 这些发现表明,在转诊和/或获得护理方面存在重大差异.
- 未来的努力应优先考虑查,诊断和公平获取,以减轻这些差异.
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