在ICU入院率中的种族差异 冠状动脉后绕道移植和尾切除手术
Periklis Giannakis1,2, Junying Wang1, Helen Liu3,4
1Department of Anesthesiology, Critical Care & Pain Management, Hospital for Special Surgery, New York, NY, USA.
The American surgeon
|September 27, 2025
概括
在冠状动脉旁路移植 (CABG) 和尾切除术后,黑人患者在重症监护室 (ICU) 入院的几率更高. 然而,医院层面的因素,而不是提供者偏见,很可能解释了ICU入院率中的这些种族差异.
科学领域:
- 医学研究 医学研究
- 在健康方面存在差异.
- 外科手术的结果
背景情况:
- 进入重症监护室 (ICU) 是冠状动脉旁路移植 (CABG) 手术的标准护理 (SOC).
- 集中治疗室的入院是为复杂的尾切除病例保留的.
- 在获得医疗保健和医疗保健成果方面的种族差异是一个重大问题.
研究的目的:
- 调查ICU入院率中的种族差异.
- 为了检查黑人和白人患者接受CABG和尾切除术的ICU入院的差异.
- 确定在ICU利用中观察到的种族差异的潜在驱动因素.
主要方法:
- 分析美国国家数据库的成年患者接受住院CABG或尾切除.
- 黑人和白人患者之间的ICU入院率的比较.
- 使用混合效应模型来测量ICU入院,按程序分层.
- 敏感性分析控制医院级因素.
主要成果:
- 黑人患者在CABG (OR 1.35) 和尾切除术 (OR 1.11) 后的ICU入院几率明显更高.
- 对控制医院级因素的敏感性分析发现,在ICU入院中没有显著的种族差异.
- 研究结果表明,医院一级的变化,可能与了解不同患者需求有关,影响了ICU入院模式.
结论:
- 虽然CABG和尾切除患者的ICU入院存在种族差异,但这些差异可能归因于医院层面的因素,而不是提供者偏见.
- 文化,疾病相关和社会经济因素有助于造成差距.
- 需要进一步的研究来理解和解决医院相关的护理变化,以确保公平的ICU利用.
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