社会经济劣势与传染性内心炎的操作结果的关联
Barzin Badiee1, Sara Sakowitz1, Saad Mallick1
1Cardiovascular Outcomes Research Laboratories (CORELAB), David Geffen School of Medicine, University of California, Los Angeles, California, United States of America.
PloS one
|November 13, 2025
概括
患有不良健康社会决定因素 (SDOH) 的患者在感染性内心炎 (IE) 手术后面临更糟糕的结果和更高的成本. 需要有针对性的干预措施来解决这些健康差异.
科学领域:
- 心血管外科心血管外科
- 医疗保健服务研究 医疗服务研究
- 公共卫生 公共卫生
背景情况:
- 健康的社会决定因素 (SDOH) 显著导致心血管疾病的差异.
- 社会经济劣势对感染性内心炎 (IE) 手术后的结果的影响尚不清楚.
研究的目的:
- 调查社会经济劣势与IE经营管理后的结果之间的关联.
- 根据SDOH,在IE手术患者中发现发病率和资源利用方面的差异.
主要方法:
- 针对IE心脏门手术的成人住院病例分析 (2016-2021全国再接收数据库).
- 根据不良SDOH,将患者分为弱势群和非弱势群.
- 多变量回归模型用于评估劣势与关键临床和经济终点之间的联系.
主要成果:
- 31.9%的IE手术住院被归类为处于不利地位,从2016年至2021年有上升趋势.
- 处于不利地位的患者患急性损伤,中风和长期机械呼吸率较高.
- 不良SDOH与更长的住院时间,成本增加和更高的90天再入院率有关.
结论:
- 不良的SDOH独立地与IE手术后的发病率和资源利用率增加有关.
- 需要全面的SDOH查和有针对性的干预措施来缓解IE护理中的差异.
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