住院患者心脏骤停结果中的种族差异
Rahul Sharma1, Nadim Jaafar2, Pooja Selvam3
1Department of Internal Medicine, Greater Baltimore Medical Center, 6701 N. Charles St. Towson, Baltimore, MD, 21204, USA. rahulsharma110493@gmail.com.
Journal of racial and ethnic health disparities
|December 16, 2025
概括
种族差异在美国显著影响住院患者的心脏骤停的结果. 西班牙裔和黑人患者面临更高的死亡率和更长的住院时间,突出了关键的护理不平等.
科学领域:
- 心脏病学 心脏病学
- 医疗保健服务研究 医疗服务研究
- 健康 公平 卫生 公平
背景情况:
- 在医疗保健中的种族差异是美国的一个重大问题.
- 住院心脏骤停 (IPCA) 的结果可能受到这些差异的影响.
研究的目的:
- 调查种族差异对美国住院患者心脏骤停结果的影响.
- 分析种族如何影响死亡率,住院时间,医院费用和干预率.
主要方法:
- 利用2021年国家住院样本数据库进行IPCA识别.
- 进行多变量回归来评估种族和社会经济差异的影响.
- 分析了住院患者的死亡率,住院时间,总住院费用和先进的心脏干预.
主要成果:
- 确定了177,645个IPCA,其中75.4%导致住院患者的死亡率.
- 西班牙裔 (aOR 1.57) 和黑人 (aOR 1.24) 种群的住院死亡率明显高于白人.
- 黑人患者的住院时间最长,西班牙裔患者的住院费用最高.
结论:
- 种族差异明显影响住院患者的心脏骤停的结果.
- 进一步的研究至关重要,以解决和缩小这些差异,以获得公平的护理.
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