健康查和儿科手术结果的社会决定因素
Nicole Chicoine1, Dwight Barry2, Hannah Cockrell1
1Division of Pediatric General and Thoracic Surgery, Seattle Children's Hospital, 4800 Sand Point Way NE, Seattle, WA 98105, USA; Department of Surgery, University of Washington, Box 356410, 1959 NE Pacific St, Seattle, WA 98195, USA.
Journal of pediatric surgery
|February 5, 2026
概括
具有积极健康社会决定因素 (SDOH) 查反应的儿童在手术后的严重不良事件 (SAE) 发生率更高. 解决SDOH需求可以改善儿科外科护理.
科学领域:
- 儿科手术 儿科手术
- 医疗保健服务研究 医疗服务研究
- 健康的社会决定因素
背景情况:
- 之前的研究表明,儿科手术的结果存在社会经济差异.
- 现有研究使用广泛的SDOH指数,但特定查工具响应的影响尚不清楚.
研究的目的:
- 调查个人健康社会决定因素 (SDOH) 查工具反应与儿科手术后结果之间的关联.
- 确定特定的SDOH需求是否与儿童的不良外科事件相关.
主要方法:
- 对28130名儿科手术患者 (0-21岁) 的回顾性分析.
- 贝叶斯逻辑回归用于分析四域SDOH查工具与30天死亡率/SAE之间的关系.
- 包括对ASA,病例持续时间和患者年龄的调整.
主要成果:
- 30天死亡率和SAE的发生率分别为0.1%和10%.
- 阳性SDOH查与30天死亡率和单变量分析的SAE增加的几率有关.
- 住房不稳定和财务紧张与SAE风险增加有关,在多变量调整后继续存在关联.
结论:
- 患有SDOH查反应阳性的儿科外科患者面临更高的严重不良事件 (SAE) 发生率.
- 分析SDOH与外科手术前期结果相关的需求对于优化为所有儿童提供外科手术护理至关重要.
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