在不同经济环境中对裂管理进行比较研究:美国与危地马拉
Emmanuel Tuchez1, Juan Diego Rojas Camacho1, Kalpnaben R Patel2
1Moore Pediatric Surgery Center, Guatemala City, Guatemala.
概括
与美国患者相比,危地马拉的患者经历了唇裂修复的延迟,并且获得多学科护理的机会较少. 这凸显了两国间裂护理管理的巨大差异.
科学领域:
- 面外科手术 面外科手术
- 全球卫生平等全球卫生平等
- 儿童整形外科 儿童整形外科
背景情况:
- 唇裂 (CLP) 的管理在全球范围内有所不同,受医疗保健的获取和资源的影响.
- 了解高收入和低资源环境之间的CLP护理差异对于改善患者的治疗结果至关重要.
研究的目的:
- 为了比较美国和危地马拉的CLP管理,包括手术时间,二次手术和多学科护理的准入.
- 识别不同医疗保健系统中CLP治疗和结果的差异.
主要方法:
- 一项多中心的回顾性队列研究分析了来自1693名患有CLP的患者 (0-21岁) 的匿名数据.
- 数据是从范德比尔特大学医学中心 (美国) 和摩尔儿科手术中心 (危地马拉) 在2011年至2024年期间收集的.
主要成果:
- 危地马拉的患者明显延迟了初级CLP修复 (p < .001) 和 palatal fistula (24%对7%) 和唇部修复 (15%对8%) 的更高率.
- 在美国,获得多学科护理的机会,比如牙切除管 (70%与10%相比) 和牙科修复 (24%与17%),在美国大大增加 (p < .001).
- 超过一半的危地马拉患者居住在农村,面临着大量的旅行负担来获得护理.
结论:
- 美国和危地马拉之间在CLP管理方面存在显著差异,其特点是手术干预延迟.
- 系统性,地理和社会经济障碍导致这些差异,影响最佳发展结果.
- 综合,可持续和本地支持的护理模式对于改善资源有限的环境中的CLP管理至关重要.
关键词:
裂口护理 裂口护理 裂口护理嘴唇裂和 palatal palatal 裂是指口唇裂和 palatal 裂是指口唇裂和 palatal 裂是指口唇裂.全球卫生健康全球卫生健康在健康方面存在差异.提供国际医疗保健服务.低收入和中等收入国家.低资源设置中的低资源设置更多相关视频
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