儿童气管切除术中的父母收入和长期存活率:台湾的一项基于人口的研究
Chia-Hsuan Lee1,2, Che-Yi Lin3,4, Kun-Tai Kang1,3,5
1Department of Otolaryngology and Sleep Center, Taipei Hospital, Ministry of Health and Welfare, New Taipei City, Taiwan.
The Laryngoscope
|February 25, 2026
概括
较低的父母收入显著增加了儿童进行气管切除术的死亡风险. 这项研究强调了儿科医疗保健结果的社会经济差异.
科学领域:
- 儿科手术 儿科手术
- 健康 结果 研究 研究 结果
- 健康的社会经济决定因素
背景情况:
- 儿科气管切除术是儿童呼吸道管理的一个关键干预措施.
- 社会经济因素可能会影响小儿气管切除术后的长期健康结果.
- 了解这些差异对于改善护理公平至关重要.
研究的目的:
- 调查台湾儿科气管切除术患者的父母收入与长期死亡率之间的关联.
- 为了确定需要气管切除的儿童的结果的潜在社会经济差异.
主要方法:
- 使用台湾国家医疗保险研究数据库 (NHIRD) 进行的回顾性,基于人口的研究.
- 包括2000年至2014年间接受气管切除术的所有儿科患者 (<18岁),直到2019年进行跟踪.
- 根据照顾者的月收入,将父母的收入分为低,中,高的类别.
主要成果:
- 总共分析了2031名儿童,收入群体样本大小相似.
- 与高收入组相比,低收入组儿童的住院,1年,5年和整体死亡率显著更高 (P < 0.001).
- 多变量分析证实低收入儿童的死亡风险增加 (HRs从4.48到6.38).
结论:
- 较低的父母收入是导致气管切除术儿童死亡率增加的重要风险因素.
- 社会经济地位在儿童气管切除术患者的长期生存中起着至关重要的作用.
- 调查结果强调需要有针对性的干预措施,以减轻儿科护理中的社会经济差异.
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