基层医疗医生的患者种族与入住重症监护病房后的生存率之间的关系。
Relationship between patient race and survival following admission to intensive care among patients of primary care physicians.
作者信息
Horner R D, Lawler F H, Hainer B L
机构信息
Department of Veteran Affairs Medical Center, Duke University Medical Center, Durham, NC 27705.
出版信息
Health Serv Res. 1991 Oct;26(4):531-42.
Abstract
This study investigated the existence of racial differences in the survival of patients admitted to intensive care by family physicians and general internists for circulatory illnesses. The study population consisted of 249 consecutive patients admitted by these specialists to an ICU in a tertiary care hospital in Pitt County, North Carolina, during the June 1985 to June 1986 period. Logistic regression was used to specify the unique effect of race on ICU patient survival in-hospital, controlling for potential confounding factors such as disease severity, type of health insurance, and case mix. Black patients were almost three times more likely than white patients to die in-hospital following admission to the ICU (RR = 2.9, 95 percent I = 1.5, 5.6). Most of this difference in survival was explained by racial differences in disease severity.
摘要
本研究调查了家庭医生和普通内科医生收治的因循环系统疾病入住重症监护病房的患者在生存方面是否存在种族差异。研究对象为1985年6月至1986年6月期间，由这些专科医生连续收治到北卡罗来纳州皮特县一家三级护理医院重症监护病房的249名患者。采用逻辑回归分析来确定种族对重症监护病房患者院内生存的独特影响，并控制潜在的混杂因素，如疾病严重程度、医疗保险类型和病例组合。黑人患者入住重症监护病房后院内死亡的可能性几乎是白人患者的三倍（相对危险度=2.9，95%可信区间=1.5，5.6）。这种生存差异大部分可由疾病严重程度的种族差异来解释。
相似文献
1
Relationship between patient race and survival following admission to intensive care among patients of primary care physicians.基层医疗医生的患者种族与入住重症监护病房后的生存率之间的关系。
Health Serv Res. 1991 Oct;26(4):531-42.
2
The effect of race and ethnicity on outcomes among patients in the intensive care unit: a comprehensive study involving socioeconomic status and resuscitation preferences.种族和民族对重症监护病房患者结局的影响：一项涉及社会经济地位和复苏偏好的综合研究。
Crit Care Med. 2011 Mar;39(3):429-35. doi: 10.1097/CCM.0b013e318206b3af.
3
African-American and white patients admitted to the intensive care unit: is there a difference in therapy and outcome?入住重症监护病房的非裔美国患者和白人患者：治疗方法及治疗结果是否存在差异？
Crit Care Med. 1995 Apr;23(4):626-36. doi: 10.1097/00003246-199504000-00009.
4
Rates of Influenza-Associated Hospitalization, Intensive Care Unit Admission, and In-Hospital Death by Race and Ethnicity in the United States From 2009 to 2019.2009 年至 2019 年美国按种族和族裔划分的流感相关住院率、重症监护病房入院率和住院死亡率。
JAMA Netw Open. 2021 Aug 2;4(8):e2121880. doi: 10.1001/jamanetworkopen.2021.21880.
5
6
Use of Electronic Health Record Data to Evaluate the Impact of Race on 30-Day Mortality in Patients Admitted to the Intensive Care Unit.利用电子健康记录数据评估种族对 ICU 住院患者 30 天死亡率的影响。
J Racial Ethn Health Disparities. 2017 Aug;4(4):539-548. doi: 10.1007/s40615-016-0256-6. Epub 2016 Jun 20.
7
Disparities of care for African-Americans and Caucasians with community-acquired pneumonia: a retrospective cohort study.非裔美国人和白种人社区获得性肺炎护理的差异：一项回顾性队列研究。
BMC Health Serv Res. 2010 May 27;10:143. doi: 10.1186/1472-6963-10-143.
8
Do hospitals provide lower quality of care to black patients for pneumonia?医院为肺炎黑人患者提供的护理质量是否较低？
Crit Care Med. 2010 Mar;38(3):759-65. doi: 10.1097/CCM.0b013e3181c8fd58.
9
Racial and Ethnic Disparities in Rates of COVID-19-Associated Hospitalization, Intensive Care Unit Admission, and In-Hospital Death in the United States From March 2020 to February 2021.2020 年 3 月至 2021 年 2 月期间美国 COVID-19 相关住院率、重症监护病房入院率和住院死亡率的种族和民族差异。
JAMA Netw Open. 2021 Oct 1;4(10):e2130479. doi: 10.1001/jamanetworkopen.2021.30479.
10
Effect of race on survival following in-hospital cardiopulmonary resuscitation.种族对院内心肺复苏后生存率的影响。
J Fam Pract. 1995 Jun;40(6):571-7.
引用本文的文献
1
Comparative costs for critically ill patients with limited English proficiency versus English proficiency.英语水平有限的危重症患者与英语熟练患者的比较成本。
PLoS One. 2023 Apr 26;18(4):e0279126. doi: 10.1371/journal.pone.0279126. eCollection 2023.
2
An Innovative Individual-Level Socioeconomic Measure Predicts Critical Care Outcomes in Older Adults: A Population-Based Study.一种创新的个体层面社会经济衡量指标可预测老年重症患者的预后：一项基于人群的研究。
J Intensive Care Med. 2021 Jul;36(7):828-837. doi: 10.1177/0885066620931020. Epub 2020 Jun 25.
3
Low serum 25-hydroxyvitamin D at critical care initiation is associated with increased mortality.起始重症监护时血清 25-羟维生素 D 水平低与死亡率增加相关。
Crit Care Med. 2012 Jan;40(1):63-72. doi: 10.1097/CCM.0b013e31822d74f3.
4
Neighborhood poverty rate and mortality in patients receiving critical care in the academic medical center setting.学术医疗中心重症监护患者的社区贫困率与死亡率。
Chest. 2011 Jun;139(6):1368-1379. doi: 10.1378/chest.10-2594. Epub 2011 Mar 31.
5
The effect of race and ethnicity on outcomes among patients in the intensive care unit: a comprehensive study involving socioeconomic status and resuscitation preferences.种族和民族对重症监护病房患者结局的影响：一项涉及社会经济地位和复苏偏好的综合研究。
Crit Care Med. 2011 Mar;39(3):429-35. doi: 10.1097/CCM.0b013e318206b3af.
6
Predictors of early postdischarge mortality in critically ill patients: a retrospective cohort study from the California Intensive Care Outcomes project.危重症患者出院后早期死亡的预测因素：来自加利福尼亚重症监护结局项目的回顾性队列研究。
J Crit Care. 2011 Feb;26(1):65-75. doi: 10.1016/j.jcrc.2010.06.010. Epub 2010 Aug 16.
7
Racial/ethnic differences in the relationship between the use of health care services and functional disability: the health and retirement study (1992-2004).医疗服务使用与功能残疾之间关系中的种族/民族差异：健康与退休研究（1992 - 2004年）
Gerontologist. 2008 Oct;48(5):659-67. doi: 10.1093/geront/48.5.659.
8
APACHE and Brazilian intensive care units.
Sao Paulo Med J. 2003 Mar 5;121(2):43-4. doi: 10.1590/s1516-31802003000200001. Epub 2003 Jul 14.
9
Race, resource use, and survival in seriously ill hospitalized adults. The SUPPORT Investigators.
J Gen Intern Med. 1996 Jul;11(7):387-96. doi: 10.1007/BF02600183.
10
Racial/ethnic differences in health care utilization of cardiovascular procedures: a review of the evidence.心血管手术医疗服务利用方面的种族/民族差异：证据综述
Health Serv Res. 1995 Apr;30(1 Pt 2):237-52.
本文引用的文献
1
Medical intensive care: indications, interventions, and outcomes.医学重症监护：适应症、干预措施及结果。
N Engl J Med. 1980 Apr 24;302(17):938-42. doi: 10.1056/NEJM198004243021703.
2
Influence of age, previous health status, and severity of acute illness on outcome from intensive care.年龄、既往健康状况及急性疾病严重程度对重症监护结局的影响。
Crit Care Med. 1982 Sep;10(9):575-7. doi: 10.1097/00003246-198209000-00003.
3
Hospital charges and long-term survival of ICU versus non-ICU patients.
Crit Care Med. 1982 Sep;10(9):569-74. doi: 10.1097/00003246-198209000-00002.
4
Costs and outcomes of medical intensive care.医学重症监护的成本与结果。
Med Care. 1982 Feb;20(2):165-79. doi: 10.1097/00005650-198202000-00004.
5
Severity of illness and the relationship between intensive care and survival.疾病严重程度以及重症监护与生存之间的关系。
Am J Public Health. 1982 May;72(5):449-54. doi: 10.2105/ajph.72.5.449.
6
Relationship of patient age to cost and survival in a medical ICU.医疗重症监护病房中患者年龄与费用及生存率的关系。
Crit Care Med. 1983 Mar;11(3):155-9. doi: 10.1097/00003246-198303000-00001.
7
Prognosis, survival, and the expenditure of hospital resources for patients in an intensive-care unit.
N Engl J Med. 1981 Sep 17;305(12):667-72. doi: 10.1056/NEJM198109173051204.
8
Statistical validation of a severity of illness measure.疾病严重程度测量指标的统计学验证
Am J Public Health. 1983 Aug;73(8):878-84. doi: 10.2105/ajph.73.8.878.
9
Ischemic heart disease prognosis. A community-wide assessment (1966-1969).缺血性心脏病的预后。一项全社区范围的评估（1966 - 1969年）。
JAMA. 1972 Mar 13;219(11):1423-7.
10
A method for predicting survival and mortality of ICU patients using objectively derived weights.一种使用客观得出的权重预测重症监护病房患者生存和死亡情况的方法。
Crit Care Med. 1985 Jul;13(7):519-25. doi: 10.1097/00003246-198507000-00001.
Zotero 插件