种族对儿童阑尾炎结局的影响：一项全国性分析。

The effect of race on outcomes for appendicitis in children: a nationwide analysis.

机构信息

Department of Surgery, Madigan Army Medical Center, Tacoma, WA 98431, USA.

出版信息

Am J Surg. 2014 May;207(5):748-53; discussion 753. doi: 10.1016/j.amjsurg.2013.12.020. Epub 2014 Mar 12.

DOI:10.1016/j.amjsurg.2013.12.020

PMID:24791639

Abstract

BACKGROUND

We sought to examine the impact of race on the management and outcomes of appendicitis in children aged 20 years or younger.

METHODS

We studied 96,865 inpatient admissions for children undergoing an appendectomy for acute appendicitis in 2009 using the Kids' Inpatient Database.

RESULTS

Perforation at presentation was more common among African-Americans and Hispanics than Caucasians (27.5% and 32.5%, respectively, vs 23.9%, P < .001). African-Americans were less likely to have a laparoscopic procedure (odds ratio [OR]: .839, P < .001) and more likely to experience a complication (OR: 1.753, P < .001). Hispanics were also more likely to have a complication (OR: 1.123, P = .001). African-Americans and Hispanics remained in the hospital for .73 more days than Caucasians (3.07 vs 2.34 days, P < .001).

CONCLUSIONS

African-American and Hispanic children present more often with perforation. Adjusting for perforation, they were more likely to have a complication and longer hospital stays. Access to care and delayed presentations may be potential explanations.

摘要

背景

我们旨在研究种族对 20 岁或以下儿童阑尾炎治疗和结果的影响。

方法

我们使用儿童住院数据库研究了 2009 年 96865 例因急性阑尾炎接受阑尾切除术的住院儿童。

结果

穿孔在表现中更常见于非裔美国人和西班牙裔人，而不是白种人（分别为 27.5%和 32.5%，而白种人为 23.9%，P<0.001）。非裔美国人更不可能进行腹腔镜手术（比值比 [OR]：0.839，P<0.001），更有可能出现并发症（OR：1.753，P<0.001）。西班牙裔人也更容易出现并发症（OR：1.123，P=0.001）。非裔美国人和西班牙裔人比白人住院时间长 0.73 天（3.07 天 vs 2.34 天，P<0.001）。