初次全髋关节置换术后围手术期并发症的种族差异。
Racial disparities in peri-operative complications following primary total hip arthroplasty.
作者信息
Johnson Mitchell A, Sloan Matthew, Lopez Viviana Serra, Andah Gerald, Sheth Neil, Nelson Charles
机构信息
Division of Orthopaedic Surgery, Hospital of the University of Pennsylvania, 3400 Spruce St, Philadelphia, PA, 19104, USA.
出版信息
J Orthop. 2020 Mar 26;21:155-160. doi: 10.1016/j.jor.2020.03.037. eCollection 2020 Sep-Oct.
Abstract
BACKGROUND
This study assesses if post-operative outcomes following THA vary by racial groups.
METHODS
A review of the ACS-NSQIP database was performed to compare THA patient outcomes from 2008 to 2016 according to race.
RESULTS
During the study period, 117,389 THA patients were identified. Blacks were at significantly increased risk of peri-operative complications in comparison to non-Hispanic Whites, including serious medical morbidity (+27%), and prolonged length of stay (+53%).
CONCLUSIONS
Despite multivariate control and propensity-matched analysis of important risk factors, race independently predicts longer operative times and higher rates of discharge to non-home facilities.
摘要
背景
本研究评估全髋关节置换术（THA）后的术后结果是否因种族不同而有所差异。
方法
对美国外科医师学会国家外科质量改进计划（ACS-NSQIP）数据库进行回顾，以比较2008年至2016年期间不同种族的THA患者的治疗结果。
结果
在研究期间，共识别出117389例THA患者。与非西班牙裔白人相比，黑人围手术期并发症的风险显著增加，包括严重的医疗并发症（增加27%）和住院时间延长（增加53%）。
结论
尽管对重要风险因素进行了多变量控制和倾向匹配分析，但种族独立预测手术时间更长以及转至非家庭机构的出院率更高。
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