Department of Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.
Case Western Reserve University School of Medicine, Cleveland, OH, USA.
Am J Surg. 2021 Sep;222(3):492-498. doi: 10.1016/j.amjsurg.2021.03.057. Epub 2021 Apr 2.
Our aim was to examine differences in clinical outcomes between Hispanic subgroups who underwent emergency general surgery (EGS).
Retrospective cohort study of the HCUP State Inpatient Database from New Jersey (2009-2014), including Hispanic and non-Hispanic White (NHW) adult patients who underwent EGS. Multivariable analyses were performed on outcomes including 7-day readmission and length of stay (LOS).
125,874 patients underwent EGS operations. 22,971 were Hispanic (15,488 with subgroup defined: 7,331 - Central/South American; 4,254 - Puerto Rican; 3,170 - Mexican; 733 - Cuban). On multivariable analysis, patients in the Central/South American subgroup were more likely to be readmitted compared to the Mexican subgroup (OR 2.02; p < 0.001, respectively). Puerto Rican and Central/South American subgroups had significantly shorter LOS than Mexican patients (Puerto Rico -0.58 days; p < 0.001; Central/South American -0.30 days; p = 0.016).
There are significant differences in EGS outcomes between Hispanic subgroups. These differences could be missed when data are aggregated at Hispanic ethnicity.
我们的目的是研究接受紧急普通外科手术（EGS）的西班牙裔亚组之间临床结果的差异。
这是一项回顾性队列研究，使用新泽西州 HCUP 州际住院患者数据库（2009-2014 年），包括接受 EGS 的西班牙裔和非西班牙裔白人（NHW）成年患者。对包括 7 天再入院和住院时间（LOS）在内的结局进行多变量分析。
共 125874 例患者接受 EGS 手术。22971 例为西班牙裔（15488 例有亚组定义：7331 例-中/南美洲；4254 例-波多黎各；3170 例-墨西哥；733 例-古巴）。多变量分析显示，中/南美洲亚组患者再入院的可能性高于墨西哥亚组（OR 2.02；p<0.001）。波多黎各和中/南美洲亚组的 LOS 明显短于墨西哥患者（波多黎各-0.58 天；p<0.001；中/南美洲-0.30 天；p=0.016）。
西班牙裔亚组之间的 EGS 结局存在显著差异。当数据以西班牙裔种族聚集时，这些差异可能会被忽略。
