新泽西州住院患者数据库（2009-2014 年）中西班牙裔亚组患者在急诊普通外科手术后结局的差异：西班牙裔人群并非铁板一块。

Differences in outcomes after emergency general surgery between Hispanic subgroups in the New Jersey State Inpatient Database (2009-2014): The Hispanic population is not monolithic.

机构信息

Department of Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.

Case Western Reserve University School of Medicine, Cleveland, OH, USA.

出版信息

Am J Surg. 2021 Sep;222(3):492-498. doi: 10.1016/j.amjsurg.2021.03.057. Epub 2021 Apr 2.

DOI:10.1016/j.amjsurg.2021.03.057

PMID:33840445

Abstract

BACKGROUND

Our aim was to examine differences in clinical outcomes between Hispanic subgroups who underwent emergency general surgery (EGS).

METHODS

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).

RESULTS

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).

CONCLUSIONS

There are significant differences in EGS outcomes between Hispanic subgroups. These differences could be missed when data are aggregated at Hispanic ethnicity.

摘要

背景

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。

方法

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。

结果

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）。