文献检索文档翻译深度研究
Suppr Zotero 插件Zotero 插件
邀请有礼套餐&价格历史记录

新学期,新优惠

限时优惠:9月1日-9月22日

30天高级会员仅需29元

1天体验卡首发特惠仅需5.99元

了解详情
不再提醒
插件&应用
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
高级版
套餐订阅购买积分包
AI 工具
文献检索文档翻译深度研究
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利:CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2025

新冠疫情对德克萨斯州四级孕产妇护理中心椎管内分娩镇痛种族差异的影响。

Effect of the COVID-19 pandemic on racial disparities in neuraxial labor analgesia at a Texas level IV maternal care center.

作者信息

Torres Abigail, Ruiz Luis, Jepson Logan, Howell Megan, Carlson Alexandra, Stacey Joanna, Hammonds Kendall, Hofkamp Michael P

机构信息

Texas A&M Health Science Center College of Medicine, Temple, Texas.

Department of Obstetrics and Gynecology, Baylor Scott & White Medical Center - Temple, Temple, Texas.

出版信息

Proc (Bayl Univ Med Cent). 2022 Sep 13;36(1):30-33. doi: 10.1080/08998280.2022.2121106. eCollection 2023.


DOI:10.1080/08998280.2022.2121106
PMID:36578616
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9762754/
Abstract

We hypothesized that racial disparities in labor epidural analgesia at our hospital that existed prior to the COVID-19 pandemic would be exacerbated during the COVID-19 pandemic. We examined patients who delivered vaginally at our hospital for the last 6 months of 2019 and the last 6 months of 2020. We performed joint testing of coefficient values, and the interaction term between race and year of delivery was not significant (0.364). A multivariate logistic regression model found that Hispanic patients (odds ratio 0.555 [0.408, 0.756],  < 0.001) and Black or African American patients (odds ratio 0.613 [0.408, 0.921],  = 0.018) were less likely to receive labor epidural analgesia compared to White or Caucasian patients. Odds ratios of receiving labor epidural analgesia were higher with increasing gestational age (1.116 [1.067, 1.168],  < 0.001) and lower with increasing parity (0.789 [0.719, 0.867],  < 0.001). The year of birth that corresponded to before or during the COVID-19 pandemic did not predict whether a patient received labor epidural analgesia (1.247 [0.941, 1.652],  = 0.124). Because the interaction between race and year of birth was not statistically significant, we conclude that the COVID-19 pandemic did not exacerbate racial disparities in labor epidural analgesia at our hospital.

摘要

我们假设,在我们医院,新冠疫情大流行之前就存在的分娩硬膜外镇痛方面的种族差异,在新冠疫情大流行期间会加剧。我们研究了在2019年最后6个月和2020年最后6个月在我们医院经阴道分娩的患者。我们对系数值进行了联合检验,种族与分娩年份之间的交互项不显著(0.364)。多因素逻辑回归模型发现,与白人或高加索患者相比,西班牙裔患者(优势比0.555[0.408, 0.756],P<0.001)和黑人或非裔美国患者(优势比0.613[0.408, 0.921],P = 0.018)接受分娩硬膜外镇痛的可能性较小。随着孕周增加,接受分娩硬膜外镇痛的优势比更高(1.116[1.067, 1.168],P<0.001),随着产次增加,优势比更低(0.789[0.719, 0.867],P<0.001)。对应于新冠疫情大流行之前或期间的出生年份并不能预测患者是否接受分娩硬膜外镇痛(1.247[0.941, 1.652],P = 0.124)。由于种族与出生年份之间的交互作用无统计学意义,我们得出结论,新冠疫情大流行并未加剧我们医院分娩硬膜外镇痛方面的种族差异。

相似文献

[1]
Effect of the COVID-19 pandemic on racial disparities in neuraxial labor analgesia at a Texas level IV maternal care center.

Proc (Bayl Univ Med Cent). 2022-9-13

[2]
Effect of the COVID-19 pandemic on racial disparities in postpartum visits at a Texas level IV maternal center.

Proc (Bayl Univ Med Cent). 2023-7-5

[3]
Racial and ethnic disparities in neuraxial labor analgesia.

Anesth Analg. 2011-11-10

[4]
A prospective observational study of ethnic and racial differences in neuraxial labor analgesia request and pain relief.

Anesth Analg. 2014-7

[5]
Racial differences in the use of epidural analgesia for labor.

Anesthesiology. 2007-1

[6]
Nitrous Oxide During Labor: Maternal Satisfaction Does Not Depend Exclusively on Analgesic Effectiveness.

Anesth Analg. 2017-2

[7]
Preferred spoken language mediates differences in neuraxial labor analgesia utilization among racial and ethnic groups.

Int J Obstet Anesth. 2014-5

[8]
Racial and ethnic disparities in the provision of epidural analgesia to Georgia Medicaid beneficiaries during labor and delivery.

Am J Obstet Gynecol. 2004-8

[9]
What's New in Neuraxial Labor Analgesia.

Curr Anesthesiol Rep. 2021

[10]
Structural Racism and Use of Labor Neuraxial Analgesia Among Non-Hispanic Black Birthing People.

Obstet Gynecol. 2024-4-1

引用本文的文献

[1]
Examining the Impact of the Syndemic on Black Birthing Individuals in the USA: a Systematic Review.

J Racial Ethn Health Disparities. 2025-2-24

[2]
Racial Disparities in Anesthesia Care: A Systematic Review of Pain Management and Patient Outcomes.

Cureus. 2024-9-9

[3]
Reader comments.

Proc (Bayl Univ Med Cent). 2022-11-17

本文引用的文献

[1]
Racial-ethnic disparities and pregnancy outcomes in SARS-CoV-2 infection in a universally-tested cohort in Houston, Texas.

Eur J Obstet Gynecol Reprod Biol. 2020-11

[2]
Racial and ethnic disparities in severe maternal morbidity and anesthetic techniques for obstetric deliveries: A multi-state analysis, 2007-2014.

J Clin Anesth. 2020-10

[3]
ACOG Practice Bulletin No. 209 Summary: Obstetric Analgesia and Anesthesia.

Obstet Gynecol. 2019-3

[4]
Racial and ethnic disparities in obstetric anesthesia.

Semin Perinatol. 2017-6-7

[5]
Practice Guidelines for Obstetric Anesthesia: An Updated Report by the American Society of Anesthesiologists Task Force on Obstetric Anesthesia and the Society for Obstetric Anesthesia and Perinatology.

Anesthesiology. 2016-2

[6]
Race inequality in epidural use and regional anesthesia failure in labor and birth: an examination of women's experience.

Sex Reprod Healthc. 2014-12

[7]
Racial and ethnic disparities in neuraxial labor analgesia.

Anesth Analg. 2011-11-10

[8]
Exploring factors influencing patient request for epidural analgesia on admission to labor and delivery in a predominantly Latino population.

J Immigr Minor Health. 2012-4

[9]
Racial differences in the use of epidural analgesia for labor.

Anesthesiology. 2007-1

[10]
Racial and ethnic disparities in the provision of epidural analgesia to Georgia Medicaid beneficiaries during labor and delivery.

Am J Obstet Gynecol. 2004-8

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

推荐工具

医学文档翻译智能文献检索