心脏手术围手术期和术后的种族和民族差异。

IF 2 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS
Current Cardiovascular Risk Reports Pub Date : 2024-01-01 Epub Date: 2024-07-29 DOI:10.1007/s12170-024-00739-4
Shane S Scott, Doug A Gouchoe, Lovette Azap, Matthew C Henn, Kukbin Choi, Nahush A Mokadam, Bryan A Whitson, Timothy M Pawlik, Asvin M Ganapathi
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引用次数: 0

摘要

回顾的目的:尽管人们努力减少种族对医疗护理的影响,但种族仍然是心脏手术后发病率和死亡率的一个重要风险因素。虽然少数种族和少数族裔患者在心脏外科手术中的比例偏低,但他们在各种心脏外科手术后的不良后果却高得不成比例。本综述对现有文献进行了总结,强调了冠状动脉搭桥手术、瓣膜手术、心脏移植和机械循环支持等方面的差异:不幸的是,由于种族与术后结果之间的复杂关系,即使在大型多中心研究中也很难确定造成这些差异的具体原因。目前的数据表明,这些种族/人种差异可归因于患者、社会经济和医院环境特征的综合作用。总结:为消除所观察到的差异结果背后的机制,建议的解决方案需要部署一个由心脏病专家、麻醉专家、心脏外科专家以及医疗公平和医学伦理专家组成的多学科团队。成功识别高危人群并实施预防措施是消除心脏手术结果中种族/民族差异的第一步。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Racial and Ethnic Disparities in Peri-and Post-operative Cardiac Surgery.

Purpose of review: Despite efforts to curtail its impact on medical care, race remains a powerful risk factor for morbidity and mortality following cardiac surgery. While patients from racial and ethnic minority groups are underrepresented in cardiac surgery, they experience a disproportionally elevated number of adverse outcomes following various cardiac surgical procedures. This review provides a summary of existing literature highlighting disparities in coronary artery bypass surgery, valvular surgery, cardiac transplantation, and mechanical circulatory support.

Recent findings: Unfortunately, specific causes of these disparities can be difficult to identify, even in large, multicenter studies, due to the complex relationship between race and post-operative outcomes. Current data suggest that these racial/ethnic disparities can be attributed to a combination of patient, socioeconomic, and hospital setting characteristics.

Summary: Proposed solutions to combat the mechanisms underlying the observed disparate outcomes require deployment of a multidisciplinary team of cardiologists, anesthesiologists, cardiac surgeons, and experts in health care equity and medical ethics. Successful identification of at-risk populations and the implementation of preventive measures are necessary first steps towards dismantling racial/ethnic differences in cardiac surgery outcomes.

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来源期刊
Current Cardiovascular Risk Reports
Current Cardiovascular Risk Reports CARDIAC & CARDIOVASCULAR SYSTEMS-
CiteScore
3.00
自引率
0.00%
发文量
23
期刊介绍: The aim of this journal is to keep readers informed by providing cutting-edge reviews on key topics pertaining to cardiovascular risk. We use a systematic approach: international experts prepare timely articles on relevant topics that highlight the most important recent original publications. We accomplish this aim by appointing Section Editors in major subject areas across the discipline of cardiovascular medicine to select topics for review articles by leading experts who emphasize recent developments and highlight important papers published in the past year. An Editorial Board of internationally diverse members suggests topics of special interest to their country/region and ensures that topics are current and include emerging research. We also provide commentaries from well-known figures in the field.
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