患者人口统计学及其对心脏瓣膜手术后出院模式的影响

Q3 Medicine

Ethics, Medicine and Public Health Pub Date : 2025-01-01 DOI:10.1016/j.jemep.2025.101071

J. Katsiroubas , S. Basharkhah , S. Balaram

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引用次数: 0

摘要

目的本研究的目的是寻找与心脏瓣膜手术后住院时间延长和患者处理类型相关的因素。方法查询最近一年可用的全国计划与研究合作系统（SPARCS）数据库，以确定接受非血管内心脏瓣膜手术的患者。分析患者的人口统计数据，包括性别、种族和年龄。主要结局是住院时间和患者的情绪。结果通过SPACRCS数据库共查询了4,815例患者，这些患者均在2021年接受了非血管内心脏瓣膜手术。这些患者中大多数是男性，占62.2%。年龄分为5个年龄段，50-69岁年龄段的人所占比例最大，为48.91%。种族数据显示，白人占67.1%，黑人/非洲裔占9.1%，多种族占1.2%，其他种族占22.7%。平均住院时间（LOS）为11.4天。值得注意的是，黑人/非裔美国人患者的平均生存时间最长，为14.3天，而白人患者的平均生存时间为10.2天，多种族患者为11.3天，其他种族患者为13.7天。在出院处置方面，47.6%的人被送回家接受家庭护理。在这些患者中，男性占64.8%，白人占66.1%。相反，只有3.4%的患者出院到住院康复机构，在这一组中，54.4%的患者年龄在70岁或以上。出院到住院康复机构的患者平均生存期为22.3天，而出院回家接受家庭服务的患者平均生存期为10.2天。结论多种因素影响着纽约州心脏瓣膜手术后的出院模式。进一步的研究和分析将有助于了解推动这些趋势的潜在因素，并改善对这一患者群体的护理质量和资源分配。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Patient demographics and their impact on discharge patterns following cardiac valve surgery

Objective

The objective of this study is to find factors associated with increased length of stay and type of patient disposition after cardiac valve surgery

Methods

The Statewide Planning and Research Cooperative System (SPARCS) database for the most recent year available was queried to identify patients who had undergone non-endovascular cardiac valve surgery. Patient demographics including gender, race, and age, were analyzed. Primary outcomes were length of stay and patient disposition.

Results

A total of 4,815 patients were queried via the SPACRCS database, all of whom had undergone a non-endovascular heart valve procedure in the year 2021. The majority of these patients, constituting 62.2 percent, were male. Age was categorized into five groups, with the largest proportion, 48.91 percent, falling within the 50–69 age range. Race data indicated that 67.1 percent were White, 9.1 percent were Black/African American, 1.2 percent were multiracial, and 22.7 percent identified as other races. The mean length of stay (LOS) was calculated at 11.4 days. Notably, Black/African American patients had the longest mean LOS at 14.3 days, whereas White patients had an average LOS of 10.2 days, multiracial patients had 11.3 days, and those identifying as other races had 13.7 days. When it came to discharge dispositions, 47.6 percent were sent home with home care. Among these patients, a significant portion, 64.8 percent, were male, and 66.1 percent were White. Conversely, only 3.4 percent of patients were discharged to an inpatient rehabilitation facility, and within this group, 54.4 percent were aged 70 or older. Patients discharged to an inpatient rehabilitation facility averaged a LOS of 22.3 days versus 10.2 days for patients discharged home with home services.

Conclusion

A variety of factors influence the discharge pattern of after cardiac valve surgery in New York State. Further research and analysis would be beneficial to understand the underlying factors driving these trends and to improve the quality of care and resource allocation for this patient population.

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来源期刊

Ethics, Medicine and Public Health Medicine-Health Policy

CiteScore

2.20

自引率

0.00%

发文量

107

审稿时长

42 days

期刊介绍： This review aims to compare approaches to medical ethics and bioethics in two forms, Anglo-Saxon (Ethics, Medicine and Public Health) and French (Ethique, Médecine et Politiques Publiques). Thus, in their native languages, the authors will present research on the legitimacy of the practice and appreciation of the consequences of acts towards patients as compared to the limits acceptable by the community, as illustrated by the democratic debate.