分析选择性与紧急结直肠手术的老年患者的种族差异：一项国家外科质量改进计划（NSQIP）分析。

IF 2.7 3区医学 Q1 SURGERY

American journal of surgery Pub Date : 2025-05-07 DOI:10.1016/j.amjsurg.2025.116397

Spencer T Johnson, Venu Bangla, Adriano Cuadros, Alexandra Z Agathis, Jeanne Wu, Celia M Divino

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引用次数: 0

摘要

目的：与选择性手术相比，非选择性结直肠手术与并发症风险增加有关，这在老年患者中尤为突出。本研究考察了老年患者中选择性与非选择性结直肠手术率的种族/民族差异。方法：这项回顾性队列研究纳入了在国家外科质量改进计划数据库中登记的年龄≥65岁的患者的数据。使用多变量逻辑回归，我们检查了种族/民族与选择性与非选择性手术状态之间的关系。结果：在79,497例患者中，24,544例（30.9%）接受了非选择性结直肠手术。81.1%的患者为白人，8.93%为黑人，5.3%为西班牙裔，4.1%为亚洲人，0.6%为NAPI。多因素分析显示黑人和西班牙裔患者接受非择期手术的优势比更高(黑人= 1.38,95% CI 1.30-1.47, p < 0.01；拉美裔= 1.54,95% CI 1.43 - -1.67, p < 0.01)。结论：黑人和西班牙裔老年患者更有可能接受非选择性手术。

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Analyzing racial and ethnic disparities among geriatric patients undergoing elective versus emergent colorectal procedures: A National Surgical Quality Improvement Program (NSQIP) analysis.

Objective: Non-elective colorectal surgeries are associated with an increased risk of complications compared to elective procedures, which is accentuated amongst geriatric patients. This study examines racial/ethnic disparities in rates of elective versus non-elective colorectal procedures among geriatric patients.

Methods: This retrospective cohort study included data from patients aged ≥65 registered in the National Surgical Quality Improvement Program database. Using multivariate logistic regression, we examined associations between race/ethnicity and elective versus non-elective surgical status.

Results: Among 79,497 patients included, 24,544 (30.9 %) received non-elective colorectal surgery. 81.1 % of patients were White, 8.93 % were Black, 5.3 % were Hispanic, 4.1 % were Asian, and 0.6 % were NAPI. Multivariate analysis revealed higher odds ratios for receiving non-elective surgery amongst Black and Hispanic patients (Black = 1.38, 95 % CI 1.30-1.47, p < 0.01; Hispanic = 1.54, 95 % CI 1.43-1.67, p < 0.01).

Conclusions: Black and Hispanic geriatric patients were more likely to receive non-elective procedures.

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来源期刊

American journal of surgery 医学-外科

CiteScore

5.00

自引率

6.70%

发文量

570

审稿时长

56 days

期刊介绍： The American Journal of Surgery® is a peer-reviewed journal designed for the general surgeon who performs abdominal, cancer, vascular, head and neck, breast, colorectal, and other forms of surgery. AJS is the official journal of 7 major surgical societies* and publishes their official papers as well as independently submitted clinical studies, editorials, reviews, brief reports, correspondence and book reviews.