• 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Pediatric cardiology >Racial and insurance disparities in hospital mortality for children undergoing congenital heart surgery
【24h】

Racial and insurance disparities in hospital mortality for children undergoing congenital heart surgery

机译：先天性心脏手术患儿的医院死亡率存在种族和保险差异

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Many studies of racial and insurance disparities after congenital heart surgery have used limited regional data over short periods. This study examines the association of race and insurance with hospital mortality using a national hospitalization database spanning almost a decade. A retrospective, repeated cross-sectional analysis was performed. All the admissions from the Kids' Inpatient Database from 1997 through 2006 that fit a Risk Adjustment for Congenital Heart Surgery-1 category were examined. Multivariate logistic regression models examining hospital mortality, nonelective admission, and referral to high-mortality hospitals were constructed. Medicaid insurance [odds ratio (OR) 1.26, 95% confidence interval (CI) 1.09-1.46] and nonwhite race (OR 1.36, 95% CI 1.19-1.54) were independent risk factors for mortality. Furthermore, Medicaid insurance (OR 1.23, 95% CI 1.15-1.31) and nonwhite race (OR 1.26, 95% CI 1.19-1.34) were associated with nonelective admission for congenital heart surgery. Finally, children with Medicaid insurance (OR 1.18, 95% CI 1.10-1.27) and black children (OR 1.30, 95% CI 1.17-1.44) had higher odds of referral to high-mortality hospitals. Over the past decade, children undergoing congenital heart surgery continued to experience admission, referral, and survival disparities based on insurance and racial status.
机译：先天性心脏手术后种族和保险差异的许多研究都在短时间内使用了有限的区域数据。这项研究使用了将近十年的国家住院数据库，研究了种族和保险与医院死亡率之间的关系。进行回顾性，重复的横截面分析。检查了1997年至2006年儿童住院数据库中所有符合“先天性心脏病手术1风险调整”类别的入院病例。构建了用于检查医院死亡率，非选择性入院和转诊至高死亡率医院的多元逻辑回归模型。医疗补助保险[赔率（OR）1.26，95％置信区间（CI）1.09-1.46]和非白人种族（OR 1.36，95％CI 1.19-1.54）是死亡率的独立危险因素。此外，医疗补助（OR 1.23，95％CI 1.15-1.31）和非白人种族（OR 1.26，95％CI 1.19-1.34）与先天性心脏病手术的非选择性入院有关。最后，有医疗补助保险的儿童（OR 1.18，95％CI 1.10-1.27）和黑人儿童（OR 1.30，95％CI 1.17-1.44）转诊至高死亡率医院的几率更高。在过去的十年中，接受先天性心脏手术的儿童继续因保险和种族状况而出现入院，转诊和生存差异。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号