退伍军人健康管理局截肢前血管评估的种族差异。

IF 2.6 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Health Equity Pub Date : 2023-05-26 eCollection Date: 2023-01-01 DOI:10.1089/heq.2023.0004
Olamide Alabi, Kelly J Hunt, Rachel E Patzer, Tabia Henry Akintobi, Nader N Massarweh
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引用次数: 0

摘要

目的:目前还不清楚下肢截肢(LEA)前的护理差异是否是由接受诊断检查和血管重建尝试的差异造成的:我们对 2010 年 3 月至 2020 年 2 月期间接受下肢截肢术的退伍军人进行了一项全国性队列研究,以评估他们在接受下肢截肢术前一年接受动脉成像血管评估和/或血管再通治疗的情况:在 19,396 名退伍军人(平均年龄 66.8 岁;26.6% 为黑人)中,黑人退伍军人比白人退伍军人更常接受诊断程序(47.5% 对 44.5%),而接受血管再通手术的比例也同样高(25.8% 对 24.5%):我们必须找出与 LEA 相关的患者和医疗机构层面的因素,因为差异似乎与尝试血管重建的差异无关。
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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Racial Differences in Vascular Assessment Prior to Amputation in the Veterans Health Administration.

Purpose: It is unclear whether disparities in the care provided before lower extremity amputation (LEA) is driven by differences in receipt of diagnostic work-up versus revascularization attempts.

Methods: We performed a national cohort study of Veterans who underwent LEA between March 2010 and February 2020 to assess receipt of vascular assessment with arterial imaging and/or revascularization in the year prior to LEA.

Results: Among 19,396 veterans (mean age 66.8 years; 26.6% Black), Black veterans had diagnostic procedures more often than White veterans (47.5% vs. 44.5%) and revascularization as often (25.8% vs. 24.5%).

Conclusion: We must identify patient and facility-level factors associated with LEA as disparities do not appear related to differences in attempted revascularization.

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来源期刊
Health Equity
Health Equity Social Sciences-Health (social science)
CiteScore
3.80
自引率
3.70%
发文量
97
审稿时长
24 weeks
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