社会经济地位预测胆囊切除术后的结果

社会经济地位预测胆囊切除术后的结果
Does socioeconomic status predict outcomes after cholecystectomy

Highlights
•Gallbladder disease is more prevalent in patients with lower socioeconomic status.
•We investigate the impact of socioeconomic status on outcomes after cholecystectomy.
•Socioeconomic status was associated with increased postoperative mortality and morbidity.
Abstract
Background
This study was performed to evaluate the effect of socioeconomic status (SES) on outcomes after cholecystectomy.
亮点
•胆囊疾病在较低的社会经济地位较低的患者中更为普遍。
•我们研究了社会经济地位对胆囊切除术后结局的影响。
•社会经济地位与术后死亡率和发病率增加有关。
摘要
背景
这项研究进行评估的社会经济地位的影响（SES）胆囊切除术后的结果。

METHODS
The National Inpatient Sample (NIS) database (2005 to 2011) was queried for patients undergoing cholecystectomy. Clinically relevant variables were used to examine clinical characteristics, postoperative complications, and mortality. SES was investigated by examining income quartile.
方法
全国住院患者样本（NIS）数据库（2005～2011）查询患者胆囊切除术。临床相关的变量被用来检查的临床特征，术后并发症和死亡率。通过检查收入家庭SES进行调查。

Results
More than 2 million patients underwent cholecystectomy during this period. They were divided into quartiles by SES. The lowest cohort was younger (50 years, P < .001) and had the lowest Charlson Comorbidity Index (2.08, P < .001). This cohort was more likely African American (15.8%, P < .001) and more likely to have Medicaid (19.2%, P < .001). Using split-sample validation and multivariate analysis, lower SES, Charlson comorbidity Index, and Medicaid recipients were associated with increased mortality.
结果
在此期间，超过200万例患者接受了胆囊切除术。他们通过SES分为四分位数。最低的队列是年轻的（50岁, P < .001）和最低的察尔森合并症指数（2.08, P < .001）。这一队列更可能是非洲裔美国人（15.8%，P＜001），更可能有医疗补助（19.2%，, P < .001）。使用分割样本验证和多变量分析中，低SES、Charlson合并症指数，和医疗补助受助人与死亡率增加有关。

Conclusions
Patients with Medicaid and lower SES had poorer outcomes after cholecystectomy.
结论
胆囊切除术后与医疗补助和低SES的患者预后较差。

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