Abstract：
BACKGROUND: This study investigates the association between neighborhood socioeconomic status, measured by the Distressed Communities Index (DCI), and short-term outcomes following colon resection.
METHODS: Utilizing the Maryland State Inpatient Sample database (SID 2018-2020), we determined the association between DCI and post-op outcomes following colon resection including length of stay, readmissions, 30-day in-hospital mortality, and non-routine discharges. Multivariate regression analysis was performed to control for potential confounding factors.
RESULTS: Of the 13,839 patients studied, median age was 63, with 54.3 % female and 64.5 % elective admissions. Laparoscopic surgery was performed in 36.9 % cases, with a median hospital stay of 5 days. Patients in distressed communities faced higher risks of emergency admission (OR: 1.31), prolonged hospitalization (OR: 1.29), non-routine discharges (OR: 1.36), and readmission (OR: 1.33). Black patients had longer stays than White patients (OR: 1.3). Despite adjustments, in-hospital mortality did not significantly differ among neighborhoods.
CONCLUSIONS: Our study reveals that patients residing in distressed neighborhoods face a higher risk of prolonged hospitalization, non-routine discharges, and readmission rate after colon resection.
METHODS: Utilizing the Maryland State Inpatient Sample database (SID 2018-2020), we determined the association between DCI and post-op outcomes following colon resection including length of stay, readmissions, 30-day in-hospital mortality, and non-routine discharges. Multivariate regression analysis was performed to control for potential confounding factors.
RESULTS: Of the 13,839 patients studied, median age was 63, with 54.3 % female and 64.5 % elective admissions. Laparoscopic surgery was performed in 36.9 % cases, with a median hospital stay of 5 days. Patients in distressed communities faced higher risks of emergency admission (OR: 1.31), prolonged hospitalization (OR: 1.29), non-routine discharges (OR: 1.36), and readmission (OR: 1.33). Black patients had longer stays than White patients (OR: 1.3). Despite adjustments, in-hospital mortality did not significantly differ among neighborhoods.
CONCLUSIONS: Our study reveals that patients residing in distressed neighborhoods face a higher risk of prolonged hospitalization, non-routine discharges, and readmission rate after colon resection.
摘要：
背景：这项研究调查了邻里社会经济地位之间的关联，以困境社区指数(DCI)衡量，和结肠切除术后的短期结果。
方法：利用马里兰州住院患者样本数据库（SID2018-2020），我们确定了DCI与结肠切除术后的术后结局之间的关联，包括住院时间，再入院,30天住院死亡率，和非常规放电。进行多因素回归分析以控制潜在的混杂因素。
结果：在研究的13839名患者中，中位年龄为63岁，其中54.3%为女性，64.5%为择期入院。在36.9%的病例中进行了腹腔镜手术，平均住院时间为5天。困境社区的患者面临更高的急诊入院风险（OR：1.31），延长住院时间（OR：1.29），非常规放电（OR：1.36），和再入院（OR：1.33）。黑人患者的住院时间比白人患者长（OR：1.3）。尽管进行了调整，不同社区的院内死亡率没有显著差异.
结论：我们的研究表明，居住在困境社区的患者面临更高的长期住院风险，非常规放电，结肠切除术后的再入院率。
方法：利用马里兰州住院患者样本数据库（SID2018-2020），我们确定了DCI与结肠切除术后的术后结局之间的关联，包括住院时间，再入院,30天住院死亡率，和非常规放电。进行多因素回归分析以控制潜在的混杂因素。
结果：在研究的13839名患者中，中位年龄为63岁，其中54.3%为女性，64.5%为择期入院。在36.9%的病例中进行了腹腔镜手术，平均住院时间为5天。困境社区的患者面临更高的急诊入院风险（OR：1.31），延长住院时间（OR：1.29），非常规放电（OR：1.36），和再入院（OR：1.33）。黑人患者的住院时间比白人患者长（OR：1.3）。尽管进行了调整，不同社区的院内死亡率没有显著差异.
结论：我们的研究表明，居住在困境社区的患者面临更高的长期住院风险，非常规放电，结肠切除术后的再入院率。
