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.
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。