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【文摘发布】人种在决定蛛网膜下腔出血治疗时
Author： Eden SV, Morgenstern LB, Sekar P, Moomaw CJ, Haverbusch M, Flaherty ML, Broderick JP, Woo D.
Resource: Neurosurgery. 2007 May;60(5):837-43; discussion 837-43.
Abstract： OBJECTIVE: Blacks have higher mortality rates from aneurysmal subarachnoid hemorrhage (SAH) than Caucasians. The time to treatment for aneurysmal SAH has been found to correlate with mortality and outcome. Therefore, we examined
racial differences in the time to treatment of aneurysmal SAH among patients
from the Greater Cincinnati area. METHODS: We evaluated data from 439 adult
aneurysmal SAH patients prospectively identified from May 1997 to August 2001
and July 2002 to March 2005. The primary outcome measure was time to treatment,
defined as elapsed time from arrival in the emergency department to aneurysm
treatment. A multivariable model was constructed to determine the role of
potential variables, including race, on time to treatment for SAH. RESULTS: In
univariate analysis, Caucasian patients were significantly older than black
patients (P < 0.0001) and were more likely to be male (P = 0.014), insured (P <
0.0001), and transferred from emergency departments of presentation to other
hospitals (P < 0.0001). Black patients were more likely to have anterior
circulation aneurysms (P = 0.009) and preexisting hypertension (P < 0.001). In
univariate analysis, anterior circulation aneurysms showed a trend toward
earlier treatment than posterior circulation aneurysms (P = 0.07). In
multivariable models, race was not associated with time to treatment or
case-fatality rate. Patients transferred from other facilities were treated more
expeditiously than patients who presented directly to the emergency department
(P = 0.003), and a history of diabetes mellitus was associated with delay in
treatment (P = 0.05). CONCLUSION: Race was not associated with time to treatment
after aneurysmal SAH in the Greater Cincinnati area. Reducing the increased
burden of SAH mortality among blacks must be addressed at the prevention stage.
PMID: 17460518 本人已认领该文编译，48小时后若未提交译文，请其他战友自由认领 初译：
Title： The role of race in time to treatment after subarachnoid hemorrhage.
人种在决定蛛网膜下腔出血治疗时间中的作用
Author： Eden SV, Morgenstern LB, Sekar P, Moomaw CJ, Haverbusch M, Flaherty ML, Broderick JP, Woo D.
Resource: Neurosurgery. 2007 May;60(5):837-43; discussion 837-43.
Abstract：摘要：
OBJECTIVE: Blacks have higher mortality rates from aneurysmal subarachnoid hemorrhage (SAH) than Caucasians. The time to treatment for aneurysmal SAH has been found to correlate with mortality and outcome. Therefore, we examined racial differences in the time to treatment of aneurysmal SAH among patients from the Greater Cincinnati area.
目的：黑人比较高加索人有着动脉瘤所致蛛网膜下腔出血（SAH)所带来的更高死亡率。动脉瘤所致的SAH的治疗时间据报道与死亡率和结果相关。因此，我们研究来自广阔的Cincinnati地区内动脉瘤所致SAH患者中种族差异在治疗时间上的不同。[标签:content1][标签:content2]
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作者:admin@医学,生命科学 2011-04-25 17:16
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