証拠に基づいた生命徴候の基準範囲に向けて:英国の小児病院の退院データからのセンチルチャート
Nicky Taylor1, Petra Wark2, Jane Coad3,4
1Nottingham Children's Hospital, Nottingham University Hospitals NHS Trust, Nottingham, UK.
Nursing in critical care
|February 18, 2026
まとめ
病院出院中の子供のための新しい生命徴候チャートでは,現在の基準範囲が不正確である可能性があることが示されています. この研究では,英国の小児患者の呼吸率,心拍数,血圧の年齢別センチルチャートを開発しました.
科学分野:
- 小児重症治療薬は,小児重症治療薬として使用されています.
- 臨床生理学 臨床生理学とは
- 健康情報科学とは
背景:
- 病院に入院する小児患者にとって,受け入れられる生命体記号に関するコンセンサスの欠如.
- 小児科医療における臨床的意思決定のための信頼できる基準範囲の必要性.
研究 の 目的:
- 病院退院時の呼吸率,心拍数,静脈血圧の年齢別センチルチャートを作成する.
- 既存の国際小児生命徴候基準範囲との新しいチャートの調整を評価する.
主な方法:
- イギリスの小児病院における横断的な研究 (2014年−2019年).
- 定期的に収集された66,356件の小児入院患者 (0~19歳) の生命徴候データを使用した.
- Quantile restricted cubic splines regression を使用してセンチルチャートを生成しました. クォンチル制限キューブスプリンの回帰.
主要な成果:
- 退院時の小児の生命徴候のための新しいセンチルチャートが提示されています.
- 呼吸率と血圧に関する既存の先進小児生命維持器 (APLS) の基準範囲は,派生センチルと不十分な整合を示している.
- 心拍数センチルはよく一致しますが,他の臨床基準範囲,特に上方センチルと有意な差異があります.
結論:
- この研究は,英国の小児病院からの小児生理学的観察とセンチルチャートの最初の記述を提供します.
- 現在広く使用されている生命徴候の基準範囲は,小児患者の評価には不十分であり,更新された臨床ガイドラインを必要とします.
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