儿童性状态的发生率,原因和短期结局:基于人口的前性研究
Richard F M Chin1, Brian G R Neville, Catherine Peckham
1Neurosciences Unit, Institute of Child Health, University College London, and Great Ormond Street Hospital for Children NHS Trust, London, UK. r.chin@ich.ucl.ac.uk
Lancet (London, England)
|July 18, 2006
概括
儿童性状态 (CSE) 是一种常见的紧急情况,具有独特的儿科方面. 这项研究发现,CSE在儿童中比成年人更频繁,死亡率更低,这为更好的管理提供了信息.
科学领域:
- 儿科神经学 儿科神经学
- 流行病学 流行病学
- 紧急医疗 紧急医疗
背景情况:
- 状态 (CSE) 是一个主要的儿科神经紧急情况.
- 主要来自成年人群的现有数据可能不能准确地反映儿童CSE.
- 北伦敦儿童监测中的状况研究 (NLSTEPSS) 是为了提供儿科视角而启动的.
研究的目的:
- 确定儿童CSE的发病率和特征.
- 建立一个独特的儿科对CSE的理解.
- 为儿科CSE提供临床管理和资源分配的信息.
主要方法:
- 一个前性的,以人口为基础的监视研究在伦敦北部.
- 通过临床网络收集的数据,使用标准化的proformas和医疗记录.
- 捕获-重新捕获建模用于估计确定性.
主要成果:
- 据估计,CSE发作的确诊率在62%至84%之间.
- 每年每10万名儿童发生17-23次的确诊调整后的发病率.
- 一年复发率为16%;病例死亡率为3%.
结论:
- 儿童CSE比成年人更常见,并且死亡率低.
- 儿科CSE的原因与成年人不同.
- 儿科数据对于有效的CSE管理和资源分配至关重要.
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