全球儿科先进生命支持:在资源有限的环境中改善儿童生存率
Mark E Ralston1, Louise T Day, Tina M Slusher
1Department of Pediatrics, Naval Hospital, Oak Harbor, WA 98278, USA.
Lancet (London, England)
|January 22, 2013
概括
简单,廉价的先进生命支持可以显著提高发展中国家的儿童生存率. 将这些干预措施纳入初级保健解决了关键的资源限制,并减少了儿童死于肺炎和腹等常见疾病的死亡率.
科学领域:
- 全球健康 全球健康
- 儿科急救医学 儿科急救医学
- 资源有限的解决方案.
背景情况:
- 儿童死亡率不成比例地影响发展中国家,肺炎和腹疾病是主要原因.
- 目前针对资源较少的儿童的先进生命支持指南往往是经验性的,以医院为中心的,缺乏系统的患者评估.
- 在发展中国家,有限的资源阻碍了为重症儿童提供足够的先进生命支持.
研究的目的:
- 审查将更高质量的紧急和重症监护服务扩展到发展中国家儿童的战略.
- 突出简单,廉价的先进生命支持管理的潜力,以改善儿童生存率.
- 倡导基于证据的标准化方法,在资源有限的环境中为儿科先进生命支持提供先进生命支持.
主要方法:
- 这是一篇综述性文章,综合了发展中国家儿科急诊和重症监护方面的现有文献和数据.
- 专注于识别和评估简单,具有成本效益的高级生命支持干预措施.
- 对当前指南限制的分析以及对资源有限的环境的提议改进.
主要成果:
- 简单,廉价的先进生命支持管理,当整合到初级保健中时,可以大幅提高儿童存活率.
- 通过适应的,基于证据的协议来解决资源限制对于有效的儿科重症监护至关重要.
- 标准化的疾病评估和分类对于优化护理提供至关重要.
结论:
- 将高质量的急救和重症监护服务扩展到发展中国家的儿童是可行的和有影响力的.
- 简单,廉价的先进生命支持干预措施为减少全球儿童死亡率提供了可行的途径.
- 将其纳入初级保健计划是广泛实施和改善儿童生存结果的关键.
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