患有单心室生理学的儿童的住院恶化的风险
Henry P Foote1, Grace S Lee2, Carla Dominguez Gonzalez3
1Division of Pediatric Cardiology, Duke University Medical Center, 2301 Erwin Road, Durham, NC, 27710, USA.
Pediatric cardiology
|May 30, 2023
概括
单心室生理学的婴儿面临着恶化的高风险. 使用电子健康记录数据的早期检测可以改善这些脆弱儿童的治疗结果并降低死亡率.
科学领域:
- 儿童心脏病学 儿童心脏病学
- 关键护理医学 关键护理医学
- 医疗信息学 医疗信息学
背景情况:
- 患有单心室 (SV) 生理学的儿童面临住院并发症的重大风险,包括发病率和死亡率.
- 早期识别患有临床恶化风险的儿童对于及时干预和改善生存率至关重要.
研究的目的:
- 确定患有单心室生理学的婴儿临床恶化的风险因素和预测因素.
- 评估电子健康记录数据对于早期检测该人口病情恶化的有用性.
主要方法:
- 从2014年至2018年为18岁以下儿童的儿科心脏病非ICU入院的回顾性图表审查.
- 临床恶化的定义是计划外的ICU转移或住院患者死亡率.
- 在有和没有恶化事件的婴儿之间比较人口统计学,生命体征和实验室值,包括分析恶化之前的变化.
主要成果:
- 病情恶化的SV婴儿年龄较小,基线氧和较低,基线呼吸率,心率和血红素率较高.
- 杜克儿科早期预警分数在恶化事件发生之前显著增加.
- 病情恶化与增加对氧气支持的需求,液体注射,抗生素,血管压缩剂和红细胞输血有关.
结论:
- 患有单心室生理学的婴儿在住院期间表现出高临床恶化风险.
- 从电子病历中整合基线和动态患者数据对于识别高风险患者至关重要.
- 根据EHR数据的早期检测和干预策略,可能可以预防临床恶化,并降低患有SV的婴儿的死亡率.
相关概念视频
01:22Mitral Stenosis I: Introduction
19
Mitral Valve Stenosis (MVS) is a heart condition where the mitral valve narrows, impeding blood circulation from the left atrium to the left ventricle. The etiology and pathophysiology of this condition are multifaceted, leading to a cascade of cardiovascular complications.Causes of Mitral Valve StenosisRheumatic Heart Disease: It is the main cause of mitral valve stenosis, particularly in developing nations. This condition arises from rheumatic fever, an inflammatory illness resulting from...
19
01:20Mitral Regurgitation I: Introduction
19
Mitral regurgitation is characterized by the backward circulation of blood from the left ventricle to the left atrium during systole, a phase of the cardiac cycle when the heart contracts and pumps blood out of the chambers. This abnormal flow occurs primarily due to the dysfunction of the mitral valve or its supporting structures, which include the mitral leaflets, chordae tendineae, annulus, and papillary muscles.Etiology and Mechanisms:Primary Mitral Regurgitation: This type arises from...
19