一个多学科的儿科石头中心能改善结果吗?
William DeFoor1, Eugene Minevich1, Elizabeth Jackson2
1Division of Pediatric Urology, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio.
Urology practice
|June 10, 2023
概括
建立一个多学科的儿科石头中心显著减少了手术手术和急诊室的访问,为儿童患有尿病. 这种方法改善了儿科石头疾病的临床结果.
科学领域:
- 儿科脏病学 儿科脏病学
- 儿科泌尿外科 儿科泌尿外科
- 公共卫生 公共卫生
背景情况:
- 尿病 (结石) 在美国儿童中越来越常见.
- 2014年成立了一个专门的多学科儿科石头中心,以管理这种日益严重的健康问题.
- 这项研究评估了中心的发展和患者的结果.
研究的目的:
- 评估多学科儿科石材中心的发展和临床结果.
- 确定中心对外科手术,急诊和影像检查的影响.
主要方法:
- 儿科患者 (<21岁) 的回顾性队列研究,随访时间>6个月.
- 收集的数据包括人口统计,治疗和临床访问.
- 比较手术程序,急诊室的访问,和CT扫描之前和之后中心入学.
主要成果:
- 264名儿科患者符合纳入标准;60%患有代谢异常.
- 在入学后,外科手术从39%降至17% (p<0.0001).
- 急诊室的访问量从每年1.4下降到0.6 (p<0.0001);CT扫描的使用量略有下降 (p=0.3).
结论:
- 一个多学科的儿科石头中心是协调护理的可行模型.
- 该中心的招生导致了儿童石头疾病的手术干预和急诊次数大幅减少.
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