开发一个医疗复杂度评分为儿科气消化器患者的发展
Henry M Horita1, Tzyynong L Friesen2, Gabrielle Cahill3
1Department of Otolaryngology - Head and Neck Surgery, University of California San Diego, San Diego, CA.
The Journal of pediatrics
|June 10, 2023
概括
一个新的医疗复杂度评分,用于儿科气消化器患者,有助于预测食结果. 较高的分数表明更多的并发症和更低的口服养成功的机会,有助于患者护理和资源分配.
科学领域:
- 儿科医学 儿科医学
- 医学复杂性评估 医学复杂性评估
- 空气消化系统疾病
背景情况:
- 儿科空气消化诊所管理的是具有复杂医疗需求的多样化的患者群体.
- 描述患者的复杂性对于预测治疗结果和优化护理至关重要.
- 现有的评分系统可能无法完全捕捉这一群体中并发症的频谱.
研究的目的:
- 开发和验证一个新的7点医疗复杂度评分系统,用于儿科气消化器患者.
- 评估分数能够预测食失调儿童食进展的能力.
- 为了提高咨询和资源分配,对患者的复杂性进行分层.
主要方法:
- 使用专家共识制定了7分的医疗复杂性得分,为特定的并发病 (呼吸道,神经,心脏,呼吸道,胃肠道,遗传,早产) 分配点.
- 对234名儿科空气消化器患者进行了回顾性图表审查,这些患者在2017-2021年期间至少进行了两次访问.
- 单变量和多变量逻辑回归分析了得分对食障碍儿童食进展的预测值.
主要成果:
- 复杂度得分 (范围为1-7) 显示正常分布 (中位数为4,平均值为3.50±1.47).
- 较高的复杂度得分显著与口服养改善的成功率下降有关,这在患有食障碍的儿童中是显著的 (OR 0.66,P=0.001).
- 输液管养的儿童得分较高,实现完全口服饮食的可能性较低 (OR 0.60,P=0.01),神经病理并发症和呼吸道形是关键预测因素.
结论:
- 一个新的,用户友好的医疗复杂性评分有效地分层了儿科气消化器患者.
- 该得分显示了食进展的预测价值,特别是在患有食障碍的儿童中.
- 这个工具可以帮助临床医生在患者咨询和优化资源利用复杂的儿科空气消化病例.
更多相关视频
相关概念视频
01:30Assessment of Airway, Skin Color, and Use of Accessory Muscles
1.1K
A thorough assessment of respiratory health is paramount in clinical settings to identify and manage respiratory distress and ensure adequate oxygenation. This article elaborates on the critical aspects of respiratory evaluation, including airway assessment, skin color examination, and the observation of accessory muscle use, which are integral to effectively diagnosing and managing patients with respiratory conditions.
Introduction
The initial evaluation of a patient's respiratory system...
Introduction
The initial evaluation of a patient's respiratory system...
1.1K
01:23Assessment of Respiration
1.2K
The respiratory system's basic structures and primary functions lay the foundation for nurses' comprehensive respiratory assessments. This assessment includes subjective and objective data to gauge the patient's respiratory health.
Subjective Assessment: Nurses interview the patient to gather information directly during the subjective assessment. It includes questions about the individual's medical history, medications, and symptoms, focusing on past respiratory conditions like...
Subjective Assessment: Nurses interview the patient to gather information directly during the subjective assessment. It includes questions about the individual's medical history, medications, and symptoms, focusing on past respiratory conditions like...
1.2K
01:27Chronic Obstructive Pulmonary Disease-IV: Assessement and Diagnostic Studies
2.5K
Assessing and diagnosing Chronic Obstructive Pulmonary Disease (COPD) involves a detailed approach that includes a comprehensive review of medical history, physical examination, and a variety of diagnostic tests. This thorough evaluation is essential to ensure an accurate diagnosis and guide effective management strategies.
Medical History
Medical History
2.5K
01:30Pneumonia III: Complications and Assessment
281
Pneumonia poses the potential for numerous complications that warrant consideration. These complications include the following:
281
01:30Asthma-IV: Diagnostic and Management
2.6K
The diagnosis and management of asthma are comprehensive, encompassing clinical assessments, lung function tests, and pharmacological interventions. Here's an overview:
Clinical Assessment for Asthma:
This is the first step in diagnosing and managing asthma. It includes:
Clinical Assessment for Asthma:
This is the first step in diagnosing and managing asthma. It includes:
2.6K
01:29Assessment of Ventilation II: Respiratory Depth and Rhythm
1.6K
Respiratory Depth
Respiratory depth measures the volume of air inhaled or exhaled during a breath. It can vary from shallow to deep and typically remains consistent when a person is at rest or asleep. Occasionally, individuals will automatically inhale deeply, known as sighing, which inflates the lungs with more air than normal breathing.
To assess respiratory depth, observe the degree of chest excursion or movement:
Respiratory depth measures the volume of air inhaled or exhaled during a breath. It can vary from shallow to deep and typically remains consistent when a person is at rest or asleep. Occasionally, individuals will automatically inhale deeply, known as sighing, which inflates the lungs with more air than normal breathing.
To assess respiratory depth, observe the degree of chest excursion or movement:
1.6K