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重症儿童的发病率和死亡率趋势:一项韩国基于人口的研究

Jaeyoung Choi¹, Esther Park², Ah Young Choi³

¹Department of Critical Care Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.

Journal of Korean medical science

|June 13, 2023

概括

在重症监护病房的儿童死亡率从2012年到2018年显著下降. 改善与专门的重症监护医生和儿科重症监护病房的入院有关,突出显示了对医学进步的结构性支持.

科学领域:

儿科重症监护医学儿科重症监护医学
公共卫生监督公共卫生监督
医疗保健服务研究医疗服务研究

背景情况:

严重疾病儿童的全国死亡率趋势对于改善生存率至关重要.
关于韩国儿科重症监护室 (ICU) 死亡率趋势的数据有限.
了解这些趋势有助于制定有针对性的干预措施和医疗保健政策.

研究的目的:

分析2012年至2018年韩国严重疾病儿童的全国死亡率和发病率趋势.
确定与儿科ICU患者住院死亡率变化相关的因素.
评估ICU组织和人员对死亡率结果的影响.

主要方法:

韩国国家医疗保险数据库对2012-2018年期间 (不包括新生儿) 进入ICU的儿童 (18岁以下) 的分析.
多变量逻辑回归用于评估入院年与住院死亡率之间的关联.
根据入院部门,年龄,密集治疗师的存在,儿科重症监护室入院,机械通风和血管压缩剂的使用,对子组趋势的评估.

主要成果:

儿科重症监护室的整体死亡率为4.4%,从2012年的5.5%显著下降到2018年的4.1% (P<0.001).
年度调整后的住院死亡率下降了9.2% (P<0.001).
死亡率的降低与专门的重症治疗师的存在和儿童重症监护室的入院有显著的关联.

结论:

在研究期间,重症儿童的生存率有所提高,特别是那些需要高治疗的儿童.
这项研究强调了结构性支持对儿科重症监护医疗进步的重要性.
根据ICU组织的死亡率趋势的变化强调需要专门的儿科重症监护基础设施.

关键词:

关键的护理关键的护理流行病学流行病学住院死亡率住院死亡率国家医疗保险国家健康保险儿科儿科儿科趋势趋势趋势

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