短暂解决的不明原因事件:儿童急诊室入院时的严重性相关因素
Manon Denis1, C Brulé2, B Lauzier3
1Pediatric Intensive Care Unit, CHU de Caen, Caen, F-14000, France; Pediatric Intensive Care Unit, CHU de Nantes, Nantes, F-44000, France; Université de Nantes, CHU Nantes, CNRS, INSERM, l'institut du thorax, F-44000, France.
过早生育和自最后一顿饭以来的时间延长是婴儿严重短暂解决的不明原因事件 (BRUE) 的关键因素. 呼吸暂停或中心低通风是主要的严重诊断,需要专注于早产婴儿.
科学领域:
- 儿科 儿科 儿科
- 新生儿科学 新生儿科学
- 紧急医疗 紧急医疗
背景情况:
- 简短的解决不明原因事件 (BRUE) 取代了"婴儿不适".
- 鉴定需要进一步评估BRUE的婴儿仍然具有挑战性,尽管目前的指导方针.
研究的目的:
- 为了确定与严重病理和复发相关的因素,在婴儿呈现与BRUE.
- 分析BRUE病因学的例行检查的诊断产量.
主要方法:
- 对767例为BRUE而入院的儿科急诊室的回顾性研究.
- 分析了255个患者病历,以确定与严重结局或复发相关的因素.
主要成果:
- 23名患者 (9%) 患有严重的诊断;45名 (17.6%) 患有复发.
- 在良性病例中,胃食道逆流很常见;在严重病例中,呼吸暂停/中央低通风.
- 过早生育 (p=0.032) 和最后一顿饭后的时间>1小时 (p=0.019) 与严重疾病有显著的关联.
结论:
- 过早出生的婴儿需要专注于BRUE的注意力,因为它与呼吸暂停/低通风等严重诊断有关.
- 常规检查在很大程度上没有帮助确定BRUE病因.
- 需要进一步的前性研究,以优先考虑患有BRUE的高风险婴儿的诊断测试.
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