使用儿童喘风险评估工具在住院期间识别喘相关风险
Christine L Schuler1,2,3, Carolyn Kercsmar2,3, Mona Mansour3,4
1Division of Hospital Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.
概括
儿童喘风险评估工具 (CARAT) 可以预测患有喘的儿童未来的医疗需求. 在医院治疗社会压力和过敏可能会减少未来与喘相关的医疗保健利用率.
科学领域:
- 儿科肺病学 儿科肺病学
- 医疗保健服务研究 医疗保健服务研究
- 喘管理 喘管理
背景情况:
- 儿童喘发病率是一个重大的公共卫生问题.
- 儿童喘风险评估工具 (CARAT) 有助于识别喘风险因素.
- 将CARAT调整为住院患者使用可能会改善对未来医疗保健利用率的预测.
研究的目的:
- 评估CARAT识别的风险因素是否预测了儿科喘患者未来的医疗保健使用情况.
- 确定CARAT是否能够确定减少喘发病率的干预目标.
主要方法:
- 对儿童喘病患者入院的CARAT数据 (2010-2015年) 的回顾性审查.
- 评估环境,医疗和社会风险因素,并促使干预.
- 使用确认因素分析和结构方程模型来分析风险因素和医疗保健利用之间的关系.
主要成果:
- 1015名儿童完成了CARAT评估;风险因素是常见的,特别是环境因素.
- 住院干预,如肺病学家咨询和家庭护理转诊,经常被认为是必要的.
- 社会压力因素和已知的/可疑的过敏与出院后医疗保健利用率的增加有关.
结论:
- 卡拉特识别的风险因素,特别是社会压力和过敏,与未来的医疗保健使用有关.
- 针对这些因素的住院干预措施可能会减少随后的喘发病率.
- 经过调整的CARAT工具对识别需要有针对性的干预措施的儿童有希望.
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