儿科创伤患者严重急性损伤的结果;创伤质量改善计划数据库研究
Nasim Ahmed1, Yen-Hong Kuo2, Roy O Mathew3
1Hackensack Meridian School of Medicine, Nutley, NJ, USA; Department of Surgery, Division of Trauma & Surgical Critical Care, USA.
Journal of pediatric surgery
|June 23, 2023
概括
儿科创伤患者的严重急性损伤 (sAKI) 没有增加住院死亡率,但显著延长住院时间和增加深静脉血栓塞 (DVT) 风险.
科学领域:
- 儿科创伤护理 儿童创伤护理
- 腎臟病學 (nephrology) 是一種醫學專業.
- 关键护理医学 关键护理医学
背景情况:
- 急性损伤 (AKI) 与创伤患者的不良结果有关.
- 关于儿科创伤中严重AKI (sAKI) 结果的数据有限.
- 这项研究调查了SAKI与儿科创伤死亡率之间的关联.
研究的目的:
- 评估严重急性损伤 (sAKI) 对儿科创伤患者死亡率的影响.
- 为了比较儿童创伤患者与无SAKI之间的结果,包括死亡率和并发症.
主要方法:
- 使用创伤质量改善计划 (TQIP) 数据库进行回顾性队列研究.
- 包括在受伤后入院的18岁以下的患者.
- 倾向性得分匹配用于比较sAKI和没有sAKI的群体.
主要成果:
- 在139,832名患者中,106名 (0.1%) 患有SAKI.
- 在sAKI组和没有sAKI组 (14.3%对12.4%) 之间,在住院死亡率上没有显著差异.
- sAKI患者的住院时间显著长 (27 vs. 10天) 和深静脉血栓症 (DVT) 发生率更高 (12.4% vs. 2.9%).
结论:
- 在儿科创伤中严重的AKI不会增加住院死亡率.
- sAKI与住院时间的三倍增加有关.
- 患有sAKI的儿童创伤患者的DVT发病率是DVT的四倍.
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