患有败血症后再入院的频率和风险因素
Hannah S Dashefsky1,2, Hongyan Liu3, Katie Hayes2
1Departments of Anesthesiology and Critical Care.
Pediatrics
|June 27, 2023
概括
败血症幸存的儿童经常面临医院再入院,通常是由于感染. 关键的患者因素,如年龄和某些实验室值,对这种再接收风险的预测洞察力有限.
科学领域:
- 儿科重症监护医药 儿科重症监护医药
- 传染病 传染病 传染病
- 医疗服务研究 医疗服务研究
背景情况:
- 败血症幸存的儿童面临重新入院的高风险.
- 之前的研究受限于用于识别再接收预测因素的行政数据集.
研究的目的:
- 确定儿童败血症幸存者在出院后90天内重新入院的频率和原因.
- 使用电子健康记录数据识别与再入院相关的患者级变量.
主要方法:
- 对3464名活出院的儿科败血症患者进行了回顾性观察性研究.
- 分析再接收频率 (7,30,90天) 和原因.
- 多变量后勤回归用于确定90天再入院的患者级预测因素.
主要成果:
- 在7,30和90天的再入院率分别为7%,20%和33%.
- 90天再入院的独立预测因素包括年轻 (≤1年),慢性疾病,低血红蛋白,高血尿和非常低的白细胞计数.
- 鉴定的变量解释了回收风险的很小比例 (伪R2 0.05-0.13),具有中等的预测有效性 (AUC 0.67-0.72).
结论:
- 儿童败血症幸存者经常经历重入院,主要是因为感染.
- 确定了患者级别的变量,只能部分表明再接收风险.
相关概念视频
Factors Affecting the Risk of Infection
12.0K
The hosts' susceptibility to infection depends on several factors. The integrity of the skin and mucous membranes helps protect the body against microbial attacks. When the skin is altered, the chance of infection, limb loss, and even death increases.
The integrity and count of the white blood cells help the body resist pathogens and fight infection. When impaired, it reduces the body's resistance to pathogens. The acidic pH levels of the gastrointestinal, genitourinary tracts, and skin...
The integrity and count of the white blood cells help the body resist pathogens and fight infection. When impaired, it reduces the body's resistance to pathogens. The acidic pH levels of the gastrointestinal, genitourinary tracts, and skin...
12.0K
Pneumonia I: Introduction
284
Pneumonia is an acute respiratory infection that targets the lungs, specifically the alveoli. These tiny air sacs, essential for oxygen exchange, become engorged with pus and fluid, severely hindering breathing, decreasing oxygen absorption, and causing significant pain and discomfort during respiration.
Risk Factors
Various factors influence the likelihood of developing pneumonia. Age plays a crucial role, with infants, children under two, and individuals over 65 at increased risk due to their...
Risk Factors
Various factors influence the likelihood of developing pneumonia. Age plays a crucial role, with infants, children under two, and individuals over 65 at increased risk due to their...
284
Healthcare Associated Infections II: Preventive Measures
2.7K
Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
2.7K
Healthcare Associated Infections I: Iatrogenic, Exogenic and Endogenic
4.3K
Healthcare-associated infections (HAIs) occur in a healthcare facility while a person receives care for another ailment. This category also includes work-related infections among healthcare staff.
HAIs significantly increase the cost of health care. Extended stays in healthcare institutions, increased disability, increased costs of medications, including specialized antibiotics, and prolonged recovery times add to the patient's expenses and the healthcare institution and funding bodies.
HAIs significantly increase the cost of health care. Extended stays in healthcare institutions, increased disability, increased costs of medications, including specialized antibiotics, and prolonged recovery times add to the patient's expenses and the healthcare institution and funding bodies.
4.3K
Pneumonia III: Complications and Assessment
278
Pneumonia poses the potential for numerous complications that warrant consideration. These complications include the following:
278
Rheumatic Heart Disease IV: Nursing Management
23
AssessmentA comprehensive assessment is essential in managing a patient with rheumatic heart disease (RHD). Begin with obtaining a detailed medical history, including recent streptococcal infections, a history of rheumatic fever, or previously diagnosed rheumatic heart disease. Assess the patient for symptoms such as fever, chest pain, widespread joint pain (arthralgia), tachycardia, pericardial friction rub, muffled heart sounds, heart murmurs, peripheral edema, subcutaneous nodules, and...
23


