照顾好看的低温幼婴的变化:一个多站点研究
Monica D Combs1, Meredith Mitchell2, Kira Molas-Torreblanca1
1Department of Pediatrics, Keck School of Medicine of USC, Children's Hospital Los Angeles, Los Angeles, California.
Hospital pediatrics
|July 28, 2023
概括
对低温婴儿的护理在医院之间有很大差异. 这项研究强调了需要标准化的临床决策工具,以确保对低温的幼儿进行适当的评估和管理.
科学领域:
- 儿科急救医学 儿科急救医学
- 新生儿护理 新生儿护理
- 临床信息学 临床信息学
背景情况:
- 有限的数据指导了低温幼儿的管理.
- 现有的决策工具主要关注发烧的婴儿.
- 这项研究解决了低温婴儿的护理缺口.
研究的目的:
- 为了评估看起来健康的低温幼儿的护理变化.
- 评估各医院诊断评估,处置和治疗方面的差异.
- 确定临床实践需要改进的领域.
主要方法:
- 在9个学术医疗中心 (2016-2021) 进行了90天以下婴儿的回顾性队列研究.
- 通过低温或低温 (≤36.0°C) 的计费代码识别的婴儿.
- 对诊断工作,实证抗微生物治疗和处置的分析.
主要成果:
- 在所有评估的护理方面观察到显著的医院间差异.
- 严重细菌病的评估范围在12%到76%之间.
- 实证抗生素使用率从20%到87%不等,住院率从45%到100%不等.
结论:
- 在低温的幼儿的管理中存在相当大的差异.
- 需要进一步的研究来了解这一群体的感染风险.
- 建议开发临床决策工具,以标准化护理.
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