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在英格兰,儿童急性损伤的流行病学使用电子警报
Lucy Plumb1,2, Anna Casula1, Manish D Sinha3,4
1UK Renal Registry, UK Kidney Association, Bristol, UK.
Clinical kidney journal
|August 2, 2023
概括
这项研究分析了英格兰儿童急性损伤 (AKI) 警报,发现年龄和种族等因素影响了急症护理需求和死亡率. 了解AKI驾驶员是减少儿童伤害的关键.
科学领域:
- 儿科脏病学 儿科脏病学
- 流行病学 流行病学
- 关键护理医学 关键护理医学
背景情况:
- 关于儿童急性损伤 (AKI) 流行病学的国家数据有限.
- 英国使用基于血清肌素的AKI电子警报.
- 这项研究检查了接受AKI警报的儿童的国家队列.
研究的目的:
- 在全国范围内描述儿童AKI警报的流行病学.
- 分析AKI儿童的临床过程和结果.
- 确定与儿科AKI关键护理和死亡率相关的风险因素.
主要方法:
- 分析了2017年全国的一组AKI病例的分析.
- 医院记录链接以确定与AKI相关的住院,住院时间 (LOS) 和急症护理需求.
- 多变量后勤回归检查关联与重症监护和30天死亡率.
主要成果:
- 2017年,7788名儿童经历了8927次AKI发作;8%发生在出生入院期间.
- 25%的AKI住院儿童需要重症监护.
- 关键护理的风险因素包括亚洲族裔,年轻/年老,高AKI阶段 (与出生入院无关).
- 30天死亡率为3%,在最年轻/最年长的年龄组,医院获得的AKI,更高的AKI阶段和重症监护中风险更高.
结论:
- 不良AKI结果的风险关联因AKI类型和与出生入院的关系而异.
- 识别影响AKI发展和进展的因素对于干预至关重要.
- 进一步的研究可以为尽量减少儿科AKI发病率的策略提供信息.
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