新生儿严重疾病:操作定义
Katherine Guttmann1, Rachel Silverman2, Andrea S Weintraub2
1Department of Pediatrics, Icahn School of Medicine at Mount Sinai, New York, New York, USA katherine.guttmann@mssm.edu.
BMJ supportive & palliative care
|August 24, 2023
概括
所有研究的婴儿在生命早期都符合新生儿严重疾病标准. 这一定义可能有助于识别需要支持的新生儿,尽管需要进一步的研究.
科学领域:
- 新生儿医学 新生儿医学
- 抚慰性护理是一种缓解性护理.
- 严重疾病定义 严重疾病定义
背景情况:
- 确定新生儿的严重疾病对于及时干预至关重要.
- 之前的工作建立了一个新生儿严重疾病的定义.
- 在患者队列中操作化这个定义是必要的.
研究的目的:
- 将以前发表的新生儿严重疾病定义应用于患者队列.
- 评估息护理咨询的时间和护理讨论的目标.
- 评估满足新生儿严重疾病标准的及时性.
主要方法:
- 在NICU出院前死亡的先天新生儿 (2006-2020) 的回顾性图表审查.
- 使用统计测试 (Kruskal-Wallis,Mann-Whitney-U, χ2) 来比较时间间隔和频率.
- 通过EPIC查询识别了符合严重疾病标准的患者.
主要成果:
- 88%的新生儿在48小时内达到严重疾病的标准.
- 在早产婴儿和早产婴儿之间,过渡到严重疾病没有显著差异.
- 只有5.7%的病例咨询了息治疗.
结论:
- 确定的定义确定所有患者在生命早期患有严重疾病.
- 该定义显示了识别需要支持的新生儿的潜力.
- 建议前性应用以探索临床和研究实用性.
相关概念视频
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