术后新生儿急性损伤很常见: 糟糕结果的危险因素
Tahagod H Mohamed1,2, Christian Mpody3, Olubukola Nafiu3
1The Division of Nephrology and Hypertension, Nationwide Children's Hospital and The Ohio State University College of Medicine, Columbus, Ohio.
American journal of perinatology
|August 29, 2023
概括
术后急性损伤 (AKI) 在接受非心脏手术的新生儿中很常见. AKI和死亡率的危险因素包括低出生体重和特定的并发症,突出显示需要对功能进行监测.
科学领域:
- 儿科脏病学 儿科脏病学
- 新生儿手术 新生儿手术
- 关键护理医学 关键护理医学
背景情况:
- 术后急性损伤 (AKI) 是一种已知的并发症,对患者的结果有重大影响.
- 虽然在患有心脏病的儿童和新生儿中进行了研究,但在接受非心脏手术的新生儿中对AKI知之甚少.
- 现有研究表明,与接受非心脏手术的老年儿童相比,新生儿的AKI患病率可能更高.
研究的目的:
- 为了确定经历非心脏手术的新生儿中外科手术期AKI的患病率.
- 为了确定新生儿特征和并发症,这些特征和并发症增加了经手术期AKI的风险.
- 概述与经外科手术期AKI新生儿住院死亡相关的风险因素.
主要方法:
- 对接受住院非心脏手术的新生儿 (≤28天) 的回顾性分析.
- 从2016年至2021年间从46家美国儿童医院收集的数据.
- 基于国际疾病分类 (ICD) 代码的AKI诊断;通过ICD-9和ICD-10代码识别的并发病.
主要成果:
- 在接受非心脏手术的新生儿中,10%的新生儿观察到外科手术期间的AKI.
- 相关的并发症包括代谢,血液/免疫,心血管和脏疾病.
- 增加的死亡风险与低出生体重,以及血液,脏和呼吸道并发症有关.
结论:
- 外科手术期间的AKI在接受非心脏手术的新生儿中经常发生.
- 患有特定高风险并发症的新生儿需要在术后期对功能进行警监测.
- 结果可以指导定制的新生儿外科手术期间护理,以改善结果.
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