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与中西部儿童医院的节制使用相关的患者特征
Adrienne G DePorre1,2,3, Ingrid Larson4, Vincent S Staggs5,2
1Division of Hospital Medicine, Department of Pediatrics.
Hospital pediatrics
|September 11, 2023
概括
在住院儿童中,机械约束的使用对于那些先前约束,某些心理健康诊断,男性和黑人儿童的人来说更高. 这些发现凸显了儿童节制方面的潜在种族不平等.
科学领域:
- 儿科医院医学 儿科医院医学
- 儿童和青少年精神病学
- 卫生公平研究 卫生公平研究
背景情况:
- 机械约束与不利的心理健康结果,受伤风险和差异有关.
- 由于越来越复杂的心理健康需求,了解住院儿童的克制使用至关重要.
研究的目的:
- 确定与住院儿童使用机械控制装置相关的人口和临床因素.
主要方法:
- 从2017年到2021年在一个中心对儿科住院病人的回顾性队列研究.
- 电子健康记录被用来识别束遭遇.
- 后勤回归建模分析了基于患者和住院特征的克制率.
主要成果:
- 在275次接触中,29808名儿童使用了机械约束装置.
- 与白人患者相比,先前使用限制措施 (aOR 8.6),精神病障碍 (aOR 5.4),破坏性障碍 (aOR 4.7),男性性别 (aOR 1.9) 和黑人种族 (aOR 1.9) 与限制措施的可能性更高.
- 置信区间表示所有列出的因素的统计学上显著的关联.
结论:
- 这项研究表明,在住院儿童中使用机械控制装置时存在种族不平等.
- 这些不平等与在急诊室和成人环境中观察到的不平等相似.
- 解决行为需求和促进健康公平对于减少克制使用至关重要.
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