在使用长期非侵入性通风器的儿童中,NIV相关不良事件的预测因素
Prabhjot K Bedi1,2, Kristie DeHaan3, Daniel Ofosu1
1Department of Pediatrics, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, AB, Canada.
Pediatric pulmonology
|September 13, 2023
概括
在长期使用非侵入性通风 (NIV) 的儿童中,不良事件很常见. 年轻的年龄和某些条件预测了空气泄漏和睡眠障碍等问题,突出了主动管理的必要性.
科学领域:
- 儿科肺病学 儿科肺病学
- 医疗技术评估 医疗技术评估
- 临床儿科 临床儿科
背景情况:
- 长期使用非侵入性通风 (NIV) 在患有各种疾病的儿童中越来越多.
- 了解影响不良事件的因素对于优化儿科NIV护理至关重要.
研究的目的:
- 调查长期使用NIV的大量儿童中不良事件的人口,临床和技术相关预测因素.
- 为了确定与儿科NIV使用相关的特定并发症和风险因素.
主要方法:
- 在加拿大阿尔伯塔省 (2005-2014) 开展长期NIV (≥3个月) 的儿童的多中心回顾.
- 收集关于患者人口统计,临床状况,使用的技术和不良事件的数据.
- 在2015年12月之前的后续行动.
主要成果:
- 在507名儿童中,93%的儿童经历了至少一个与NIV相关的不良事件.
- 常见的事件包括皮肤损伤 (20%) 和无意的空气泄漏 (19%).
- 年轻的年龄和像唐氏综合症这样的疾病预测了空气泄漏和睡眠障碍;肥胖预测了鼻腔症状. 面具类型没有显著的影响.
结论:
- 与NIV相关的并发症在儿科患者中很常见.
- 早期检测和主动管理,包括正确的口罩装配,对于减少不良事件至关重要.
- 对具体干预措施的进一步研究可能会改善结果.
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