医院间儿科外体转移的结果
Rajan Arora1, Priya Spencer1, Diniece Barran1
1Division of Pediatric Emergency Medicine, Department of Pediatrics, Central Michigan University, Children's Hospital of Michigan, Detroit, MI, United States of America.
The American journal of emergency medicine
|October 4, 2023
概括
对于儿科外体的潜在可避免转移 (PAT) 是常见的. 识别按电池摄入等因素可以帮助减少对儿童不必要的转移.
科学领域:
- 儿科急救医学 儿科急救医学
- 医疗转移管理管理 医疗转移管理
- 外来物体的摄入和排出
背景情况:
- 患有外体的儿童经常需要从一般急诊室 (ED) 转移到专门的儿童医院.
- 儿科外体的医院间转移带来了独特的管理挑战和资源利用考虑.
研究的目的:
- 描述医院间儿科外体转移的结果.
- 在这个患者群体中确定与可能可避免的转移 (PAT) 相关的因素.
主要方法:
- 对儿童 (<18岁) 转移为外体的回顾性队列研究 (2020年1月至2022年9月).
- 将PAT定义为不需要次专家干预或长时间住院的转移.
- 使用后勤回归来分析与PAT相关的因素.
主要成果:
- 分析了213名患者,41.8%的转移被认为是PAT.
- 硬币是最常见的异物 (30%),主要是在胃肠道.
- 按电池的摄入与PATs显著相关 (OR:6.681),而食道/呼吸道外体和症状与PATs较少相关.
结论:
- 潜在的可避免的转移是儿科外体管理中的一个重要问题.
- 识别特定因素,如按电池摄入,可以指导干预措施,以减少不必要的转移和改善资源配置.
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