癌症儿童的临床护理利用:美国儿科健康信息系统数据库队列2012-2021年
Colin M Rogerson1, Courtney M Rowan
1Both authors: Division of Pediatric Critical Care Medicine, Department of Pediatrics, Indiana University School of Medicine, Indianapolis, IN.
概括
需要重症监护的儿科瘤住院病例从2012年至2021年增加. 尽管急性更高,但儿科重症监护室 (PICU) 的入院与死亡率的降低有关.
科学领域:
- 儿科重症监护医药 儿科重症监护医药
- 儿科瘤学 儿科瘤学
- 医疗服务研究 医疗服务研究
背景情况:
- 在过去的十年里,儿科瘤医院住院治疗和存活率取得了重大进展.
- 了解重症监护利用趋势对于资源配置和儿童癌症护理质量改善至关重要.
研究的目的:
- 分析2012年至2021年间儿童瘤医院住院需要入住儿科重症监护室 (PICU) 的趋势.
- 评估在研究期间使用重症监护支持和相关死亡率的变化.
主要方法:
- 对住院数据进行了回顾性分析.
- 数据来源于美国儿科健康信息系统数据库,涵盖36家儿童医院.
- 该研究包括281,221例18岁或更年轻的瘤诊断患者住院治疗.
主要成果:
- 儿科瘤医院住院和PICU入院从2012年到2021年稳步增加.
- 在PICU住院的瘤病例比例从15.1% (2012-2016) 增加到18.0% (2017-2021).
- 尽管敏度标志物增加和PICU利用率增加,整体病例死亡率保持稳定,为1.3%,与晚期PICU入院相关的死亡率较低.
结论:
- 在过去的十年中,需要PICU入院的儿科瘤医院住院的百分比显著增加.
- 观察到增加PICU入院率和敏度标志物,但死亡率显示出有利的趋势.
- 2017-2021年期间的PICU入院与2012-2016年相比,与降低的死亡率有关,这表明尽管有更高的重症监护需求,但结果有所改善.
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