[慢性病理患者的医院护理]
Pablo Gómez Garrido1, María Suárez Bustamante Huélamo2, Enrique Villalobos Pinto2
1Hospital Universitario Severo Ochoa, Madrid, España.
Andes pediatrica : revista Chilena de pediatria
|October 31, 2023
概括
患有复杂慢性病理 (CCP) 的儿童需要经常住院,并需要多名专家的护理. 专门的单位可以改善这些医疗复杂的孩子的结果.
科学领域:
- 儿科医学 儿科医学
- 慢性疾病管理 慢性疾病管理
- 医疗流行病学 医疗流行病学
背景情况:
- 医学进步提高了复杂慢性病理 (CCP) 儿童的生存率.
- 了解这种不断增长的患者群体的特征对于有效的医疗保健规划至关重要.
研究的目的:
- 分析被诊断患有复杂慢性病理 (CCP) 的儿童的流行病学和临床特征.
- 在这个群体中确定关键的医疗保健利用模式和需求.
主要方法:
- 在2017年6月至2020年6月期间,在一家三级医院进行了回顾性描述性研究.
- 包括符合已确立的CPC标准的患者.
- 收集和分析流行病学,临床,入院和服务利用数据.
主要成果:
- 323名儿童 (平均年龄7岁) 患有CCP被研究;93.1%患有多系统性疾病,主要是神经 (87.3%) 和胃肠道 (34.1%).
- 39.9%的人依赖于技术,常见的诊断包括婴儿脑 (23.5%) 和脑病 (13.9%).
- 患者平均有5名专家,住院率高 (85.1%),技术依赖儿童占住院率的54.7%.
结论:
- 患有CCP的儿童需要经常住院和多学科专家的参与.
- 建议建立专门的转诊单位,以提高患有复杂慢性疾病的儿科患者的护理协调和治疗结果.
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