新生儿的围产期气道管理:一个医疗保健成本和利用项目 (HCUP) 儿童住院病人的数据库分析
Maya N Matabele1, Christie Cheng2, Manasa Venkatesh3
1University of Wisconsin School of Medicine and Public Health, Madison, WI, USA.
International journal of pediatric otorhinolaryngology
|November 6, 2023
概括
患有胎儿的新生儿需要显著更多的呼吸道干预,通常通过内镜程序成功管理,防止神经并发症. 这项研究提供了有关围产期气道管理的患者知情决策的数据.
科学领域:
- 新生儿护理 新生儿护理
- 遗传性疾病 遗传性疾病
- 航道管理是指空中航道管理.
背景情况:
- 胎儿喉是一种罕见的疾病,导致危及生命的新生儿呼吸道阻塞.
- 出产前宫内治疗 (EXIT) 经常用于胎儿,但具有风险.
- 需要数据来指导胎儿管呼吸道管理的最佳治疗选择.
研究的目的:
- 为了比较新生儿的围产期呼吸道干预措施,并没有产后医院出院诊断 (BHDD) 的.
- 为了分析干预类型,并发症和结局在的队列.
主要方法:
- 对医疗保健成本和利用项目 (HCUP) 儿童住院患者数据库 (2000-2019) 的回顾性分析.
- 在0或1岁的新生儿中,与没有子的新生儿之间的呼吸道干预措施的比较.
- 怀孕年龄的检查,干预类型,并发症,死亡率,出生体重和子队伍停留时间的检查.
主要成果:
- 16.9%的患有的新生儿在0或1岁生日接受了呼吸道干预,而没有的新生儿是1.6% (p < 0.001).
- 内膜输管是最常见的干预措施 (16%),内镜手术通常足够.
- 在的队列中没有观察到死亡;缺氧脑病变发生在<1%的患者中.
结论:
- 患有喉的新生儿经历了显著更多的围产期呼吸道干预.
- 内镜干预通常足以预防缺氧神经复杂症.
- 这些研究结果支持临床咨询和患者为胎儿管管理做出明智的决策.
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