在住院儿童中与可操作的胃肠道面板结果相关的因素
Erin C Ho1,2, Jillian M Cotter1,3, Jacob Thomas4
1Department of Pediatrics.
对于患有急性胃肠炎 (AGE) 的住院儿童,胃肠道面板 (GIP) 测试更有可能在年长的儿童,血的便或有国际旅行史的儿童中产生可行的结果. 这可以指导测试决策,减少不必要的程序.
科学领域:
- 儿童传染病 儿童传染病
- 临床诊断 临床诊断 临床诊断
- 医疗保健服务研究 医疗服务研究
背景情况:
- 急性胃肠炎 (AGE) 是儿童住院的常见原因之一.
- 胃肠道小组 (GIP) 测试在患有AGE的住院儿科患者中的实用性尚未确定.
- 不必要的GIP测试可能会导致医疗保健成本增加和潜在的过度治疗.
研究的目的:
- 为了确定临床因素和指示,订购GIP测试相关的可操作的结果,在住院的儿童与AGE.
- 区分与有复杂慢性疾病 (CCC) 的儿童和没有复杂慢性疾病 (CCC) 的儿童的可操作结果相关的因素.
主要方法:
- 2015-2018年间,对住院治疗腹和GIP检测的儿科患者进行了横截面研究.
- 多变量回归分析,以评估可操作的GIP结果与订单指示,便频率和人口统计数据之间的关联.
- 根据复杂慢性疾病 (CCC) 状态分层分析.
主要成果:
- 与CCC患者相比,非CCC患者的可操作GIP结果更频繁.
- 年龄较大 (≥1岁) 与两个组的可操作结果有关.
- 在非CCC患者中,血的便和非冬季季节与可操作的结果有关;国际旅行与非Clostridioides difficile细菌和寄生虫相关.
- 没有特定的顺序指示与CCC患者的可操作结果相关.
结论:
- 高龄,血和国际旅行史可以帮助识别患有AGE的住院儿童,可能会有可行的GIP结果.
- 这些发现可能会改善诊断管理,并减少儿童群体中不必要的GIP测试.
- 需要进一步的前性研究来验证这些预测因素.
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