儿童溺水后与多器官功能障碍综合征的发展相关的危险因素
Colton Southard-Goebel1, Francis Pike2, Courtney M Rowan3
1From the Indiana University School of Medicine.
Pediatric emergency care
|November 15, 2023
概括
患有多器官功能障碍综合征 (MODS) 的儿童溺水幸存者面临更糟糕的结果. 入院时高血糖水平 (高血糖) 可能预测这些儿童的MODS发展.
科学领域:
- 儿科重症监护室的儿童重症监护室
- 溺水医学是一种溺水疗法.
- 关键护理医学 关键护理医学
背景情况:
- 儿童溺水是意外伤害死亡的主要原因.
- 多器官功能障碍综合征 (MODS) 是溺水后的一种严重并发症.
- 确定MODS的风险因素对于改善结果至关重要.
研究的目的:
- 在一个中心描述儿科溺水的临床经验.
- 确定与溺水后MODS发展相关的风险因素.
- 评估MODS无生存期的入院参数的预后值.
主要方法:
- 对儿童患者 (1个月-25岁) 进行了回顾性病例控制研究,这些患者在溺水后被送往PICU.
- 在24小时内发展MODS的患者与没有发展MODS的患者的比较.
- 多变量分析以确定MODS的独立风险因素.
主要成果:
- 分析了48名儿科溺水患者;60%的人在24小时内发展出MODS.
- MODS的发展与心肺复苏的需要和持续时间的增加以及更长的潜水时间有关.
- 高血糖 (血糖>200 mg/dL) 是24小时后减少MODS无生存时间的显著独立预测因素.
结论:
- MODS的发展显著恶化了儿科溺水患者的结果.
- 高血糖是潜在的可修改风险因素,也是儿童溺水中MODS的有用预后标志物.
- 早期发现高血糖症可能有助于改善生存率的干预措施.
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