评估尿布皮肤炎使用一种新的电子健康记录嵌入式尺度
Marty O Visscher1, Afshin Taleghani2, Melissa Nurre2
1James L. Winkle College of Pharmacy, University of Cincinnati, Cincinnati, OH, USA. marty.visscher@gmail.com.
概括
新生儿皮肤损伤或尿布皮肤损伤是常见的. 一个电子健康记录 (EHR) 工具有效地跟踪了早产婴儿的损伤严重程度和演变.
科学领域:
- 新生儿皮肤病学 新生儿皮肤病学
- 临床信息学是一种临床信息学.
- 儿科皮肤健康儿童皮肤健康
背景情况:
- 新生儿皮肤损伤,特别是尿布皮肤炎,是新生儿重症监护室 (NICU) 中普遍存在的问题.
- 标准化的皮肤完整性的评估和跟踪对于有效的管理和预防至关重要.
- 将临床评估整合到电子健康记录 (EHR) 中可以简化数据收集和分析.
研究的目的:
- 量化新生儿皮肤损伤的发生率,演变和严重程度,特别是尿布皮肤炎.
- 在电子健康记录 (EHR) 系统中实施和验证皮肤完整性评估工具.
- 确定与新生儿严重皮肤损伤相关的风险因素.
主要方法:
- 根据妊娠年龄 (22-37周) 分层的747名新生儿的回顾纵向队列分析.
- 从出生到出院收集的数据,重点关注周围红的发病率,持续时间和严重程度得分.
- 使用通用线性模型和多重线性回归的统计分析.
主要成果:
- 70%的新生儿患有红血;34%的新生儿患有严重的伤害和出血.
- 红血的持续时间在34-44%的日内,在更多的早产婴儿中,红血的发病时间较早.
- 严重的伤害风险因素包括红血热的迅速发作,频繁的便,感染以及高加索种族/种族.
结论:
- 嵌入EHR的皮肤完整度表可以有效地实施,以监测和减轻尿布皮肤的损害.
- 这种方法有助于收集客观数据,以改善早产婴儿的护理方案.
- 基于EHR数据的早期识别和干预可以减少新生儿皮肤损伤的严重程度和持续时间.
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