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患有自闭症谱系障碍的住院儿童的身体和药物抑制
Mary Elizabeth Calabrese1, Georgios Sideridis1, Carol Weitzman1
1Division of Developmental Medicine, Boston Children's Hospital, Boston, Massachusetts.
Pediatrics
|December 11, 2023
概括
与同龄人相比,患有自闭症谱系障碍 (ASD) 的住院儿童更有可能因暴力或自我伤害行为而受到身体或药物限制. 需要进一步的研究来为患有自闭症的儿童创造更安全的医院环境.
科学领域:
- 儿科医院医学 儿科医院医学
- 神经发育障碍 神经发育障碍
- 患者安全 患者安全
背景情况:
- 患有自闭症谱系障碍 (ASD) 的儿童经历了更高的并发病率和更长的住院时间.
- 关于ASD住院儿童使用物理或药理限制的数据有限.
- 这项研究调查了与典型同龄人相比,患有自闭症的住院儿童的克制使用情况.
研究的目的:
- 为了比较住院儿童与非自闭症儿童之间使用身体或药物限制的发生率.
- 在这个儿科群体中确定与限制使用相关的因素.
主要方法:
- 对5至21岁儿童电子健康记录的回顾性队列研究.
- 使用计费数据识别了ASD和并发诊断.
- 分析了对身体和药物限制的临床指令.
- 使用倾向得分匹配和后勤回归来比较限制率,控制共变量.
主要成果:
- 在21,275名住院儿童中,1.7%经历了克制,5.6%患有自闭症.
- 患有自闭症的儿童在调整入院原因,入院时间和并发疾病后,被束的可能性显著增加 (OR 2.3,95% CI 1.6-3.4;P < .001).
结论:
- 患有自闭症的住院儿童在暴力或自我伤害行为时面临着显著更高的克制率.
- 医院环境需要进行修改,以减轻行为失调,并减少ASD儿童的克制使用.
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