错过预约和住院治疗儿童身体虐待之间的关联
Rebecca Callahan1, Alicia Johns2, Amanda Young2
1Department of Pediatrics, Geisinger Medical Center - Janet Weis Children's Hospital, 100 N. Academy Ave, Danville, PA, 17822, USA.
Heliyon
|December 11, 2023
概括
错过的医疗预约可能表明儿童身体虐待 (CPA) 的风险更高. 一项研究发现,更高比例的错过预约与CPA住院有关,这表明了风险评估的潜在工具.
科学领域:
- 儿科医学 儿科医学
- 虐待儿童和忽视儿童研究
- 医疗保健风险分层的分层
背景情况:
- 儿童身体虐待 (CPA) 仍然是一个重大问题,尽管已确定了风险因素,但遗漏的病例仍然存在.
- 之前的研究还没有探讨错过医疗预约作为CPA的潜在风险指标.
- 识别新的风险因素对于改善CPA的早期检测和干预策略至关重要.
研究的目的:
- 调查错过医疗预约和随后因儿童身体虐待 (CPA) 入院之间的潜在关联.
- 确定是否存在可能有助于识别CPA风险较高的儿童的相关性.
主要方法:
- 在一个单一的卫生系统内进行了20年后期的图表审查.
- 包括36个月或更年轻的住院患者,符合国际疾病分类 (ICD) 的CPA标准.
- 确定或高概率CPA的病例与基于人口统计和临床因素的对照患者相匹配 (1: 5).
主要成果:
- 在CPA病例 (26%) 中,与对照病例 (9%) 相比,错过预约的中位数比例显著更高 (p < 0.001).
- 对于每一个错过预约的1%增加,患者接受CPA的几率增加了3%,即使经过对共变量进行调整.
- 这些发现表明,错过预约和CPA住院治疗之间存在统计学上显著的关联.
结论:
- 错过的医疗预约与因儿童身体虐待 (CPA) 住院的可能性增加有关.
- 这一发现表明,追踪错过的预约可能成为临床医生在CPA风险分层方面的一种有价值的工具.
- 需要进一步的研究,承认诸如单一医疗保健系统和特定病例定义等局限性.
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