重症儿童的定期出院:预测因素和结果
France W Fung1,2, Darshana S Parikh1, Shavonne L Massey1,2
1Department of Pediatrics (Division of Neurology), Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.
概括
在重症儿童中,一般化周期性出院 (GPD) 和双边独立周期性出院 (BIPD) 与不良结果,包括死亡率有关. 侧面周期性放出 (LPDs) 与不良结果无关.
科学领域:
- 神经科学是一个神经科学.
- 关键护理医学 关键护理医学
- 儿科神经学 儿科神经学
背景情况:
- 周期性放出 (PDs) 是一种在重症患者中观察到的EEG模式.
- 了解不同PD类型的临床和EEG特征对于预后至关重要.
研究的目的:
- 确定与一般定期放电 (GPD),横向定期放电 (LPD) 和双边独立定期放电 (BIPD) 相关的临床和EEG特征.
- 确定这些EEG模式与重症儿童的结果之间的关联.
主要方法:
- 对接受持续EEG监测的重症儿童进行前性观察研究.
- 对GPD,LPD和BIPD的标准化评分.
- 评估与死亡率的关联,格拉斯哥结论尺度扩展的儿科版本 (GOS-E-Peds) 和儿科大脑性能类别 (PCPC).
主要成果:
- PDs发生在7%的受试者身上.
- 昏迷和异常的EEG背景增加了GPD的风险.
- 与死亡率相关的GPD;与死亡率相关的BIPD和不利的GOS-E-Peds和PCPC结果.
- 腰部病变与死亡率或不良结果无关;在急性非结构性脑病变中没有发现.
结论:
- 昏迷和异常的EEG背景预测了GPD和BIPD.
- GPD与死亡率有关,而BIPD则表明死亡率和神经学结果不佳.
- 在这个人群中,LPD似乎与不良结果无关.
相关概念视频
01:31Discharge Summary Forms
759
The discharge summary is crucial as it enables a smooth transition from a healthcare facility to a patient's home or another care setting. This critical document facilitates seamless continuity of care, ensuring patients receive the necessary support and attention.
Here's a detailed look at the key components and guidelines for preparing a discharge summary:
Here's a detailed look at the key components and guidelines for preparing a discharge summary:
759
01:30Acute Respiratory Failure-III
187
Hypercapnic respiratory failure, also known as Type 2 or ventilatory respiratory failure, is a severe condition characterized by the body's inability to effectively remove carbon dioxide (CO2) from the bloodstream. It leads to an arterial CO2 pressure (PaCO2) exceeding 45 mmHg and a blood pH above 7.35. This situation indicates that the body's ventilatory demand, or the ventilation needed to maintain normal PaCO2 levels, surpasses its supply or the maximum gas flow achievable without...
187