晚期早产婴儿再入院的特点:系统性审查
Jennifer A Joyner1, Amy E Papermaster, Jane Dimmitt Champion
1The University of Texas School of Nursing at Austin, Austin, Texas.
Journal of the American Association of Nurse Practitioners
|January 16, 2024
概括
晚期早产 (LPT) 婴儿是脆弱的,需要更新的临床指南. 本次审查强调了他们的特点,增加了再接收风险,以及需要修订基于证据的做法以改善结果.
科学领域:
- 新生儿健康 新生儿健康
- 公共卫生不平等 公共卫生不平等
- 基于证据的实践.
背景情况:
- 过早生育是一个显著的健康差异,晚期早产 (LPT) 婴儿代表了大部分的早产.
- 对LPT婴儿的研究不足,目前的基于证据的实践指南已经有十年的历史,需要进行审查.
- 对LPT婴儿的社会人口学因素和临床标准需要检查.
研究的目的:
- 评估LPT婴儿的社会人口统计特征.
- 评估LPT婴儿的临床实践标准.
- 通过检查再接收率,死亡率和发病率来确定是否需要修订基于证据的实践指南.
主要方法:
- 按照PRISMA方法进行系统审查.
- 在PubMed/Medline,Web of Science和CINAHL数据库中搜索了2012年以后发表的文章.
- 使用的搜索术语:"晚期早产婴儿"",再接收"和"再接收率".
主要成果:
- 十一项研究符合纳入标准,包括准实验,回顾性和前性队列研究.
- 确定了与更高的再接收率,发病率,死亡率和医疗保健成本相关的LPT婴儿特征.
- 突出了长期健康不平等的潜力.
结论:
- 调查结果表明,有明确的需要审查和修订目前针对LPT婴儿的基于证据的实践指南.
- LPT婴儿表现出脆弱性,强调了更新指南的必要性.
- 修订后的指导方针有助于降低LPT婴儿的发病率,死亡率,再入院率和医疗费用.
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