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了解婴儿时期的低敏度急诊室演示:一个队列研究

Areeb-Ud-Deen Mahmood^1,2, Pejman Adily^1,3,4, Stephanie Francis^5,6

¹Community Paediatrics, Sydney Local Health District, Sydney, New South Wales, Australia.

Emergency medicine Australasia : EMA

|January 19, 2024

概括

近20%的婴儿急诊室访问是低敏度的. 干预措施应针对面临社会经济劣势,社会隔离以及患有围产期并发症的家庭,以改善社区服务参与度.

科学领域:

儿科急救医学儿科急救医学
公共卫生公共卫生
医疗保健服务研究医疗服务研究

背景情况:

低敏度呈现 (LAP) 占急诊室 (ED) 访问的很大一部分,特别是在婴儿中,导致医疗保健系统负担很大.
了解婴儿LAP的特征和预测因素对于开发有针对性的干预措施和优化儿科紧急护理中的资源配置至关重要.

研究的目的:

分析时间模式,出院诊断和与婴儿 (12个月以下) 低敏度呈现相关的预测因素.
确定预测初始和重复低敏度婴儿急救诊所的人口,社会经济和围产因素.

主要方法:

2017年至2019年间6881例婴儿ED表现的回顾性观察研究.
用描述性统计数据来描述LAP的时间趋势和常见诊断.
使用多变量逻辑回归来确定与低敏度呈现器和重复低敏度呈现器 (多LAP) 相关的因素.

主要成果:

婴儿LAP占所有病例的19.8%,主要发生在工作时间 (08:00-17:00) 的工作日.
常见的LAP原因包括呼吸道感染和胃肠道疾病,非过敏性皮疹,食困难和湿疹的重要贡献.
与LAP相关的因素包括社会经济地位 (SES),海外母亲国籍和医疗保险不合格的母亲的财务状况. 重复的LAP与低的Apgar分数,低的SES,复杂的分娩,孕产妇多夫多妻制,缺乏伴侣的存在以及产科并发症有关.

结论:

婴儿急救诊所中相当一部分是针对低敏度疾病的,这凸显了改善初级和社区护理准入的需要.
干预措施应侧重于经历社会经济不利,社会孤立,文化和语言多样性以及患有围产期并发症的家庭.
建议加强与社区服务的参与,以更有效地管理婴儿LAP并减少ED负担.

关键词:

婴儿婴儿婴儿婴儿婴儿婴儿婴儿低敏度的呈现方式预测器预测器预测器

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