儿童烧伤队列中儿童保护服务推的模式
Sima Vazquez1, Ankita Das1, Eris Spirollari1
1Department of Neurological Surgery, New York Medical College, Valhalla, USA.
Cureus
|February 2, 2024
概括
儿童保护服务 (CPS) 参与儿科烧伤受种族和社会经济因素的影响,并不总是有根据的. 这些转介可能会对儿童和家庭产生负面影响.
科学领域:
- 儿科医学 儿科医学
- 法医儿科医生 法医儿科医生
- 公共卫生 公共卫生
背景情况:
- 儿童非意外创伤经常涉及儿童保护服务 (CPS).
- 涉嫌虐待儿童的转介流程缺乏标准化,可能导致不一致.
研究的目的:
- 分析与儿童保护服务 (CPS) 参与儿科烧伤相关的因素.
- 调查儿童烧伤病例中CPS转诊的结果.
主要方法:
- 对接受CPS咨询的14岁以下儿科烧伤患者的回顾性图表审查 (2015-2021年).
- 多变量和回归分析以确定CPS参与的预测因素和与烧伤特征的关联.
主要成果:
- 在340名儿科烧伤患者中,12.9%的患者接受了CPS转诊,其中0.9%的患者接受了干预.
- 黑人种族和更高的地区贫困指数 (ADI) 与CPS参与度的增加有关.
- CPS参与与更长的住院时间相关;只有6.82%的转诊是有根据的.
结论:
- 儿童烧伤中的CPS参与受到种族和社会经济地位等外部因素的影响.
- 对烧伤的CPS转诊往往没有证据,可能会对家庭造成伤害.
- 需要进一步的研究来完善转诊标准,并减轻CPS参与方面的偏见.
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