患有喘儿童住院和急诊的预测因素
Hussain A Al Ghadeer1, Jalal K Aldandan1, Marwah A Alessa1
1Pediatrics, Maternity and Children Hospital, Al-Ahsa, SAU.
Cureus
|February 2, 2024
概括
儿童喘控制不良会增加急诊室的访问和住院. 诸如不频繁的医生随访和烟雾暴露等因素与更高的发病率有关,强调需要更好的喘管理策略.
科学领域:
- 儿科肺病学 儿科肺病学
- 公共卫生 公共卫生
背景情况:
- 喘是一种慢性炎症性疾病,影响全球数百万人.
- 标准化喘护理对于有效管理儿童的疾病至关重要.
- 适当的护理可以改善生活质量,并减少儿童喘患者的医疗保健利用率.
研究的目的:
- 确定与患有喘儿童的急诊室 (ER) 访问和住院相关的预测变量.
- 调查导致需要医疗干预的喘恶化风险因素.
主要方法:
- 在2022-2023年期间在沙特阿拉伯进行的一项横截面描述性研究.
- 涉及124名患有喘的儿童及其照顾者参加初级医疗保健诊所.
- 使用了儿童喘控制测试 (C-ACT) 和多重逻辑回归分析.
主要成果:
- 增加急救诊所和住院的关键风险因素包括喘控制不良 (C-ACT <19),不频繁的医生随访,频繁使用短效β-激动剂,以及暴露于烟雾和物.
- 在研究人口中 (平均年龄为10.8岁) 亚托皮症很普遍.
结论:
- 改善儿童和青少年的喘控制是可以通过可访问的护理,为家庭提供全面的教育和有效的症状管理来实现的.
- 这些干预措施可以显著减少喘恶化和相关的医疗负担.
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