儿童年龄调整冲击指数 (SIPA):从受伤到结局在的腹部创伤
Meghna Kinjalk1, Nitin Jain1, Sujoy Neogi1
1Department of Pediatric Surgery, Maulana Azad Medical College, New Delhi, India.
Journal of Indian Association of Pediatric Surgeons
|February 26, 2024
概括
儿科创伤患者的高震荡指数儿科年龄调整 (SIPA) 评分与增加的输血和更长的住院时间有关. 这一分数可能有助于识别出不良结果的患者,包括需要紧急手术的患者.
科学领域:
- 儿科创伤护理 儿童创伤护理
- 临床选工具 临床选工具
- 紧急医疗 紧急医疗
背景情况:
- 儿童年龄调整冲击指数 (SIPA) 评分有助于识别患有不良结果风险的儿童创伤患者.
- 有效的分组对于管理儿科创伤患者至关重要.
研究的目的:
- 调查儿童创伤患者中SIPA得分升高与特定结果之间的关联.
- 评估SIPA分数对患者结果的预测值.
主要方法:
- 一项回顾性研究分析了58例儿科突击腹部创伤病例.
- 患者被按在介绍时的SIPA分数正常或升高分类.
- 结果包括输血,干预,手术,CT扫描,通风,ICU停留,住院和死亡率.
主要成果:
- 在46%的患者中观察到SIPA得分升高.
- 在SIPA得分升高与需要输血 (68.75%) 和延长住院时间 (10.48±7.54天) 之间发现了显著的相关性.
- 在SIPA升高与急诊手术,CT扫描或ICU停留之间没有发现统计学意义上的关系.
结论:
- 呈现时SIPA分数的升高与需要输血和在儿科创伤中更长的住院时间有显著的相关性.
- 虽然不具有统计学意义,但在超过一半的病例中,增加SIPA与紧急手术和CT扫描要求有关.
- SIPA评分评估可以帮助识别可能经历不良结果的儿科创伤患者.
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