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一个描述性的分析:婴儿向儿科急诊室提出一个简短的解决不明原因事件
Lindsay McHale, Rumana Siddique1, Andrew J Gienapp1
1Children's Foundation Research Institute, Le Bonheur Children's Hospital, Memphis, TN.
Pediatric emergency care
|February 28, 2024
概括
黑人或有医疗补助保险的短暂,已解决,不明原因事件 (BRUE) 的婴儿面临更高的入院率. 健康的社会决定因素影响儿科急诊室的入院.
科学领域:
- 儿科急救医学 儿科急救医学
- 医疗保健服务研究 医疗服务研究
- 健康的社会决定因素
背景情况:
- 婴儿出现在儿科急诊室 (ED) 短暂,已解决,无法解释的事件 (BRUE) 可能受到健康的社会决定因素的影响.
- 了解人口预测因素对于管理BRUE病例和资源分配至关重要.
研究的目的:
- 确定患有BRUE的婴儿人口统计数据.
- 确定与BRUE患者的重症监护室 (ICU) 入院相关的人口预测因素.
主要方法:
- 一项多中心的回顾性研究分析了2016年1月1日至2021年6月30日期间来自52家医院的数据.
- 包括0至1岁的婴儿,其初级诊断为BRUE/明显危及生命的事件 (ALTE).
- 单变量和多变量后勤回归确定了招生与出院的人口预测因素.
主要成果:
- 黑人种族 (OR=1.252) 和医疗补助保险 (OR=1.126) 与增加入院风险有显著的关联.
- "其他"种族 (OR=0.837) 和商业保险 (OR=0.888) 与更高的出院概率有关.
- 患者的性别没有显著影响入院率 (OR=1.034).
结论:
- 黑人种族和医疗补助保险是 BRUE 婴儿入院的重要预测因素.
- 人口因素,特别是健康的社会决定因素,在BRUE的ED入学决定中发挥着作用.
- 未来的研究应该探索干预措施,如社区外展,以支持处于社会风险的家庭,并可能降低入学率.
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