种族,族裔和重症监护利用常见的儿科诊断:美国儿科健康信息系统2019年数据库研究研究
Katherine N Slain1,2, Matt Hall3, Manzilat Akande4
1Department of Pediatrics, Division of Pediatric Critical Care, University Hospitals Rainbow Babies & Children's Hospital, Cleveland, OH.
概括
在儿科重症监护中存在种族和民族差异. 与白人儿童相比,黑人,西班牙裔,亚洲裔和其他儿童的儿科重症监护室 (PICU) 入院率和住院时间较长.
科学领域:
- 儿科重症监护医药 儿科重症监护医药
- 医疗服务研究 医疗服务研究
- 卫生公平性健康公平性
背景情况:
- 在急性疾病儿童的医疗保健方面,种族和民族差异在美国得到了充分记录.
- 然而,目前尚不清楚这些差异是否延伸到重症监护服务的使用.
研究的目的:
- 调查在急性疾病儿童中使用儿科重症监护室 (PICU) 服务的潜在种族和种族差异.
- 根据种族和种族,研究PICU入院率和住院时间 (LOS) 的差异.
主要方法:
- 儿童健康信息系统 (PHIS) 数据库的回顾性分析,这是来自美国学术儿童医院的多中心数据库.
- 包括2019年出院的儿童,病情经常需要PICU护理 (住院率≥5%).
- 在种族和种族群体中比较PICU入院率和总医院LOS,以人口统计和疾病严重程度进行调整.
主要成果:
- 四分之一的住院病例涉及PICU入院.
- 黑人儿童因支气管炎,呼吸衰竭,发作和糖尿病酸性脂肪酸症 (DKA) 的PICU入院的几率更高.
- 与白人儿童相比,西班牙裔,亚洲裔和其他种族儿童在几个诊断类别中,在PICU的入院几率也更高. 在调整后,来自少数种族/少数民族的儿童在呼吸衰竭,肺炎,DKA和败血症方面经历了更长的医院LOS.
结论:
- 调查结果表明,对急性病患儿童的重症监护服务的利用可能存在不平等现象.
- 进一步的研究对于了解和消除PICU使用中的种族和民族差异至关重要.
相关概念视频
01:25Statistical Methods for Analyzing Epidemiological Data
365
Epidemiological data primarily involves information on specific populations' occurrence, distribution, and determinants of health and diseases. This data is crucial for understanding disease patterns and impacts, aiding public health decision-making and disease prevention strategies. The analysis of epidemiological data employs various statistical methods to interpret health-related data effectively. Here are some commonly used methods:
365
01:30Assessment of Airway, Skin Color, and Use of Accessory Muscles
998
A thorough assessment of respiratory health is paramount in clinical settings to identify and manage respiratory distress and ensure adequate oxygenation. This article elaborates on the critical aspects of respiratory evaluation, including airway assessment, skin color examination, and the observation of accessory muscle use, which are integral to effectively diagnosing and managing patients with respiratory conditions.
Introduction
The initial evaluation of a patient's respiratory system...
Introduction
The initial evaluation of a patient's respiratory system...
998
01:29Issues And Trends In Healthcare Delivery System
5.6K
The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
5.6K
01:15Methods of Documentation VI: Case Management Model
573
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
For example, a patient with a chronic...
573
01:26Introduction to Epidemiology
723
Epidemiology, known as the cornerstone of public health, involves studying the distribution and determinants of health-related events in defined populations and applying these insights to control health issues. This is essential for understanding how diseases spread, identifying populations at greater risk, and implementing measures to control or prevent outbreaks. Epidemiology addresses not only infectious diseases but also non-communicable conditions like cancer and cardiovascular disease,...
723
01:30Health Information Technology and Healthcare Information System
840
Health Information Technology (HIT)
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
840