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密集护理相关的经验,极其早产婴儿的死亡,非常早产婴儿
Lyubov Tiegs1, Erin Rholl1,2, Siobhan McDonnell1
1Department of Pediatrics, Medical College of Wisconsin, Milwaukee, Wisconsin, 999 N 92 St, Milwaukee, WI,USA.
Obstetrics and Gynecology: Open Access
|March 11, 2024
概括
在重症监护室死亡的极其早产婴儿比幸存者更容易经历侵入性手术和止痛药. 这凸显了这些脆弱的婴儿所面临的重大治疗负担.
科学领域:
- 新生儿重症监护室新生儿重症监护室
- 儿科重症监护 儿科重症监护 儿科重症监护
- 产周医学 产周医学
背景情况:
- 疼痛和死亡的质量是儿童治疗决策的关键因素.
- 了解死于极度早产婴儿的重症监护体验至关重要.
研究的目的:
- 评估极度早产 (22-25周妊娠年龄) 婴儿的重症监护相关经验,这些婴儿尽管接受了重症监护治疗,但死亡.
主要方法:
- 一个1:1的病例对照研究将婴儿与妊娠年龄和出生体重相匹配.
- 检查了2014-2020年期间接受了重症监护的婴儿的医疗记录.
- 收集的数据包括侵入性手术,手术,止痛药的使用,肠道养和父母的养殖.
主要成果:
- 与幸存者 (对照组) 相比,死亡的婴儿 (病例) 的入侵性手术 (34 vs. 24) 和手术 (8 vs. 4) 的平均数量更高.
- 病例花费了更多的时间在止痛药 (64%对27%) 和没有肠道养 (54%对39%).
- 在死亡的婴儿中,有一半的婴儿在死亡前从未被父母抱着.
结论:
- 在重症监护室死亡的极度早产婴儿面临的治疗负担比幸存者更大.
- 需要进一步的研究来决定这些婴儿的重症监护.
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