在COVID-19大流行期间,新生儿重症监护室统计数据的变化
David Rodríguez-Medina1, Luis M Avalos-Huizar2, Wendy Bolio-Pontigo1
1Unidad de Cuidados Intensivos Neonatales.
Boletin medico del Hospital Infantil de Mexico
|March 19, 2024
概括
由于COVID-19大流行,新生儿重症监护室 (NICU) 的患者流量增加. 尽管入院率较高,但NICU死亡指标在2019年至2021年之间有所改善.
科学领域:
- 新生儿护理 新生儿护理
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- COVID-19 疫情对全球医疗保健系统产生了重大影响.
- 一个特定的墨西哥医院的新生儿重症监护病房 (NICU) 经历了由于流行病应对策略增加的患者数量.
- 这就需要对大流行对新生儿护理的影响进行分析.
研究的目的:
- 评估COVID-19大流行对新生儿护理的影响.
- 分析疫情期间在NICU设置中的死亡率指标变化.
- 为了比较疫情前和期间的新生儿护理指标.
主要方法:
- 使用了回顾性研究设计.
- 收集了2019年和2021年的医院分娩,早产新生儿 (PTNB),NICU入院和死亡的数据.
- 统计分析包括对频率变化的Poisson分布和对比例的z测试.
主要成果:
- 2019年至2021年间,医院分娩数量增加了一倍以上.
- 新生病重症监护室的入院人数从2019年的770人大幅上升至2021年的1045人 (p < 0.01).
- 死亡与NICU出院的比例从2019年的16.9%下降到2021年的13.1% (p = 0.02).
结论:
- 新生儿重症监护室的死亡率指标显示有所改善.
- 观察到的死亡率下降发生在COVID-19大流行期间患者负荷增加的同时.
- 这些发现表明,在NICU中实施了有效的管理策略.
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