在儿科重症监护病房慢性危急疾病的快照
Miriam C Shapiro1,2, Renee D Boss3,4, Pamela K Donohue3,5
1Department of Pediatrics, Division of Critical Care Medicine, University of Minnesota Medical School, Minneapolis, Minnesota, United States.
儿科慢性重症 (PCCI) 影响了儿科重症监护室 (PICU) 的大量儿童. 了解PCCI患病率和资源需求对于改善护理模式至关重要.
科学领域:
- 儿科 儿科 儿科
- 关键护理医学 关键护理医学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 患有慢性严重疾病 (CCI) 的儿童是儿科重症监护室 (PICU) 中医学上最复杂的患者.
- 针对儿科CCI (PCCI) 提出了一个定义,用于评估患病率和特征.
- 了解这一群体的需求对于优化PICU护理至关重要.
研究的目的:
- 评估美国学术医疗中心PCCI的点患病率.
- 描述PICU中PCCI儿童的医疗复杂性和资源需求.
- 为了区分长期和暴露PICU停留之间的护理需求.
主要方法:
- 在美国六个学术医疗中心,在同一天进行了点患病率研究.
- 医疗,心血管和联合PICU的患者被选为PCCI资格.
- 描述性统计数据描述了PCCI人群的特征,包括技术使用,通风和住院史.
主要成果:
- 在研究日,185名儿童符合PCCI标准 (36%的PICU持续时间,64%的PICU暴露).
- 大多数PCCI患者 (82%) 需要机械通风;几乎所有人都有家庭医疗技术.
- 与PICU暴露的患者相比,PICU暴露的患者年龄较大,手术较少,住院时间较长.
结论:
- 患有PCCI的儿童占PICU患者的很大一部分.
- 区分PICU-prolonged和PICU-exposed队列有助于理解不同的护理要求.
- 需要对PCCI进行进一步的研究,以告知PICU护理模式和培训计划.
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