在儿童期诊断迟到的乳病
Paola Ilaria Bianchi1, Marco Vincenzo Lenti1,2, Clarissa Petrucci1,2
1First Department of Internal Medicine, Istituto di Ricovero e Cura a Carattere Scientifico Fondazione Policlinico San Matteo, Pavia, Italy.
这项研究发现,儿科腹腔疾病 (CD) 的诊断延迟通常是短暂的. 然而,神经症状和发育不良等因素与儿童延长时间和错误诊断有关.
科学领域:
- 儿科胃肠病学 儿科胃肠病学
- 结核病研究 结核病研究
- 诊断延迟分析的分析
背景情况:
- 了解儿科腹腔疾病 (CD) 的诊断延迟对于及时干预至关重要.
- 在患有CD的儿童中延迟诊断的因素尚不清楚.
研究的目的:
- 为了调查儿童腹腔疾病的诊断延迟.
- 确定与儿科CD患者的诊断延迟和误诊相关的因素.
主要方法:
- 在意大利,从2010年至2019年进行了一项多中心,回顾性,横截面研究.
- 分析了3171名患有CD的儿科患者 (0-18岁) 的数据.
- 统计模型被用于评估整体,前咨询和后咨询诊断延迟和相关因素.
主要成果:
- 儿科CD的总体诊断延迟的中位数为5个月.
- 年龄较小 (<3岁) 和男性性别与较短的延迟有关.
- 家庭史CD减少了预诊延迟,而神经症状,GER和无法壮成长增加了极端延迟.
- 错误诊断与诸如GER,腹和腹痛等症状有关.
结论:
- 在这个队列中,儿科乳病的诊断延迟时间相对较短.
- 特定因素增加了长期诊断延迟和误诊的风险,需要进一步调查和临床关注.
- 解决已识别的风险因素可能有助于改善儿科CD的早期检测和管理.
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