对患有神经复杂慢性疾病的儿童提供紧急护理的国家特征
Kaileen Jafari1,2, Kristen Carlin2, Derya Caglar1,2
1University of Washington, Department of Pediatrics, Seattle, Washington.
The western journal of emergency medicine
|April 10, 2024
概括
与一般急诊部 (GED) 相比,在儿科急诊部 (PED) 治疗神经复杂慢性疾病 (neuro CCC) 的儿童的儿科急诊与较少的手术和较低的死亡率有关. 这些发现表明,对这一弱势群体来说,护理提供和结果的潜在改善.
科学领域:
- 儿科急救医学 儿科急救医学
- 神经学 神经学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 一般急诊室 (GED) 可能为医学上脆弱的儿科患者提供不理想的护理,特别是那些患有复杂慢性疾病的儿科患者.
- 患有神经复杂慢性疾病 (神经CCC) 的儿童是受紧急护理质量变化不成比例地影响的脆弱人群.
- 关于神经CCC护理在一般和儿科急诊场所的特征和结果的数据有限.
研究的目的:
- 为了比较GED和儿科ED (PED) 之间的神经CCC儿童的急诊室 (ED) 访问的频率,特征和结果.
主要方法:
- 2011-2014年全国紧急情况部门样本 (NEDS) 的回顾性分析.
- 包括0-21岁的神经CCC患者的ED访问.
- 患者,医院和ED访问特征的比较,并使用描述性统计和多变量后勤回归评估结果 (入院,转移,关键程序,死亡率).
主要成果:
- 分析了387,813次神经CCC ED访问,主要是在GED.
- PED访问涉及更年轻的患者,具有更高的并发病率和技术援助需求,但ED费用较低.
- 与GED访问相比,PED访问显示了较低的关键程序,转移和死亡率.
结论:
- 在PED中照顾神经CCC儿童与减少资源利用,转移和死亡率有关.
- 识别PED护理神经CCC的特定特征可以为降低成本和提高这一群体的生存率的策略提供信息.
相关概念视频
Specialized Care Centers and Settings-II
722
Rural Health Centers
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
722
Specialized Care Centers and Settings-I
941
Specialized care settings or centers are situated in convenient locations within the community and offer care to a specific group or population. They consist of daycare facilities, mental health facilities, rural health facilities, educational institutions, industries, shelters for the homeless, and rehabilitation facilities.
Daycare centers
They provide several functions. Some facilities care for healthy newborns and children whose parents work, while others are medically focused and care for...
Daycare centers
They provide several functions. Some facilities care for healthy newborns and children whose parents work, while others are medically focused and care for...
941
Planning Nursing Care I
4.4K
The planning phase of the nursing process helps nurses set priorities, outline patient-centered goals and expected outcomes, and tailor nursing interventions to align with the aligned care plan. Through the planning phase, the nurse applies critical thinking skills to align and develop interventions according to the patient's needs. It provides continuity of care allowing patients to receive the maximum benefit from treatment. It serves as a pilot plan for allocating individual staff to a...
4.4K
Secondary Healthcare System
1.5K
Secondary healthcare is offered by a specialist, generally in hospitals or clinics for patients referred by primary healthcare providers. It occurs when a person has an illness or injury that requires specific medical care. Secondary care is often referred to as acute care. Secondary care can range from uncomplicated care to repair a minor laceration or treat a strep throat infection to more complicated emergent care, such as treating a head injury sustained in an automobile accident. Whatever...
1.5K
Nursing Assessment
7.6K
The two sources for collecting information are primary and secondary. After gathering information, interpretation and validation help to complete the data. The purpose of assessment is to establish data with the initial information, to interpret data about the patient's perceived needs and health problems, and to respond to these problems identified.
The nurse collects all aspects of the patient's health in the initial assessment, establishing priorities for ongoing focused assessments...
The nurse collects all aspects of the patient's health in the initial assessment, establishing priorities for ongoing focused assessments...
7.6K
Standards of Care I
677
Federal statutes profoundly impact nursing practice, providing critical guidelines to ensure patient care is equitable, accessible, and of the highest quality. The following laws address distinct aspects of healthcare provision and patient rights:
677


