对自闭症谱系障碍儿童烧伤的回顾性分析
Lauren E Mazur1, Katelyn M Even2, Conrad Krawiec2
1Penn State College of Medicine, 500 University Drive, P.O. Box 850, Hershey, PA, 17033-0850, USA. lmazur@pennstatehealth.psu.edu.
Journal of autism and developmental disorders
|April 12, 2024
概括
患有自闭症谱系障碍 (ASD) 的儿童经历烧伤时面临更高的死亡风险和急性护理需求. 这项研究强调了美国儿童烧伤患者与ASD的死亡几率增加和重症监护需求.
科学领域:
- 儿童烧伤伤害的结果
- 神经发育障碍 研究 研究 神经发育障碍
- 临床信息学 临床信息学
背景情况:
- 患有神经发育障碍的儿童患烧伤伤害的风险增加.
- 在美国,患有自闭症谱系障碍 (ASD) 的儿科烧伤患者的临床结果,特别是死亡率,仍然在很大程度上未知.
- 了解这些结果对于有针对性的干预和改善患者护理至关重要.
研究的目的:
- 评估受试者的特征,烧伤类型,临床护理和ASD儿童的死亡率.
- 为了比较患有ASD和没有ASD的儿童在烧伤后的临床结果和重症监护管理.
- 为了测试这一假设,儿童烧伤患者与ASD与非ASD同行相比,具有相似的死亡率和急症护理需求.
主要方法:
- 使用TriNetX电子健康记录数据库进行的回顾性观察队列研究.
- 纳入标准:年龄在0-18岁的受试者,有烧伤诊断码.
- 对99,323名受试者的人口统计,诊断,药物,手术和死亡率数据的分析 (3,083名有ASD,96,240名没有ASD).
主要成果:
- 患有自闭症儿童的1年全因死亡率 (1.9倍) 的几率明显更高.
- 患有自闭症症的儿童烧伤患者需要重症监护服务 (1.88倍) 和机械通风 (2.69倍) 的几率增加.
- 这些发现与最初的假设相矛盾,表明ASD儿童的结果更差.
结论:
- 与没有ASD的儿童相比,患有自闭症谱系障碍 (ASD) 的美国儿童遭受烧伤的死亡率和急症护理需求的可能性更高.
- 这些发现强调了患有自闭症症的儿科烧伤患者的脆弱性,以及需要专门的护理考虑.
- 进一步的研究至关重要,以阐明导致这一群体死亡率增加和重症监护需求的具体因素.
相关概念视频
01:19Autism Spectrum Disorder
88
Autism spectrum disorder (ASD) is a neurodevelopmental condition marked by persistent deficits in social communication and interaction alongside restrictive and repetitive behaviors or interests. ASD is sometimes accompanied by intellectual impairment.
These core symptoms manifest differently among individuals, ranging from mild to severe. The disorder's complexity extends beyond its clinical presentation, encompassing a diverse range of biological, cognitive, and sociocultural influences.
These core symptoms manifest differently among individuals, ranging from mild to severe. The disorder's complexity extends beyond its clinical presentation, encompassing a diverse range of biological, cognitive, and sociocultural influences.
88
01:22Burn Injuries
2.5K
Burn injuries occur when the skin and underlying tissues are damaged due to exposure to heat, electricity, chemicals, radiation, or friction. They can vary in severity, from minor superficial burns to severe deep burns that can be life-threatening.
The damage results in the death of skin cells, which can lead to a massive loss of fluid. Dehydration, electrolyte imbalance, and renal and circulatory failure follow, which can be fatal. Burn patients are treated with intravenous fluids to offset...
The damage results in the death of skin cells, which can lead to a massive loss of fluid. Dehydration, electrolyte imbalance, and renal and circulatory failure follow, which can be fatal. Burn patients are treated with intravenous fluids to offset...
2.5K
01:26Modeling in Therapy
72
Modeling, a key technique in therapy, uses observational learning to help clients acquire and practice new skills by watching therapists demonstrate desired behaviors. This approach, rooted in Albert Bandura's concept of vicarious learning, plays a significant role in therapeutic interventions for various psychological conditions, including social anxiety, ADHD, and depression.
Participant Modeling
Participant modeling involves therapists demonstrating calm and effective behaviors in...
Participant Modeling
Participant modeling involves therapists demonstrating calm and effective behaviors in...
72