在COVID-19大流行期间PICU病例的特征和频谱变化:回顾性分析
Yufan Yang1, Yueqi He1, Jiaotian Huang1
1Department of Intensive Care Unit, Affiliated School of Medicine of Central South University (Hunan Children's Hospital), Changsha, Hunan, China.
随着COVID-19大流行,儿科重症监护室的入院和呼吸系统疾病减少,死亡率降低. 未来的PICU护理应优先考虑呼吸,神经和血液瘤系统.
科学领域:
- 儿科重症监护室的儿童重症监护室
- 流行病学 流行病学
- 传染性疾病 传染性疾病
背景情况:
- 在全球范围内,COVID-19大流行大大改变了医疗保健的提供.
- 了解它对儿科重症监护的影响,对于调整医疗策略至关重要.
研究的目的:
- 为了比较COVID-19大流行期间儿童重症监护室 (PICU) 儿童的疾病谱与大流行前的时期.
- 分析大流行对PICU患者人口统计和疾病模式的影响.
主要方法:
- 对入住湖南儿童医院 PICU 的重症儿童进行了回顾性分析.
- 流行病期间 (2020-2022) 与流行病前 (2017-2019) 期间数据的比较.
- 分析一般特征,年龄,性别,疾病谱,死亡率,住院时间和住院费用.
主要成果:
- 在大流行期间,整体PICU入院人数下降了31.62%.
- 呼吸系统疾病的比例减少了52.78%.
- 总体死亡率下降了87.81%.
- 年龄和性别分布有显著差异;住院时间没有显著变化,但住院费用发生了变化.
结论:
- COVID-19大流行影响了PICU入院的疾病谱.
- 与流行病相关的措施有助于减少儿科呼吸道疾病.
- 未来的PICU临床策略应根据观察到的变化优先考虑呼吸道,神经和血液瘤系统.
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