医学复杂性,语言使用和儿科重症监护室的结果
Mary S Pilarz1, Elizabeth Bleed1, Victoria A Rodriguez2,3
1Division of Critical Care.
Pediatrics
|May 15, 2024
概括
除英语以外的语言 (LOE) 的儿童面临更高的医疗复杂性. 那些使用英语或西班牙语以外的语言 (LOES) 的人经历了更长的住院时间,突出了儿科重症监护方面的差异.
科学领域:
- 儿科重症监护医药 儿科重症监护医药
- 医疗服务研究 医疗服务研究
- 语言健康差异 语言健康差异
背景情况:
- 儿科患者的医疗复杂性是一个日益关注的问题.
- 了解与医疗复杂性相关的因素对于优化护理至关重要.
- 语言障碍可能会影响医疗保健的获取和结果.
研究的目的:
- 调查儿童重症监护室 (PICU) 患者使用非英语语言 (LOE) 与医疗复杂性之间的关联.
- 为了确定医疗复杂性和LOE是否一起预测更糟糕的临床结果.
- 分析LOE对儿科重症监护结果的影响.
主要方法:
- 对2017-2022年PICU遭遇的回顾性队列研究.
- 多变量分析以评估LOE与医疗复杂性之间的关联.
- 评估临床结果,包括疾病严重程度,停留时间 (LOS) 和无器官功能障碍的日子,控制人口因素.
主要成果:
- 在多变量分析中,西班牙语和其他语言 (LOES) 的使用与医疗复杂性增加有关.
- 使用LOES的医疗复杂性 (CMC) 儿童的器官功能障碍无天数显著减少.
- 使用LOES的CMC与英语CMC相比,经历了更长的PICU和医院LOS.
结论:
- 除英语以外的语言 (LOE) 独立地与儿科重症监护中的医疗复杂性有关.
- 使用除英语或西班牙语 (LOES) 之外的其他语言的医疗复杂性儿童 (CMC) 面临长时间的住院治疗.
- 解决语言障碍对于改善PICU中不同患者群体的治疗结果至关重要.
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