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伊拉克巴斯拉的状细胞疾病的儿科患者利用急诊室

Ahmed S Marroof¹, Meaad K Hassan²

¹Department of Pediatrics, Al-Zubair general Hospital, Basrah Health Directorate, Basrah, IRQ.

|May 16, 2024

概括

儿科状细胞病患者经常前往急诊室 (ED) 进行疼痛危机. 其中三分之一的患者在30天内被重新接收,这凸显了改善ED疼痛管理和护理指南的必要性.

科学领域:

儿科血液学儿科血液学
紧急医疗紧急医疗
公共卫生公共卫生

背景情况:

状细胞疾病 (SCD) 通常导致急诊室 (ED) 访问急性疼痛和并发症.
了解儿科SCD中ED利用的模式对于资源配置和护理改进至关重要.

研究的目的:

分析儿科SCD患者ED访问的原因.
评估与其他儿科疾病相比,因SCD而导致的ED入院的比例.
评估ED中儿科SCD患者的治疗,结果和再入院率.

主要方法:

一项前性分析研究在巴斯拉妇幼医院进行了六个月的时间.
收集的数据包括276名儿科SCD患者 (1-14岁) 的社会人口统计,临床信息,药物史,ED停留时间,并发症,结果和再入院情况.

主要成果:

疼痛是ED入院的主要原因 (73.91%),其次是感染 (10.14%) 和溶血危机 (6.15%).
非类固醇抗炎药物 (NSAID) 是最常见的止痛药 (80.4%),阿片类药物使用有限 (18.5%).
在30天内再入院发生在29.71%的患者中,与之前的ED访问,更长的ED停留时间和严重的疾病有关.

结论:

急性疼痛发作是儿科SCD患者ED访问的主要原因.
目前在ED的疼痛管理,特别是阿片类药物使用,可能不足,导致高再入院率.
这些发现支持为儿科SCD制定地方ED指南,重点关注疼痛管理和减少再入院.

关键词:

有急性疼痛的情节.儿童和青少年儿童和青少年紧急情况部门的急救部门.再接纳是指重新接纳的情况.状细胞疾病是一种状细胞疾病.

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