对于疑似儿科尾炎的可避免患者转移的临床特征
MaKayla L O'Guinn1, Olivia A Keane1, William G Lee1
1Division of Pediatric Surgery, Children's Hospital Los Angeles, Los Angeles, California.
The Journal of surgical research
|May 25, 2024
概括
许多儿科尾炎移植是可以避免的. 较年轻的儿童具有较少的典型症状和较低的炎症标志物,可能不需要转移,建议更密切地观察.
科学领域:
- 儿科手术 儿科手术
- 临床医学 临床医学
- 诊断的准确性 诊断的准确性
背景情况:
- 儿科外科护理越来越多地被区域化,导致有限的访问和可能可以避免的设施间转移.
- 对于儿科患者来说,医院间的转移会带来巨大的财务和情感负担.
- 识别儿科尾炎中可避免转移的因素对于优化护理至关重要.
研究的目的:
- 确定与疑似尾炎的儿科患者可避免的设施间转移相关的临床因素.
- 区分儿童尾炎的适当和可避免的转移.
- 为减少儿科外科护理中不必要的转移提供信息的策略.
主要方法:
- 一个单一中心的回顾性研究是在一个学术高等推儿童医院进行的.
- 包括2021年7月至2023年6月期间被诊断为尾炎的儿科患者.
- 移植被分类为适当的 (尾切除术) 或可以避免的 (没有尾切除术);进行了双变异分析.
主要成果:
- 在444名患者中,28.8%的转移被认为是可以避免的.
- 可避免的转移涉及较年轻的病人,他们的尾炎症状不那么典型 (发烧,迁移性疼痛,厌食症,恶心/发作).
- 可避免的转移有较短的症状持续时间,较低的白细胞计数,中性粒细胞百分比和C-反应蛋白水平,以及更多的重复成像.
结论:
- 临床病史对于诊断儿科尾炎和确定转移的必要性至关重要.
- 较年轻的儿童呈现异常症状,症状持续时间较短,炎症标志物较低,可能是不转移观察的候选人.
- 减少可避免的转移可以减轻患者的负担,并优化儿科外科护理的资源利用率.
相关概念视频
01:22Appendicitis-I: Introduction
115
The appendix, a small, narrow, blind tube extending from the inferior part of the cecum, is widely regarded as a vestigial organ, having lost much of its original function through evolution. Despite its diminished role, the appendix can become inflamed, a condition known as appendicitis.
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
115
01:29Appendicitis-II: Diagnostic Studies and Management
76
Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
76
01:17Transmission-based Precautions I: Contact, Enteric, and Droplets
3.6K
Transmission-based precautions are for patients known to be infected or suspected to be infected or colonized with organisms that pose a significant risk to others. Some transmission-based precautions include contact, enteric, and droplet.
Contact Precautions:
Contact precautions are the measures taken to prevent the transmission of infectious agents, especially epidemiologically important microorganisms such as MRSA or influenza, primarily transmitted through direct or indirect contact with an...
Contact Precautions:
Contact precautions are the measures taken to prevent the transmission of infectious agents, especially epidemiologically important microorganisms such as MRSA or influenza, primarily transmitted through direct or indirect contact with an...
3.6K