单一中心观察性研究评估了在儿科重症监护病房之外引入高流量鼻的影响
Shil Patel1, John Hunter1, Patrick Davies1
1Nottingham University Hospitals, Nottingham, United Kingdom.
Journal of paediatrics and child health
|June 1, 2024
概括
在儿科重症监护单位外引入高流量鼻腔管 (HFNC) 并没有显著改变PCCU入院或输管率. 没有确定升级的预测因素,但资源影响需要进一步研究.
科学领域:
- 儿科重症监护医学 儿科重症监护医学
- 呼吸系统疗法 呼吸系统疗法
- 医疗保健服务研究 医疗服务研究
背景情况:
- 高流量鼻 (HFNC) 越来越多地用于儿童的呼吸支.
- 它在专门的儿科重症监护单位 (PCCU) 外的引入可能会影响患者流量和资源利用.
- 了解对PCCU入院和输管率的影响对于有效实施至关重要.
研究的目的:
- 评估HFNC在PCCU以外的实施对PCCU入院率和输管率的影响.
- 为了确定患者在HFNC启动后升级到PCCU的预测因素.
- 分析非急性护理HFNC使用对资源的影响.
主要方法:
- 一个回顾性观察研究,比较HFNC引入前后的两年期.
- 分析了匹配的PCCU入院率和输管率.
- 在第二组接受HFNC的患者被分析为PCCU的升级,比较人口统计学,临床和治疗变量.
主要成果:
- 在HFNC引入后,PCCU入院人数从55人增加到85人 (P=0.188),而输内管从25人减少到23人 (P=0.309).
- 在引入后的时期,接受呼吸辅助的儿童数量翻了一番.
- 没有发现PCCU升级的显著预测因素,包括年龄,并发症或临床观察.
结论:
- 在PCCU以外的HFNC使用没有产生PCCU入院或输管率的统计学上显著变化.
- 随着输入管的减少而增加入院的观察到的趋势表明,护理模式发生了变化.
- 由于对资源的重大影响,需要进一步研究HFNC治疗在非重症监护环境中的成本效益.
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