儿童喘恶化:14天急诊室返回访问风险因素
Ricardo Aguilar1, Chloe Knudsen-Robbins2, Louis Ehwerhemuepha3
1Research Computational and Data Science, Research Institute, Children's Hospital of Orange County, Orange, California.
The Journal of emergency medicine
|June 1, 2024
概括
在14天内返回急诊室 (ED) 的喘儿童更有可能先前有ED访问,肺炎或发烧. 识别这些风险因素可以帮助针对儿童喘患者的风险干预措施.
科学领域:
- 儿科急救医学 儿科急救医学
- 呼吸系统健康 呼吸系统健康
- 公共卫生 公共卫生
背景情况:
- 儿童喘是一种普遍的慢性疾病,影响整体健康.
- 对于儿科喘恶化的急诊室 (ED) 访问是常见的.
- 了解导致ED重复访问的因素对于有效管理至关重要.
研究的目的:
- 为了确定14天急诊室 (ED) 对儿科喘恶化复诊的预测因素.
- 为患有复发性喘相关ED护理的高风险儿童提供有针对性的干预信息.
- 分析与喘相关的人口,临床和历史因素.
主要方法:
- 对来自Cerner的现实世界数据进行了回顾性分析.
- 包括因喘恶化而接受治疗并从ED出院的5-18岁患者.
- 后勤回归混合效应建模,分析14天内回访的风险因素.
主要成果:
- 分析了超过8万次索引访问和17,000次回访.
- 在一年内之前的ED回访显著增加了随后回访的几率 (OR 2.12).
- 肺炎史,并发性肺炎诊断和发烧也与反复访问的几率增加有关.
结论:
- 几个因素与儿科喘ED重复访问的几率增加有显著的关联.
- 可以确定一个独特的风险儿童群体.
- 在出院前加强评估,规划或教育可能有利于这些高风险患者.
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