由于呼吸衰竭导致的儿科重症病后,遵守住院后的随访
Lauren M Yagiela1,2, Marie A Pfarr3, Kathleen Meert4,5
1Division of Critical Care, Department of Pediatrics, Children's Hospital of Michigan, Detroit, MI, USA. yagie1lm@cmich.edu.
BMC pediatrics
|June 25, 2024
概括
只有三分之二的呼吸衰竭儿童完全遵守了儿科重症监护室 (PICU) 的随访预约. 在解雇之前安排更多的约会提高了合规性,这表明需要在系统层面做出改变.
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
背景情况:
- 儿科重症监护室 (PICU) 的随访对于管理出院后的后果至关重要.
- 关于PICU随访坚持率和影响因素的研究有限.
研究的目的:
- 确定因呼吸衰竭入院后遵守推的随访预约相关的因素.
- 分析住院特征,儿童健康指标和随访细节.
主要方法:
- 对18岁以下的患者进行回顾性队列研究,这些患者因呼吸衰竭而入院于四级护理PICU (2013-2014).
- 量化遵守推的后续预约,在解雇后两年内.
- 基于人口统计,健康指标和随访特征的比较依从性,使用双变量和多变量分析.
主要成果:
- 在接受推后续治疗的140名患者中,67.9%的患者完全坚持治疗.
- 每次额外推的预约都会降低坚持的几率 (OR 0.74).
- 每增加10%的退院前预定预约,都会增加坚持约会的几率 (OR 1.02).
结论:
- 三分之二的呼吸衰竭儿童实现了完全的PICU随访遵守.
- 提高遵守率的策略包括限制必要的后续检查和在放任之前安排预约.
- 需要进一步的研究,以了解系统级改进的不遵守因素.
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