儿童重症监护病房入院后的死亡率:瑞典纵向队列研究
Shanay Daham1,2, Emma Larsson1,3, Staffan Eksborg2,4
1Department of Physiology and Pharmacology, Karolinska Institutet, Stockholm, Sweden.
Acta paediatrica (Oslo, Norway : 1992)
|July 12, 2024
概括
入住儿科重症监护室 (PICU) 的患有复杂慢性疾病 (CCC) 的儿童死亡率较高. 这些儿童占PICU入院和死亡的大部分,尽管最初的疾病严重程度较低.
科学领域:
- 儿科重症监护室的儿童重症监护室
- 慢性疾病管理 慢性疾病管理
- 临床结果研究研究
背景情况:
- 复杂慢性疾病 (CCC) 在儿科患者中越来越普遍.
- 了解儿科重症监护室 (PICU) 中CCC儿童的治疗结果对于资源分配和护理规划至关重要.
研究的目的:
- 为了比较瑞典儿科重症监护室 (PICU) 对有和没有复杂慢性疾病 (CCC) 的儿童的结果.
主要方法:
- 一项基于注册的观察性研究分析了2008-2016年连续的PICU入院情况.
- 收集的数据包括人口统计,预测死亡率 (PDR),诊断和死亡原因.
- 死亡率在入院后长达15年被追踪,并将CCC和非CCC组进行了比较.
主要成果:
- 患有CCC的儿童占PICU入院的64.6%,占PICU死亡的83.5%.
- 原始PICU死亡率为2.84%;CCC患者在PICU死亡的可能性是PICU的2.83倍 (或2.83).
- 与非CCC患者不同的是,CCC患者的PICU死亡率在出院后长达5年.
结论:
- 患有CCC的儿童占PICU入院和死亡率的显著多数.
- 尽管入院时的疾病严重性得分较低,但CCC患者与非CCC患者相比,PICU死亡风险几乎是CCC患者的三倍.
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