患有医疗复杂性的儿童的神经发育和心理健康状况
JoAnna K Leyenaar1,2, Mary Arakelyan1, Andrew P Schaefer2
1Department of Pediatrics, Children's Hospital at Dartmouth Hitchcock Medical Center, Lebanon, New Hampshire.
Pediatrics
|August 5, 2024
概括
神经发育和心理健康诊断在患有医疗复杂性 (CMC) 的儿童中很常见,显著增加了他们对医疗保健的使用. 在CMC中早期识别和治疗这些疾病对于更好的结果至关重要.
科学领域:
- 儿科健康 儿科健康
- 神经发育障碍 神经发育障碍
- 心理健康状况 心理健康状况
背景情况:
- 患有医疗复杂性 (CMC) 的儿童由于并发症和独特的生活经历,面临神经发育和心理健康问题的风险增加.
- 关于CMC中这些疾病的流行率的人口级数据仍然有限.
- 了解这些流行率对于有针对性的干预至关重要.
研究的目的:
- 与没有医疗复杂性的儿童相比,估计CMC中神经发育和心理健康诊断的患病率.
- 检查CMC中这些诊断与随后的医疗保健利用率和住院死亡率之间的关联.
主要方法:
- 利用了来自三个州 (2012-2017) 的所有付款人索赔数据.
- 应用儿童和青少年心理健康障碍分类系统用于诊断识别.
- 使用波桑回归来比较结果,调整社会人口统计学和临床因素.
主要成果:
- 45.6%的CMC有神经发育诊断;37.0%有心理健康诊断.
- 与没有医疗复杂性的儿童相比,这些诊断的CMC的相对风险明显更高.
- 两种类型的诊断的CMC都经历了医疗保健利用的大幅增加,包括门诊访问,急诊室访问,住院和住院日.
结论:
- 神经发育和心理健康诊断在CMC中非常普遍.
- 这些诊断与所有护理机构的医疗保健利用率增加密切相关.
- 强调在CMC群体中识别和管理这些疾病的关键需要.
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