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儿童多系统炎症综合征患者的心声图和床位安排

Hafsa Lodhi¹, Emma Singer², Mary Claire McGlynn²

¹Division of Pediatric Hospital Medicine, Department of Pediatrics, Washington University School of Medicine, St. Louis, MO, USA.

Translational pediatrics

|September 12, 2024

概括

在急诊室 (ED) 获得心声图并没有显著影响多系统炎症综合征 (MIS-C) 的儿童的床位. 这种心脏评估在入院前紧急MIS-C工作时并不必不可少.

科学领域:

儿童心脏病学儿童心脏病学
儿科重症监护儿科重症监护
传染性疾病传染性疾病

背景情况:

儿童多系统炎症综合征 (MIS-C) 需要持续评估,包括心声回声图,通常在急诊室 (ED) 启动.
心声图用于指导MIS-C患者的临床决策和床位分配.
评估了基于ED的回声心电图对于MIS-C患者处置的有用性.

研究的目的:

评估急诊室 (ED) 声心图在确定诊断为MIS-C的儿科患者适当的医院病床安置方面的有效性.
确定心声回声图的采集时间 (在ED和入院后24小时内) 是否会影响患者转移率.

主要方法:

一项为期2年的回顾性研究分析了60名为MIS-C住院的儿科患者 (0-21岁),没有先前的心脏病状况.
患者被分为两组:未从初始单位转移的患者 (WoT) 和在24小时内转移的患者 (T).
皮尔森奇平方测试根据心声回声图计时 (ED vs. 住院后24小时内) 的转移率进行了比较.

主要成果:

在ED接受回声心电图的患者与在入院24小时内接受回声心电图的患者之间,没有观察到转移率的显著差异.
转移的几率比为2.08 (95% CI:0.58,7.95;P=0.28),表明没有统计学上显著的关联.

结论:

该研究没有发现证据表明,在ED中获得心声回声图可以改善MIS-C患者适当的床位.
虽然心声回声对MIS-C的评估和管理至关重要,但它不被认为是入院前新兴工作的必要组成部分.
对于MIS-C处置而言,ED回声心电图采集的当前做法可能不必要.

关键词:

一个心声回声图 (Echocardiogram) 是一个心声回声图.儿科心脏病学儿科心脏病学儿科急诊医学儿科急诊医学儿科医院医学儿科医院医学

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