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患儿败血症住院后医疗保健利用率增加的频率和危险因素
Erin F Carlton1,2, Moshiur Rahman2, Aline B Maddux3
1Department of Pediatrics, Division of Critical Care Medicine, University of Michigan, Ann Arbor, MI.
Critical care medicine
|September 19, 2024
概括
近三分之一的儿童在败血症住院后经历了医疗保健使用量的增加. 较长的住院时间和复杂的慢性疾病与较高的败血症后医疗保健利用率有关.
科学领域:
- 儿科 儿科 儿科
- 医疗保健利用情况 医疗保健利用情况
- 传染性疾病 传染性疾病
背景情况:
- 败血症是一种危及生命的疾病,需要住院治疗.
- 了解败血症后的医疗保健需求对于患者管理和资源分配至关重要.
研究的目的:
- 为了确定患有败血症住院后儿童医疗保健利用率增加的频率.
- 为了确定与高度的败血症后医疗保健使用相关的风险因素.
主要方法:
- 使用2016-2019年MarketScan数据库进行的回顾性观察队列研究.
- 包括在美国因败血症住院的儿童 (0-18岁).
- 医疗保健利用率的比较 (门诊,ED,住院) 在败血症之前和之后的90天住院期间.
主要成果:
- 在2801名儿童中,30.9%的儿童在败血症后增加了医疗保健利用率.
- 医疗保健日的中位数从3个败血症前增加到10个败血症后 (p < 0.001).
- 增加使用的危险因素包括更长的住院时间 (>30天) 和复杂的慢性疾病 (脏,血液/免疫,代谢,恶性病).
结论:
- 几乎三分之一的儿童在败血症出院后90天内体验了医疗保健利用率的增加.
- 长时间住院和先前存在的复杂慢性疾病的儿童面临更高的风险,在败血症后使用医疗保健.
- 调查结果强调,需要针对易受伤害的儿科败血症幸存者制定有针对性的退院后护理策略.
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