简要的解决不明原因事件:基于证据和以家庭为中心的管理
Nassr Nama1, Amy DeLaroche2, Joshua L Bonkowsky3,4
1Division of Hospital Medicine, Department of Pediatrics, Seattle Children's Hospital, University of Washington, and Seattle Children's Research Institute, Center for Clinical and Translational Research, Seattle, WA.
婴儿短暂解决的不明原因事件 (BRUE) 很少是严重的,但许多婴儿需要住院和接受检查. 共享决策可以减少不必要的干预和父母的焦虑.
科学领域:
- 儿科 儿科 儿科
- 紧急医疗 紧急医疗
- 临床实践 临床实践
背景情况:
- 短暂解决的不明原因事件 (BRUE) 在1岁以下的婴儿中很常见.
- 突发性突发性突发性突发性突发性突发性突发性突发性突发性突发性突发性突发性突发性突发性突发性突发性突发性突发性突发性突发性突发性突发性突发性突发性突发性突发性突发性突发性突发性突发性突发性突发性突发性突发性突发性突发性突发性突发性突发性突发性突发性突发性突发性突发性突发性突发性突发性突发性突发性突发性突发性突发性突发性突发性突发性突发性突发性突发性突发性突发性突发性突发性突发性突发性突发性突发性突发性突发性突发性突发性突发症
- 严重的潜在疾病占BRUE病例的<5%,死亡率或SIDS风险没有增加.
研究的目的:
- 评估BRUEs目前的管理实践.
- 为了突出与BRUEs相关的低风险,尽管经常住院和测试.
- 在管理 BRUE 时倡导共享决策.
主要方法:
- 对BRUE现有研究的审查.
- 对住院BRUE患者的诊断产量和结果的分析.
- 探索作为管理策略的共享决策.
主要成果:
- ~63%的BRUE患者被住院治疗,高达82%的人接受诊断测试.
- 对BRUE的诊断测试通常会产生错误的阳性结果.
- 不必要的住院和检查增加了成本,增加了家长的焦虑,可能会延长护理时间.
结论:
- 婴儿的BRUE具有较低的严重潜在病理的风险.
- 目前的管理往往涉及过度调查和住院.
- 共享决策可以使护理与家庭价值观保持一致,减少焦虑,减少不必要的医疗干预.
更多相关视频
05:48The Adventures of Fundi Intervention Based on the Cognitive and Emotional Processing in Attention Deficit Hyperactive Disorder Patients
Published on: June 12, 2020
07:56Assessing the Coherence of Parents' Short Narratives Regarding their Child Using the Five-Minute Speech Sample Procedure
Published on: September 19, 2019
相关概念视频
Family Therapy
Strategic Family Therapy
Strategic family therapy emphasizes resolving communication barriers and improving problem-solving abilities...
Methods of Documentation VI: Case Management Model
For example, a patient with a chronic...
Methods of Documentation V: CBE
In CBE, healthcare professionals establish predefined standards of practice that define what constitutes...
Community Based Intervention
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
Coping Strategies: Emotion Focused
Rational Emotive Behavior Therapy
