在新生儿检索过程中复杂的生命终端决策:一个回顾性队列研究
David Cantelmi1,2, Luke Jardine1,2, Alison Griffin3
1NeoRESQ, Royal Brisbane and Women's Hospital, Brisbane, Queensland, Australia.
Journal of paediatrics and child health
|October 12, 2024
概括
对于需要取回的婴儿,在转诊医院进行息可能是一个可行的选择,特别是当转移不太可能改善结果时. 这些婴儿往往需要密集的稳定,突出了这些决定的复杂性.
科学领域:
- 新生儿护理 新生儿护理
- 儿科检索服务儿童检索服务.
- 抚慰性护理是一项非常重要的护理.
背景情况:
- 新生儿检索服务管理需要专业护理的重症婴儿.
- 关于息治疗与转移的决定是复杂的,并影响婴儿的结果.
研究的目的:
- 为了比较婴儿在转移前得到缓解治疗的结果与在出生后7天内得到缓解治疗的婴儿.
- 为了分析婴儿的临床特征和治疗方法,我们将婴儿转移到新生儿检索服务.
主要方法:
- 对被转移到新生儿检索服务的婴儿的回顾性图表审查 (2015年12月 - 2022年3月).
- 数据收集包括服务数据库和电子医疗记录中的人口统计和临床信息.
- 分析的重点在于在检索过程中或转诊后7天内死亡的婴儿.
主要成果:
- 在60名婴儿中,有25名 (42%) 在转诊医院接受了息治疗,35名 (58%) 后来被运送并接受了息治疗.
- 常见的诊断包括早产和缺血性缺血性脑病变 (HIE).
- 在转移之前被息的婴儿需要更多的复苏,低血压管理和肺胸部治疗,但更少的发作干预措施.
结论:
- 当转移不太可能改变结果时,在转诊医院进行息是值得考虑的.
- 运输不太可能的婴儿通常需要采取重大稳定措施.
- 识别运输对婴儿无益的婴儿仍然是一个挑战.
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