年龄,不良童年经历,以及医疗保健利用情况
Charles V Golden1, Raymen R Assaf1,2, Ricardo Aguilar1
1Children's Hospital of Orange County, Orange, California.
Pediatrics
|October 18, 2024
概括
儿童不良经历 (ACE) 对儿童医疗保健使用的影响因年龄而异. 患有ACE的婴儿使用率较低,而年龄较大的儿童则增加了急诊室的访问和住院治疗.
科学领域:
- 儿科健康服务研究 儿童健康服务研究
- 童年创伤研究 儿童创伤研究
- 公共卫生政策 公共卫生政策
背景情况:
- 儿童不良经历 (ACE) 与各种健康结果有关.
- 以前的研究还没有完全阐明ACE和医疗保健利用之间的年龄相关联系.
研究的目的:
- 为了确定ACE和儿科医疗保健利用率之间的关系是否因患者年龄而异.
- 在ACEs查后,确定医疗保健获取的特定年龄模式.
主要方法:
- 对37315名接受ACE查的儿科患者进行了回顾性队列研究.
- ACE分数分类为没有,低 (1-3),或高 (≥4).
- 多变量逻辑回归分析了急诊室 (ED) 和住院患者在查后6个月内使用情况.
主要成果:
- 15.7%的患者使用ED服务,2.5%在6个月内住院.
- 与没有ACE的婴儿和幼儿相比,ACE的婴儿和幼儿在ED和住院使用的几率较低.
- 患有ACE的老年儿童的ED和住院利用率显著增加,随着年龄的增长而增加.
结论:
- ACE与儿科医疗保健利用之间的关联取决于年龄.
- 研究结果表明,比以前理解的更复杂的关系.
- 结果可以为暴露于ACE的儿童提供适合年龄的治疗干预措施.
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