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Updated: Jun 9, 2025

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Assessment of Child Anthropometry in a Large Epidemiologic Study
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高度状况对重症儿童死亡风险的影响很大
Nobuyuki Nosaka1, Tatsuhiko Anzai2, Kenji Wakabayashi3
1Department of Intensive Care Medicine, Graduate School of Medical and Dental Sciences, Institute of Science Tokyo, 1-5-45 Yushima, Bunkyo-Ku, Tokyo, 113-8510, Japan. nnosaka.ccm@tmd.ac.jp.
Journal of intensive care
|October 30, 2024
概括
低身高的重症儿童面临更高的ICU死亡率和更长的住院时间. 这项研究强调了在儿科重症监护风险评估中考虑身高的重要性,以改善患者的治疗结果.
科学领域:
- 儿科重症监护医学 儿科重症监护医学
- 临床儿科 临床儿科
- 增长与发展研究 研究 研究 研究
背景情况:
- 人类测量测量在儿科重症监护中至关重要.
- 矮身对儿科重症监护室治疗结果的影响仍未得到充分研究.
- 以前的研究表明,矮身与不良的临床结果有关.
研究的目的:
- 调查矮身与儿科重症监护的结果之间的关联.
- 确定身高矮是否是死亡率和长时间ICU停留的独立风险因素.
主要方法:
- 使用日本重症监护患者数据库 (JIPAD) 的回顾性队列研究.
- 包括2015年4月至2020年3月期间入院ICU的儿科患者 (16岁以下).
- 定义矮身作为身高SD得分< -2;分析了ICU死亡率和停留时间.
主要成果:
- 在6377名儿科ICU患者中,有27.2%的患者身高矮.
- 矮身群的ICU死亡率显著增加 (3.6%对1.4%,p<0.01).
- 矮身独立预测了ICU死亡率的增加 (OR 2.73) 和更长的ICU停留时间 (HR 0.85每天).
结论:
- 矮身是重症监护室重症儿童的重要危险因素.
- 它与增加的死亡率和长时间的ICU停留时间有关.
- 高度评估应纳入儿科重症监护的风险分层和管理策略.
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