新生儿的逆流性疾病和先天性喉病:儿童住院数据库分析
Vraj P Shah1, Aman M Patel1, Praneet C Kaki1
1Department of Otolaryngology-Head and Neck Surgery Rutgers New Jersey Medical School Newark New Jersey USA.
Laryngoscope investigative otolaryngology
|November 11, 2024
概括
与逆流性疾病 (RD) 相结合的先天性喉病 (CLM) 会导致新生儿的治疗结果较差. 这些婴儿与没有RD的婴儿相比,经历了更长的住院时间,更高的成本和更多的手术.
科学领域:
- 新生儿护理 新生儿护理
- 儿科耳鼻喉科 儿科耳鼻喉科
- 胃肠病学 胃肠病学
背景情况:
- kongenital laryngomalacia (CLM) 是新生儿中最常见的尖发作的原因.
- CLM通常与反流性疾病 (RD) 相关,包括胃食道和新生儿食道反流.
研究的目的:
- 调查反流性疾病 (RD) 如何影响诊断为先天性喉病 (CLM) 的新生儿的管理和结果.
主要方法:
- 利用2016年儿童住院患者数据库 (KID) 来识别患有CLM的新生儿 (ICD-10: Q31.5).
- 使用ICD-10代码识别了RD状态,程序和并发症.
- 进行单变量和多变量分析以确定统计学关联.
主要成果:
- 在2212名患有CLM的新生儿中,26.45%患有RD. 患有RD的患者总费用显著增加,住院时间更长.
- 患有RD的新生儿接受了更多的诊断,手术,并经历了更长的等待时间.
- RD与喉镜,支气管镜和呼吸机使用的可能性增加有关,但不是气管切除术或死亡率.
结论:
- 先天性喉病 (CLM) 经常与新生儿的反流性疾病 (RD) 相关.
- 患有CLM和并发性RD的新生儿表现出明显较差的健康结果,包括医疗保健利用率和干预率的增加.
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