住院患有身体症状的儿童的特征和资源利用情况
Kelly Roelf1,2, Manaswitha Khare1, Tiranun Rungvivatjarus1
1Rady Children's Hospital, University of California, San Diego, San Diego, California.
Hospital pediatrics
|December 11, 2024
概括
患有体征症状和相关疾病 (SSRD) 的住院儿童表现出多样化的管理. 标准化临床途径的护理可能会降低成本,并改善儿科SSRD的结果.
科学领域:
- 儿科医疗保健服务 儿科医疗保健服务
- 儿童和青少年精神病学
- 医学心理学 医学心理学
背景情况:
- 身体症状和相关疾病 (SSRD) 在儿童群体中越来越多地被认可.
- 患有SSRD的住院儿童和青少年在诊断和管理方面存在独特的挑战.
- 了解患者的特征和资源利用对于优化护理至关重要.
研究的目的:
- 研究被诊断患有SSRD的住院儿科患者的特征.
- 分析这个患者群体的医疗保健资源利用模式.
- 确定与SSRD住院儿童住院时间 (LOS) 相关的因素.
主要方法:
- 在2015年4月至2021年12月期间接受SSRD诊断的173名6至18岁患者的回顾性分析.
- 评估社会人口统计信息,临床特征和资源利用情况 (实验室研究,成像,咨询).
- 回归分析以确定诊断子组和干预措施对逗留时间 (LOS) 的影响.
主要成果:
- 神经症状最常见 (63%),功能神经症状障碍是最常见的诊断 (38%).
- 观察到高资源利用率:中位数为9个实验室研究,69%进行成像,72%进行咨询.
- 增加医生订购的实验室和咨询显著与较长的LOS相关 (P<.001).
结论:
- 在SSRD住院儿科患者的管理中存在显著的变化.
- 这些发现强调了需要标准化的临床途径来管理儿童的SSRD.
- 实施标准化途径可以通过限制不必要的评估和改善护理的一致性来降低医疗保健成本.
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