美国儿童尿路结石患者的急诊室使用模式
Naeem Bhojani1, Jonathan S Ellison2, Larry E Miller3
1Division of Urology, Centre Hospitalier de l'Université de Montréal, Montréal, Québec, Canada.
Journal of pediatric urology
|December 27, 2024
概括
儿科尿路结石 (尿路结石) 紧急诊所的数量正在上升. 护理实践的差异很大,这表明需要为儿童和青少年制定标准化的治疗指南.
科学领域:
- 儿科脏病学 儿科脏病学
- 紧急医疗 紧急医疗
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
背景情况:
- 儿科尿路结石病 (尿路结石病) 的患病率正在增加.
- 这一趋势导致儿童和青少年的急诊室 (ED) 访问增加.
- 儿科患者的尿路结石带来了独特的诊断和管理挑战.
研究的目的:
- 调查尿路结石的儿科患者的紧急护理实践.
- 确定与这些患者的管理和处置相关的特征.
- 分析小儿尿路结石病的成像利用模式.
主要方法:
- 一项利用2021年全国紧急情况部门样本进行的横截面研究.
- 纳入标准:儿科患者 (≤21岁) 首次诊断为尿路结石病.
- 分析的重点是患者的处置,住院和成像模式 (计算机断层扫描 - CT) 的利用.
主要成果:
- 记录了每10万人口中57个小儿ED诊所的尿路结石病例.
- 大多数患者 (91.2%) 已出院,而6.9% 已入院.
- 计算机断层扫描 (CT) 是主要的成像方式 (60.2%),其在各子组的使用和患者处置中具有显著的变化.
结论:
- 儿童尿路结石呈现给美国ED的情况很常见.
- 在护理实践 (处置,成像) 中存在实质性的差异.
- 需要标准化,基于证据的指导方针,用于儿科尿路结石管理.
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