使用标准化的省级儿童性综合征临床途径的结果
Laura H Kim1, Marisa Catapang1, Nonnie Polderman1
1Division of Nephrology, BC Children's Hospital, Vancouver, Canada.
Canadian journal of kidney health and disease
|December 31, 2024
概括
英国哥伦比亚省儿童性综合征临床途径确保在不同诊所对患有性综合征的儿童提供一致的护理. 在主要医院和区域中心之间,结果和治疗是可比的.
科学领域:
- 儿科脏病学 儿科脏病学
- 临床途径实施实施
- 医疗保健标准化 医疗保健标准化
背景情况:
- 英国哥伦比亚省 (BC) 儿童性综合征临床途径 (CNSCP) 成立于2013年,旨在标准化对儿科性综合征 (NS) 的护理.
- 在BC的儿童在BC儿童医院 (BCCH) 和各种区域诊所接受科护理.
研究的目的:
- 为了比较诱导疗法和在BCCH治疗的NS儿童的临床结果,与CNSCP实施后的区域诊所相比.
- 评估不列颠哥伦比亚省内儿科性综合征护理的实践变化.
主要方法:
- 一个回顾性队列研究包括1至17岁的儿童从2013年至2019年新发性NS,至少12个月的随访.
- 排除标准包括非最小变化的疾病,类固醇耐药性,不完整的诱导,或在第一年<6个月的治疗途径.
- 诊所被分类为BCCH或区域 (萨里,乔治王子,凯洛纳).
主要成果:
- 在BCCH和区域诊所之间,没有观察到诱导前尼松暴露,年化复发率或频繁复发的过程中的显著差异.
- 同样的数字的第一年诊所访问和营养学家审查的食品记录被注意到.
- 在BCCH中,更高比例的儿童接受了推的眼科监测 (87%对59%).
结论:
- 在BCCH和区域诊所中,CNSCP已经为患有NS的儿童提供了可比的护理和类似的结果.
- 这项研究表明,自从途径实施以来,BC各地的综合征管理实践变化很小.
- 眼科监测可能需要在区域设置中进一步关注.
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