进入特殊护理托儿所的婴儿的第一年疾病负担:系统审查和元分析
Varnika Aggarwal1,2, Hayley T Cron2, Marcus Di Sipio2,3
1Department of Obstetrics, Gynaecology and Newborn Health, The University of Melbourne, Parkville, Victoria, Australia.
Acta paediatrica (Oslo, Norway : 1992)
|January 11, 2025
概括
与健康的婴儿相比,在特殊护理托儿所的新生儿面临更多的健康风险,包括黄和呼吸系统问题. 需要更多的研究,以了解释后的长期结果.
科学领域:
- 新生儿健康 新生儿健康
- 儿科结果的结果.
- 系统审查是系统的审查.
背景情况:
- 特殊护理托儿所 (SCN) 为脆弱的新生儿提供护理.
- 了解SCN毕业生的健康结果对于长期的儿科健康至关重要.
- 有限的数据存在于这些婴儿的出院后的结果.
研究的目的:
- 系统地审查SCN婴儿的一岁以下的健康结果.
- 为了比较SCN婴儿的结果与健康的婴儿的结果.
- 确定SCN毕业生中普遍存在的健康问题和风险.
主要方法:
- 在Ovid MEDLINE,PubMed和Embase数据库中的系统文献搜索.
- 包括2000年以后发表的研究,重点是SCN和中度晚期早产婴儿.
- 进行元分析,结合健康结果的患病率和风险估计.
主要成果:
- 从超过22,000篇符合条件的文章中确定了21项研究.
- 在SCN婴儿中普遍存在的疾病包括黄,低温,低血糖和呼吸系统疾病 (19-32%的患病率).
- 与健康的分娩婴儿相比,SCN婴儿对所有报告的结果都有显著更高的风险 (汇总风险比率1.93-14.85).
结论:
- 进入特殊护理托儿所的婴儿比健康的婴儿有更大的疾病负担.
- 关于SCN毕业生出院后的健康结果,文献中存在一个显著的差距.
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