患者的年龄是否预测了非传染性表炎后的临床结果? 一个系统的审查
Alaa Safia1,2, Uday Abd Elhadi1,2, Rabie Shehadeh1
1Department of Otolaryngology, Head & Neck Surgery Unit, Rebecca Ziv Medical Center, Safed, Israel.
PloS one
|February 10, 2025
概括
儿童非传染性表膜炎病例比成年人表现出更严重的症状和更高的输管和ICU入院率. 针对年龄的具体管理对于这种罕见的疾病患者的更好的治疗结果至关重要.
科学领域:
- 儿科医学 儿科医学
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 临界护理医学 临界护理医学
背景情况:
- 非传染性表炎是一种罕见但严重的疾病,需要仔细管理呼吸道.
- 它的快速进展带来了重大的治疗挑战.
研究的目的:
- 为了比较儿科与成人非传染性表炎的临床人口统计特征,管理和结果.
- 识别不利结果的风险因素.
主要方法:
- 系统的数据库搜索发现了57例非传染性表炎病例.
- 儿童 (<18岁) 和成人 (≥18岁) 组进行了比较.
- 后勤回归分析了输管,并发症和ICU入院的风险因素.
主要成果:
- 儿童更频繁地呈现出流,唾液流,色和胸收缩等症状.
- 儿科患者使用上腺素,输管,ICU入院和并发症的比例明显较高.
- 儿科年龄是输管和ICU入院的风险因素;异物摄入和呼吸障碍分别预测了输管和并发症.
结论:
- 非传染性表炎的管理需要针对年龄的具体策略.
- 识别不同的与年龄相关的表现和反应可以改善患者的护理和结果.
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