时间毒性:量化医疗保健利用率归因于儿科家庭通风
Emily D Johnson1, Renee D Boss2,3, Woo Yeon Park4
1Department of Nursing, Johns Hopkins Hospital, Baltimore, Maryland, USA.
Pediatric pulmonology
|April 4, 2025
概括
需要侵入性家庭通风的儿科患者面临着显著的"时间毒性",在医疗保健互动中花费了他们早期的一半以上的时间. 这项研究量化了与儿童家庭通风相关的大量时间负担.
科学领域:
- 儿科重症监护医药 儿科重症监护医药
- 医疗服务研究 医疗服务研究
- 患者报告的结果.
背景情况:
- 儿科侵入性家庭通风是一种复杂的干预,用于患有严重呼吸道疾病的婴儿.
- 量化非医疗负担,称为"时间毒性",对于理解对家庭的整体影响至关重要.
- 以前的研究还没有全面测量与儿科家庭通风相关的医疗保健利用时间.
研究的目的:
- 为了确定产品的质量.
- 时间毒性,时间毒性.
- 或时间负担,经历了需要侵入性家庭通风的儿科患者.
- 为了比较小儿科患者的医疗保健利用与/或没有家用通风和匹配的对照.
- 提供客观数据,以帮助家庭为家庭通风的需求做好准备.
主要方法:
- 来自单个新生儿重症监护病房 (2016-2024) 的患者的回顾性图表审查.
- 包括接受了带有/没有家用通风器 (T+/-HV) 的气管切除术的患者.
- 根据妊娠周分布选择了匹配的对照组;医疗保健遭遇被比较.
主要成果:
- 在T+/-HV队列 (62名患者) 的死亡率 (35.5%) 比对照组 (9%) 高得多.
- 在T+/-HV队列中,医疗保健中位数 (64.0 vs. 15.5) 和使用日数 (296 vs. 46) 在T+/-HV队列中大幅增加.
- 医疗保健利用率差异在生命的第一年是最明显的,幸存者如果没有脱,则使用率更高.
结论:
- 这项研究量化了儿科侵入性家庭通风的"时间毒性",突出了医疗保健的重大负担.
- 接受气管切除术的新生儿在他们的头两年中花费了超过一半的时间与医疗保健系统互动.
- 关于"时间毒性"的客观数据可以更好地为家庭准备家庭通风护理的现实.
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