预测急诊室中MIS-C患者的重症监护利用情况
Erin Aldag1, Allayne Stephans2, Doug Lorenz3
1Section of Pediatric Hospital Medicine, Department of Pediatrics, University of Utah School of Medicine, Primary Children's Hospital, Salt Lake City, UT.
早期发现儿童严重多系统炎症综合征 (MIS-C) 是至关重要的. 在急诊室展示症状和实验室结果可以预测重症监护需求,帮助MIS-C儿童及时进行干预.
科学领域:
- 儿科重症监护医药 儿科重症监护医药
- 传染病 传染病 传染病
- 炎症性疾病 炎症性疾病
背景情况:
- 儿童多系统炎症综合征 (MIS-C) 通常需要密集护理.
- 识别严重MIS-C的早期指标对于及时管理至关重要.
研究的目的:
- 为了确定重症监护室 (ICU) 使用的危险因素,在急诊室 (ED) 呈现时诊断出MIS-C的儿科患者.
- 探索与MIS-C患者延迟脱补偿相关的因素,这些患者最初入院于医疗楼层.
主要方法:
- 2020-2022年432名MIS-C患者 (6个月至18岁) 的多中心回顾性队列分析.
- 对人口统计,临床症状和实验室结果进行电子健康记录审查.
- 多变量分析以确定呈现因素与ICU需求之间的关联.
主要成果:
- 在432名MIS-C患者中,有190人需要接受ICU治疗.
- 与增加ICU几率相关的ED因素包括老年,延迟毛细血管补充,低血压,短呼吸,低氧化,高血时间,BNP,公素和ALT.
- 探索性分析确定了年龄较大,发烧,低心率,D-二次数升高,ANC和CRP作为ICU从医疗楼转移的预测因素.
结论:
- 在ED中提出临床和实验室发现可以识别MIS-C患者的初始ICU入院风险较高.
- 这些指标还可以预测以后的临床恶化,指导对密集监测或转移到专门护理中心的决定.
更多相关视频
10:38Observational Study Protocol for Repeated Clinical Examination and Critical Care Ultrasonography Within the Simple Intensive Care Studies
Published on: January 16, 2019
07:31Implementation of a Real-Time Psychosis Risk Detection and Alerting System Based on Electronic Health Records using CogStack
Published on: May 15, 2020
相关概念视频
Methods of Documentation VI: Case Management Model
For example, a patient with a chronic...
Documentation of Nursing Diagnosis
In some settings, data-driven computerized decision support systems are in place, allowing for more accurate nursing diagnoses. The database within one of these systems includes diagnostic labels defining characteristics, activities, and indicators for nursing. A nurse enters...
Nursing Clinical Information System
A Nursing Clinical Information System (NCIS) is a specialized type of healthcare information system tailored to meet the unique needs of nursing practice. It incorporates the principles of nursing informatics to streamline information management and improve the quality of care delivery.
Critical attributes of NCIS include:
Methods of Documentation V: CBE
In CBE, healthcare professionals establish predefined standards of practice that define what constitutes...
