在专科儿童医院每次患者入院的诊断增加:一项回顾性研究
Stuart A Bowyer1,2,3, John Booth1,2, Daniel Key1,2
1Data Research, Innovation and Virtual Environments (DRIVE) Unit, Great Ormond Street Hospital, London United Kingdom.
PloS one
|May 6, 2025
概括
在过去24年中,英国专科医院每例儿童住院诊断的记录数量几乎翻了三倍. 这表明儿科患者复杂性和并发症的显著增加.
科学领域:
- 儿科卫生服务研究 儿童卫生服务研究
- 临床信息学 临床信息学
- 慢性病的流行病学 慢性病的流行病学
背景情况:
- 人们越来越认识到成人医学中患者复杂性的增加.
- 在儿科患者群体中可能出现类似趋势,影响医疗保健资源分配.
- 需要了解随着时间的推移,儿科患者复杂性的变化.
研究的目的:
- 调查每名儿科住院患者记录的共存诊断数量的变化.
- 分析英格兰一家专门的儿童医院患者复杂性的24年趋势.
主要方法:
- 从2000年到2023年,回顾性分析一夜间住院患者的入院情况.
- 使用国际疾病分类,第10版 (ICD-10) 代码由专业的临床编码者分配.
- 检查了每位患者入院同时存在的诊断数量.
主要成果:
- 分析了278579例住院住院病例和1023276例ICD-10诊断.
- 在研究期间,每次入院的平均诊断数从2.72增加到10.43.
- 观察到每次入院记录的诊断增加了284% (p < 0.001).
结论:
- 在儿科住院患者中,记录的患者复杂性显著增加.
- 趋势表明,每次入院的共存诊断几乎增加了三倍.
- 这些发现对于解释人工智能,研究和医疗保健规划的回顾性数据至关重要.
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