在患有喘的重症儿童中,与未满足的社会需求的临床相关性
Scott E Call1, Lisa Goto1, Gwynne Latimer1,2
1Department of Critical Care Medicine, Children's National Hospital, Washington, DC.
概括
未满足的社会需求对患有喘的重症儿童产生重大影响,导致更长的住院时间和更多的急救护理访问. 解决这些需求可以改善这个脆弱的儿科患者群体的结果.
科学领域:
- 儿科重症监护医药 儿科重症监护医药
- 健康的社会决定因素
- 喘管理的管理
背景情况:
- 健康的社会驱动因素对于儿科喘结果至关重要.
- 家庭层面未满足的社会需求对重症儿科喘患者的影响仍未得到充分研究.
研究的目的:
- 调查儿科重症监护室 (ICU) 住院未满足的社会需求与患者结果之间的关联.
- 确定未满足的社会需求是否与ICU相关和ICU后护理利用相关.
主要方法:
- 一项为期12个月的前性队列研究选了儿童喘患者的家庭,这些患者被送往ICU.
- 评估了多个领域未得到满足的社会需求.
- 回归分析将未满足的需求与临床结果相关联,例如停留时间,需要呼吸支持和再入院率.
主要成果:
- 57%的查家庭报告至少有一个未满足的社会需求.
- 未满足的需求与更长的住院时间和更高的急诊室访问可能性有关.
- 干预导致后续报告的未满足需求减少.
结论:
- 儿童喘患者的危急病例面临着高比例的未满足的社会需求.
- 这些需求与不良结果有关,包括长时间住院和经常性紧急护理.
- 识别和支持这些家庭提供了一个机会,通过有针对性的干预来改善护理.
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