从PICU在家出院的患病率和预测因素
Leslie A Dervan1,2, Daniel Garros3, Waylon Howard4
1Division of Critical Care Medicine, Department of Pediatrics, University of Washington School of Medicine, Seattle, WA.
Critical care explorations
|May 16, 2025
概括
大约23%的儿童从儿科重症监护室 (PICU) 直接回家. 预测因素包括先前的家庭出院和特定的复杂条件,观察到显著的中心变异性.
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
背景情况:
- 从儿科重症监护室 (PICU) 直接送回家是一个新兴的做法.
- 这种排放途径的流行率和预测因素尚未得到充分确立.
研究的目的:
- 确定从PICU直接到家出院的患病率.
- 为了确定与这种出院倾向相关的患者和中心级预测因素.
主要方法:
- 一项多中心队列研究分析了2015年1月至2021年6月在北美142个PICU的612,471次入院.
- 根据患者和中心分组的物流回归被用来确定直接出院的预测因素.
- 排除的内容包括不清楚的放电条款和重复录取.
主要成果:
- 23.1%的儿科患者从PICU直接送回家.
- 直接在家出院的关键预测因素包括先前在家出院,2-5岁,手术入院和复杂的呼吸道或心血管疾病.
- 对于这些因素,观察到更高的赔率比率,而更大的中心尺寸与直接出院的可能性较低有关.
结论:
- 从PICU直接在家出院是一种常见的做法,约有四分之一的儿童发生这种情况.
- 这种排放通路在不同中心的实施中存在显著的变化.
- 识别与直接家庭出院相关的患者特征可以为护理途径和资源分配提供信息.
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