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医生和家长报告儿科运动引起的呼吸道症状:一项观察性前性研究
Eva S L Pedersen1,2, Sarah Glick1, Carmen C M De Jong1,3
1Institute of Social and Preventive Medicine, University of Bern, Bern, Switzerland.
Swiss medical weekly
|June 1, 2025
概括
医生笔记经常忽略了儿童运动引起的呼吸道症状的细节,尽管父母提供了这些信息. 为了更好的健康数据研究,需要标准化的文档方法.
科学领域:
- 儿科肺病学 儿科肺病学
- 临床数据研究 临床数据研究
- 呼吸系统健康 呼吸系统健康
背景情况:
- 常规收集的健康数据对研究有价值,但可能缺乏关键的历史记录细节.
- 临床笔记中的儿科运动诱导呼吸道症状 (EIRS) 的医生文档可能不完整.
研究的目的:
- 为了比较医生对EIRS的文档与儿童的家长问卷答复.
- 评估医生记录和家长报告的EIRS特征之间的一致性.
主要方法:
- 从瑞士儿科气道队列 (SPAC) 研究中分析数据.
- 从门诊信件中提取医生记录的EIRS特征.
- 通过标准化调查问卷收集母公司报告的EIRS数据.
- 使用科恩和弗莱斯的卡帕计算协议.
主要成果:
- 医生笔记经常记录了EIRS的触发因素 (69%) 和位置 (48%),以及支气管扩展剂的使用 (94%) 和其影响 (88%).
- 医生和家长报告之间的一致性对于支气管扩展剂的使用是适度的 (κ = 0.53),但对于其他EIRS特征 (κ = 0.010.36) 则差不多.
- 患有呼吸功能障碍的儿童的临床信件包含了比患有喘的儿童更详细的EIRS特征.
结论:
- 门诊信往往缺乏父母可以提供的详细的EIRS特征.
- 建议对儿科呼吸道症状进行标准化,详细的文档方法,以提高研究的健康数据质量.
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