从儿科重症监护室出院的儿童的长期存活率:一个链接数据队列研究
Anthony Slater1,2,3, Shaila Chavan4, Elizabeth Croston5
1Department of Paediatric Intensive Care Medicine, Queensland Children's Hospital, Children's Health Queensland Hospital and Health Service, South Brisbane, QLD, Australia.
概括
从儿科重症监护室 (PICU) 出院的儿童的长期存活率有所改善,随着时间的推移,死亡风险降低了40%. 潜在的条件和地理位置会影响出院后的生存率.
科学领域:
- 儿科重症监护医药 儿科重症监护医药
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 儿科重症监护室 (PICU) 出院后儿童的长期生存结果尚未得到充分确立.
- 影响PICU出院后死亡率的因素需要进行系统的调查.
研究的目的:
- 描述从澳大利亚PICU活出院的儿童的长期生存情况.
- 为了确定与PICU出院后死亡率相关的因素.
主要方法:
- 一项使用澳大利亚和新西兰儿科重症监护登记和澳大利亚国家死亡指数的队列数据链接研究.
- 分析包括1997年至2018年期间从澳大利亚PICU出院的96,743名儿童.
- 采用多变量考克斯比例危险模型和卡普兰-梅尔生存曲线.
主要成果:
- 随着时间的推移,离院后死亡的总体风险显著下降,从1997-2002年到2014-2018年期间观察到40%的降低.
- 患有低风险疾病 (如喘) 的儿童死亡风险降低了70%,而患有非常高风险疾病 (如恶性瘤) 的儿童死亡风险增加了7倍.
- 居住在外围区域和非常偏远地区与较高的死亡风险有关.
结论:
- 从澳大利亚PICU出院的儿童的生存率明显提高.
- 影响退院后生存的关键因素包括潜在疾病的性质,患者的年龄和地理位置,特别是获得医疗保健有限的地区.
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