切口之外:美国住院护理的儿科术后败血症风险模式和相关不良事件
Michael Samawi1, Gulzar H Shah1, Linda Kimsey1
1Department of Health Policy and Community Health, Jiann-Ping Hsu College of Public Health, Georgia Southern University, P.O. Box 8015, Statesboro, GA 30460, USA.
Healthcare (Basel, Switzerland)
|July 12, 2025
概括
手术后败血症 (POS) 影响12.65%的儿科出院,主要的手术和大型城市教学医院是关键的危险因素. 针对性的感染控制对于减少这种儿科安全事件至关重要.
科学领域:
- 儿科安全 儿科安全
- 改善医疗保健质量 改善医疗保健质量
- 传染病流行病学 传染病流行病学
背景情况:
- 手术后败血症 (POS) 是一个关键的儿科安全问题.
- 它是由医疗保健研究和质量机构的儿科质量指标10 (PDI 10) 追踪的.
研究的目的:
- 检查美国住院儿科护理中POS的发生率和预测因素.
- 确定与POS相关的患者和医院级因素.
主要方法:
- 利用了2019年儿童住院患者数据库 (KID),这是一个全国性的儿科出院样本.
- 进行多变量后勤回归分析以确定风险因素.
主要成果:
- 在大约524万例儿科出院中的12.65%中发现了POS.
- 大型手术,大型城市教学医院和手术/受伤相关的住院是显著的风险因素.
- 医院地区,所有权,床位大小和种族/种族与POS风险的相关性各不相同.
结论:
- 年龄和性别不是POS的显著独立预测因素.
- 这些发现强调了在高风险环境中需要有针对性的感染控制.
- 支持质量改进计划,以减少儿童手术性败血症的负担.
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