开发和验证儿童污水冲击登记系统的最低数据集:描述性和横截面研究
Fariba Shabani1, Seyedeh Narjes Ahmadizadeh2, Shahabedin Rahmatizadeh1
1Department of Health Information Technology and Management, School of Allied Medical Sciences Shahid Beheshti University of Medical Sciences Tehran Iran.
Health science reports
|July 30, 2025
概括
为了创建伊朗的儿科败血症休克登记册,开发了一个最小的数据集. 这种标准化的方法对于改善儿童严重败血症的护理和理解至关重要.
科学领域:
- 儿科重症监护医药 儿科重症监护医药
- 医疗信息学 医疗信息学
- 临床数据管理 临床数据管理
背景情况:
- 儿科败血症休克是儿童的危及生命的疾病,以循环功能障碍和细胞损伤为标志.
- 通过注册表进行有效的数据管理可以显著改善患者护理和治疗结果.
- 开发一个专门用于儿科败血症休克的注册表对于推进伊朗的研究和临床实践至关重要.
研究的目的:
- 开发一个全面的最低数据集 (MDS) 建立一个儿科败血症休克登记.
- 为了标准化伊朗儿科败血症休克病例的数据收集.
- 通过集中式数据库,促进改善临床管理和研究.
主要方法:
- 一个描述性的,横截面研究,分两个阶段进行.
- 第一个阶段:文献审查以确定相关的数据元素.
- 第二阶段:使用10名临床医师的Delphi技术验证和完善MDS,并使用SPSS 24分析数据.
主要成果:
- 一组最初的190个数据元素被分为13个类和27个子类.
- 在德尔菲验证之后,根据专家的共识,为MDS最终确定了183个数据元素.
- 最终完成的MDS提供了一个结构化的框架,用于收集有关儿科败血症休克的数据.
结论:
- 开发的最低数据集是创建伊朗儿科败血症休克登记册的基础.
- 标准化数据收集对于全面了解儿科败血症休克至关重要.
- 该倡议将支持政策制定者,研究人员和医疗保健提供者制定有针对性的干预措施并改善患者的治疗结果.
相关概念视频
01:30Acute Kidney Injury IV: Diagnostic Studies and Prevention
57
Accurate diagnosis and effective prevention are critical in managing Acute Kidney Injury (AKI), which is linked to high mortality rates ranging from 10% to 80%. Timely recognition of at-risk patients and careful monitoring can significantly reduce the likelihood of kidney damage.Diagnostic Assessments:The diagnostic process starts with a comprehensive medical history to identify prerenal, intrarenal, and postrenal causes.Prerenal causes, such as dehydration, hypotension, or blood loss, should...
57
01:29Acute Kidney Injury III: Clinical Manifestations
94
Acute Kidney Injury (AKI) progresses through distinct clinical phases: the oliguric, diuretic, and recovery phases, each marked by unique manifestations and challenges.Oliguric Phase:The oliguric phase is the initial stage of AKI, typically lasting 10 to 14 days. This phase is marked by a significant reduction in urine output, usually less than 400 mL per day, indicating decreased kidney function. Fluid retention is a prominent feature, leading to symptoms such as edema, hypertension, and...
94
01:22Acute Kidney Injury I: Introduction
76
Introduction:Acute Kidney Injury (AKI) describes a swift decrease in kidney function occurring over hours to days, characterized by the kidneys' failure to remove waste products from the bloodstream. This leads to dangerous complications like metabolic acidosis, fluid overload, and electrolyte imbalances, such as hyperkalemia, which can cause life-threatening arrhythmias. AKI is common in both hospital and outpatient settings, often triggered by dehydration, sepsis, or exposure to nephrotoxic...
76
01:20Acute Kidney Injury V: Interprofessional Care
45
Acute Kidney Injury (AKI) requires a collaborative healthcare approach to restore renal function and prevent complications. Essential management strategies involve monitoring fluid and electrolyte balance, adjusting medications, initiating dialysis when necessary, and providing nutritional support.Fluid and Electrolyte ManagementFluid Monitoring: Regularly monitoring body weight, central venous pressure, and urine output helps detect fluid imbalances early. Patient intake and output are...
45