临界冲击指数,儿科年龄调整,作为儿科创伤患者ICU入院的预测统计数据
Sean P Hurley1, Blane Soper1, Anne E Pierce1
1Division of Pediatric Surgery, Rutgers Robert Wood Johnson Medical School, 125 Paterson Street, Suite 3300, New Brunswick, NJ 08901, USA.
Journal of pediatric surgery
|August 14, 2025
概括
儿科年龄调整的临界冲击指数 (CSI-PA) 提供了特定年龄的门,以预测儿科创伤患者的临界护理需求. 较高的CSI-PA分数与增加的ICU入院,呼吸机使用和死亡率相关.
科学领域:
- 儿科创伤护理 儿童创伤护理
- 临界护理医学 临界护理医学
- 生物医学工程 生物医学工程
背景情况:
- 冲击指数 (SI) 是一个已知的创伤指数,用于预测不良结果.
- 现有的SI缺乏针对儿科创伤患者的特定年龄门.
研究的目的:
- 开发适合年龄的切断值,临界冲击指数,儿童年龄调整 (CSI-PA).
- 预测儿科创伤患者的急症护理需求.
主要方法:
- 对2017-2020年国家创伤数据库对儿科患者 (年龄1-18岁) 的分析.
- 使用心率和SBP测量计算SI的计算.
- 接收器操作特征 (ROC) 分析,以确定儿科年龄组 (1-3,4-6,7-12,13-18) 的CSI-PA截止值.
主要成果:
- 确定了CSI-PA截止值:1.239 (1-3年),1.045 (4-6年),0.9496 (7-12年),0.823 (13-18年) 的截止值.
- 在25.1%的患者中观察到异常的CSI-PA值.
- 在正常和异常CSI-PA患者群体之间的ICU入院,呼吸机使用和死亡率的统计学上显著差异 (p<0.001).
结论:
- CSI-PA是一种有效的定量衡量方法,用于预测儿科创伤中急症护理需求.
- 较高的CSI-PA得分预测更糟糕的结果,包括更长的ICU停留时间和更高的死亡率.
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