远程患者监测对新生儿重症监护病房患者的影响,新生儿重症监护病房患者因鼻胃管养而出院
Rebecca D Henkel1, Kristin Melton1, Tanya Cahill1
1Division of Neonatology, Perinatal Institute, Cincinnati Children's Hospital Medical Center, Cincinnati, OH; Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, OH.
The Journal of pediatrics
|September 13, 2025
概括
使用鼻胃管 (NGT) 和远程患者监测 (RPM) 从新生儿重症监护室出院的婴儿会导致更早的出院和更少的非计划医疗保健访问. 这种方法在婴儿护理方面似乎更安全,更有效.
科学领域:
- 新生儿护理 新生儿护理
- 儿科结局 儿科结局
- 医疗服务研究 医疗服务研究
背景情况:
- 用鼻胃管 (NGT) 从新生儿重症监护室 (NICU) 出院的婴儿需要仔细监测.
- 远程患者监控 (RPM) 可能为优化护理过渡提供解决方案.
研究的目的:
- 评估RPM与NGTs出院的婴儿的结果之间的关联.
- 为了比较RPM和没有RPM的婴儿之间的临床特征,生长和医疗保健利用情况.
主要方法:
- 对385名从NICU (2015-2022) 用NGT出院的婴儿进行了回顾性队列研究.
- 使用多变量通用线性回归的RPM前和RPM队列的比较.
- 随访时体重的评估和计划外的医疗保健利用.
主要成果:
- RPM组较早出院 (43.00 vs 44.12周),体重z-score变化更为有利.
- 在RPM组中,无计划入院或急诊室访问的风险降低了53%.
- 在RPM组中观察到更高的早产率.
结论:
- 随着NGT和RPM的出院,在出院时与更早的月经后年龄有关.
- RPM促进了更有利的婴儿成长轨迹,并减少了未计划的医疗保健遭遇.
- RPM似乎提高了NGT料排放计划的安全性和有效性.
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