儿童机会指数以及因严重喘而入住美国PICU的儿童的结果
Michael C McCrory1,2, Amit K Saha1, Colin M Rogerson3
1Departments of Anesthesiology, Wake Forest University School of Medicine, Winston-Salem, North Carolina, USA.
Pediatric pulmonology
|September 26, 2025
概括
进入儿科重症监护室 (PICU) 的严重喘儿童不成比例地来自社会经济地位较低的社区. 较低的社会经济地位与更高的喘PICU再入院率有关.
科学领域:
- 儿科重症监护医药 儿科重症监护医药
- 健康的社会决定因素
- 喘管理的管理
背景情况:
- 健康的社会驱动因素 (SDOH) 影响儿童喘的严重程度.
- 儿童中SDOH和严重喘结局之间的关联尚未得到充分理解.
研究的目的:
- 通过使用儿童机会指数 (COI) 调查社区社会经济状况与被送往儿科重症监护室 (PICU) 的严重喘儿童的结果之间的关系.
主要方法:
- 一项回顾性队列研究分析了在15个美国PICU (2019-2020) 中2093例喘入院的2-17岁儿童.
- 儿童机会指数 (COI) 是根据人口普查数据分配的.
- 主要结局包括使用正压通风 (PPV) 和PICU死亡率;次要结局是喘的PICU再入院.
主要成果:
- 由于喘而入院的儿童不成比例地来自非常低的COI社区 (46.7%),而不是其他呼吸系统 (28.2%) 或非呼吸系统 (24.8%) 的入院.
- 在COI类别和PICU死亡率或PPV使用之间没有发现显著的关联.
- 对喘的PICU再入院显示,随着COI类别的增加 (p=0.02) 的显著逐步下降,COI非常低的社区 (8.9%) 的最高率.
结论:
- 进入PICU的患有严重喘的儿童不成比例地来自弱势社区.
- 虽然邻里机会没有影响死亡率或通风需求,但较低的机会与与喘相关的PICU再入院风险增加有显著联系.
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