风险儿童:对儿科创伤患者急性压力发展和模式的前性队列研究
Marissa Ray1, Allison Bailey2, Elizabeth Lendrum2
1Cincinnati Children's Hospital Medical Center, 3333 Burnet Avenue, MLC 1028, Cincinnati, OH 45229, USA; Department of Surgery, University of Cincinnati College of Medicine, 231 Albert Sabin Way, ML 0558, Cincinnati, OH 45267, USA.
Journal of pediatric surgery
|November 7, 2025
概括
大多数儿童在受伤后会经历急性压力,但症状通常会在一个月内消失. 早期识别和干预对于儿科创伤患者来说至关重要,以改善结果.
科学领域:
- 儿科创伤儿童创伤
- 儿童心理学 儿童心理学
- 严重的急性压力障碍
背景情况:
- 儿童在受伤后容易受到急性压力,这会影响他们的康复.
- 早期诊断和干预对于减轻压力影响至关重要.
- 这项研究研究了影响儿科受伤患者急性压力症状的因素.
研究的目的:
- 评估与儿童受伤后急性压力症状发展相关的因素.
- 评估急性压力症状在出院后一个月的持续性.
- 确定早期干预策略的预测因素.
主要方法:
- 对7至17岁的儿童进行前性队列研究,这些儿童被录取到一级儿科创伤中心.
- 在出院时进行急性压力查 (无症状,有症状,阳性得分).
- 对症状/阳性患者进行一个月的随访调查;逻辑回归分析.
主要成果:
- 603名儿童进行了查;460名 (76.3%) 在出院时出现了症状.
- 年龄较小和女性性别与多变量分析的积极得分有关.
- 一个月后,40人 (16.8%) 仍然对急性压力症状呈阳性.
结论:
- 虽然大多数孩子在一个月内就会消除急性压力症状,但有些孩子会持续或恶化.
- 这些发现支持针对儿科创伤中急性压力的有针对性的干预措施.
- 早期识别有风险的儿童可以指导及时的支持,并改善功能恢复.
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